areensee

areensee

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All Content by areensee

  1. Revoking and Hospitalization

    areensee replied to Kabin's topic in Hospice, Palliative

    This is an area that has costs hospice agencies a lot of money. It is extremely important to know if the hospitalization is related to the diagnosis or not. It is also important to communicate with...

  2. LVN to "fill in" for ADON while she is away

    areensee replied to csuchon's topic in Hospice, Palliative

    No this is not appropriate. It has nothing to do with the person, just the title. Law requires an RN to supervise and this is very clear. While the LVN could take on some of the responsibilities that...

  3. Distance limit

    areensee replied to tsunade's topic in Hospice, Palliative

    In Utah, a hospice agency can only serve locations within an hour's drive of the office. We restrict our service area to 3 counties. We are urban, however. A rural hospice will by nature need to cover...

  4. Did I make a mistake?

    areensee replied to bruiised's topic in Hospice, Palliative

    Welcome to nursing. We've all been there. This is the reason that it is generally recommended that you have at least one year of med-surg or related experience before getting into hospice. But since...

  5. PRN Evenings - what to expect?

    areensee replied to ukjenn231's topic in Hospice, Palliative

    Your job is triage, put out fires. Resist the temptation to "fix" everything and focus on the immediate needs of the patient. Good communication with your team is a must and you should be given the...

  6. How many patients should a case manager be responsible for.

    areensee replied to katie'sangel's topic in Hospice, Palliative

    Probably is time to leave. Why jeopardize your license for unsafe

  7. How many patients should a case manager be responsible for.

    areensee replied to katie'sangel's topic in Hospice, Palliative

    For profit or not for profit, it doesn't really make any difference in hospice. The not for profit agencies I have had acquaintance with don't necessarily do a better job for the patient. In fact,...

  8. Hospice admitting nurse

    areensee replied to JillianV's topic in Hospice, Palliative

    My recommendation is that you should have case management experience first, before working as an admission nurse. The admissions nurse is the first contact and the way you set things up will either...

  9. Frustrated with Case management

    areensee replied to GundeRN's topic in Hospice, Palliative

    Sounds like the problem isn't with your nursing skills, but rather with a hospice agency that has serious issues. Find yourself another employer. You deserve to be treated with the respect due a...

  10. morphine pumps

    areensee replied to rubysasha's topic in Hospice, Palliative

    Narcotic drips can be given through a peripheral line! The problem is that if it is going to be long term, the IV will need to be changed out according to your hospice policies. Also, IV sites have a...

  11. Hospice Nursing - Compassionate Care at the End of Life

    areensee replied to tnbutterfly - Mary's topic in Hospice, Palliative

    Yes this is a very difficult field of nursing and can be emotionally taxing. I can't imagine doing anything else, though! They say it takes a special kind of nurse to do hospice. I look at it a little...

  12. Let's talk $$ for hospice. (Idea lifted from Agency nursing)

    areensee replied to SuzieVN's topic in Hospice, Palliative

    RN Hourly, $26 in Utah plus

  13. Newer Nurse trying to follow heart

    areensee replied to kota110's topic in Hospice, Palliative

    No med-surg isn't the only way to get into hospice, but it is the best. I would not recommend getting into hospice without a good year of med-surg or related experience. The demands of the job require...

  14. rescue meds...or not.

    areensee replied to johnys's topic in Hospice, Palliative

    Wow! Your heart was in the right place and clearly the facility's heart wasn't. I doubt there are any state laws requiring e-kits in facilities. The facility did leave themselves (as well as your...

  15. The Best Study Materials for NBCHPN's Certification Exams

    areensee posted a topic in Hospice, Palliative

    I'm going to take the certification exam in a couple of months, and I would like to be as prepared as possible. I would like to know what study materials others have used and how helpful they found...

  16. The Best Study Materials for NBCHPN's Certification Exams

    areensee replied to areensee's topic in Hospice, Palliative

    Thanks for the reassurance. I have ordered the Core Curriculum, the study guide and the competencies guide. I wouldn't even try this exam if I didn't have a few years of experience in hospice....

  17. Should we teach unlicensed caregiver . . . . .

    areensee replied to Spidey's mom's topic in Hospice, Palliative

    No, we would never do this. We would send in a nurse to give the injection, however we probably would not use IM haloperidol anyway. There are so many other options available. Sublingual haloperidol...

  18. Too Much Suffering

    areensee replied to GundeRN's topic in Hospice, Palliative

    Yep! I know exactly what you

  19. Pt cant forgive...

    areensee replied to smalltownLVN's topic in Hospice, Palliative

    This sounds like a pretty complex issue and one suited best for a spiritual care coordinator (chaplain) or a social worker. As far as what you can do, let your patient say anything. Trust and rapport...

  20. Is Hospice Nursing depressing?

    areensee replied to middleagednurse's topic in Hospice, Palliative

    Depression is a clinical diagnosis. If you are prone to depression, you are likely to experience it regardless of what specialty you choose. Perhaps you should look to yourself to see what's going on...

  21. Why Do People Bully Me?

    areensee replied to TheCommuter's topic in Patient, Colleague Relations

    What I will never understand is how bullies remain in their positions. There should be zero tolerance in the workplace. Maybe if more employers find themselves on the losing end of a hostile working...

  22. Can a new graduate be a hospice RN?

    areensee replied to fireball78's topic in Hospice, Palliative

    It is difficult to get an inpatient position. I had hospice experience and still couldn't get an interview in an inpatient unit. I would encourage you to keep trying, and if you can take some CE in...

  23. Win $100! February 2013 Caption Contest

    areensee replied to Joe V's topic in News, Announcements

    Dr. Jones it's just a flu

  24. Am I crazy to take a hospice job?

    areensee replied to rnjello's topic in Hospice, Palliative

    Sure, go ahead and pick up acute care shifts. It won't hurt and it would be good insurance. For the first two years I worked per diem for an agency in addition to hospice. What I found though was that...

  25. Am I crazy to take a hospice job?

    areensee replied to rnjello's topic in Hospice, Palliative

    Yep, me too. I worked in the hospital and travelled as well, for a total of 15 years. It was really time for a change, and hospice fit the