areensee

areensee

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All Content by areensee

  1. New LPN Seeking Info On How To Become Hospice Nurse

    areensee replied to nowdistracted's topic in Hospice, Palliative

    Fantastic. I hope you do stick with hospice. It's a very special kind of nursing and the demand is only going to go up as baby boomers (I include myself in this one)

  2. New LPN Seeking Info On How To Become Hospice Nurse

    areensee replied to nowdistracted's topic in Hospice, Palliative

    It does vary from company to company, but the trend is to go to an all RN staff. The limitations imposed by federal and state law make it less attractive for agencies to hire LPN's. In the past, I did...

  3. last Christmas wish

    areensee replied to smurfynursey's topic in Hospice, Palliative

    This is probably unusual as most patients do not their families to remember every Christmas day as the day of their loved one's death. Most patients would prefer to die either before or after....

  4. management of bone ca pain

    areensee replied to aging1's topic in Hospice, Palliative

    Lidoderm is a local pain reliever. It is useless in deep bone pain, which is deep beneath the skin. I suppose it might help with "joint" pain, but not pain from tumors of the bone. Bone pain is...

  5. Symptoms of end-stage Parkinson's? When should hospice step in?

    areensee replied to zelda2012's topic in Hospice, Palliative

    You are never out of line advocating for your patient. However you should realize that the husband will need to agree, and if he's not ready for this, it won't happen. As far as when the patient is...

  6. Can a new graduate be a hospice RN?

    areensee replied to fireball78's topic in Hospice, Palliative

    I wouldn't recommend it, but it is up to each hospice agency to set their own hiring practices. I had 15 years of experience in the hospital before I went to hospice, and believe me that background...

  7. New LPN Seeking Info On How To Become Hospice Nurse

    areensee replied to nowdistracted's topic in Hospice, Palliative

    My first advice would be to get your RN. What you can do in hospice is very limited if you are an LPN. Admissions and care planning are areas that require an RN, and although some hospice agencies do...

  8. Am I crazy to take a hospice job?

    areensee replied to rnjello's topic in Hospice, Palliative

    Crazy in a good way! Hospice is a very difficult but at least for me, personally rewarding! Let's face it, we all die. Wouldn't you want to know that when you reach that point, a caring and...

  9. Which states do not cover hospice under medicaid?

    areensee replied to crunchytaco's topic in Hospice, Palliative

    Medicaid is actually a state program which is partially funded by the federal government. States are "free" to set up the program as they wish. Obama Care is providing states with the option to expand...

  10. Using PPS Palliative Performance Scale

    areensee replied to military spouse's topic in Hospice, Palliative

    I would say your current employer's approach is just plan wrong! I sure wouldn't want to defend that on a Medicare audit! I think the language is pretty clear, if the patient is able to ambulate...

  11. Using PPS Palliative Performance Scale

    areensee replied to military spouse's topic in Hospice, Palliative

    I am curious, if you are in hospice and you don't use FAST, how to do you document dementia? Medicare requires FAST documentation (at least in our neck of the woods the regional CMS requires

  12. Using PPS Palliative Performance Scale

    areensee replied to military spouse's topic in Hospice, Palliative

    You are getting your scales mixed up. The FAST scale uses numbers 1-7 and is used to rate dementia symptoms. PPS is a general scale of functionality and is used on all patients. It is scored in...

  13. Morphine neurotoxicity

    areensee replied to aphillipi's topic in Hospice, Palliative

    The issues here are two. First, is morphine the correct drug for this patient? Morphine is contraindicated in patients with renal impairment, in most cases. The metabolites can indeed cause serious...

  14. Quality Management: A Clean Bag and Cleaning Tools

    areensee posted a topic in Hospice, Palliative

    Our company policy requires that we keep our bag clean at all times, keep it off the floor, keep it in a clean area of our car, and do not return stethoscope, BP cuff, oximeter etc. to the bag until...

  15. Volunteer opportunities? Any input would be greatly appreciated!

    areensee replied to lbiesemeRN's topic in First Year After Licensure

    I worked in the Phoenix area for a year and a half. Didn't volunteer while there, but your best bet is to try volunteermatch.org. You may also try Maricopa County Health District, which runs the...

  16. I hate nursing

    areensee replied to prettylittlenurse2b's topic in General Students

    I have known persons who attended nursing school, but did not really have the intention of entering a career as a nurse. In one such case, the person felt that being an RN would be good background for...

  17. Posting Rhythm Strips in Telemetry Unit

    areensee replied to areensee's topic in General Nursing

    Yes, we also have seen that fading with scotch tape. Our medical records department would prefer we not use it. But, right now, its what most of us use. I try not to cover anything of importance with...

  18. Posting Rhythm Strips in Telemetry Unit

    areensee posted a topic in General Nursing

    I am a charge nurse in a telemetry unit. In the past, while on a travel assignment, I used a simple device that utilized double sided tape to post telemetry strips. I would like to introduce these...

  19. Posting Rhythm Strips in Telemetry Unit

    areensee replied to areensee's topic in General Nursing

    Not a bad idea, either! Might give it a try. Could be a bit expensive though, when compared to the price of

  20. Posting Rhythm Strips in Telemetry Unit

    areensee replied to areensee's topic in General Nursing

    You might have something

  21. Posting Rhythm Strips in Telemetry Unit

    areensee replied to areensee's topic in General Nursing

    Do you use the double stick tape by itself, or do have a special dispenser? When I traveled at the University of Wisconsin Hospital they had a dispenser that allowed you to place the strip directly on...

  22. Posting Rhythm Strips in Telemetry Unit

    areensee replied to areensee's topic in General Nursing

    Yes, we have the same problem with the pull off strips. I can't stand them! The strip doesn't cover the page, and then the pages stick