vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    HH vs Hospice Documentation

    For anyone interested in pursuing hospice nursing, I recommend joining the HPNA. They have so many resources available. Also check to see if there is a local chapter - this allows you to connect with...
  2. vampiregirl

    CHPN review

    Have you looked at the resources available through the HPNA? I used those resources when I was preparing to take the CHPN and felt well prepared. Honestly, I learned so much when I was studying for...
  3. vampiregirl

    Pay per visit

    I think several factors would need to be assessed in a pay per visit scenario. There should be set rates for routine visits, admissions, recerts etc. I would also inquire about meetings, inservices,...
  4. vampiregirl

    HH vs Hospice Documentation

    In hospice, we don't have OASIS thankfully! We do have some data collection but it's not as complicated and OASIS. For me, OASIS was challenging because some of the appropriate responses were not...
  5. vampiregirl

    What's your most ridiculous supply shortage?

    Very useful for drawing up lorazepam from a vial due to its viscosity! I'm sure there are probably other meds where the larger gauge needles are the best. Or is this a reference to IV
  6. vampiregirl

    New here!

    I'm a hospice case manager and receive hourly pay. I prefer this because visit times vary and case management duties for some patients are quite time
  7. vampiregirl

    Care Manager vs Inpatient Hospice

    So glad you found a position that is working well for you! There are some differences in the skill sets for case management and IPU but both skill sets offer "tools" that are very helpful in the...
  8. vampiregirl

    Foley Cath length

    I'm not aware of extended length catheters however an option might be to see if you have different securement devices available such as leg straps or tape/ velcro commercial devices where you could...
  9. vampiregirl

    The Art of Empathy

    Excellent suggestions that can be easily implemented and can make a big difference in establishing a positive, therapeutic relationship with a
  10. vampiregirl

    Hospice Continuos Care Nurse

    I work for a small hospice agency, very rarely do we have situations when continuous care is required for symptom management. I've had several cases where the visits are multiple hours...
  11. vampiregirl

    sterile technique q for foley insertion

    Head lamps are super helpful for lighting in home health/
  12. vampiregirl

    Ideal Hospice Working Conditions

    1. Allowing the clinical staff to spend the time needed at visits to provide quality care. Not all visits fit neatly into an hour block of time. 2. Hourly pay. Sometimes coordinating care takes...
  13. vampiregirl

    Are you okay with bartering?

    I work hospice so I likely have a different perspective compared to other settings... Patients are involved in goal setting and the plan of care in hospice whenever possible. The disease process...
  14. vampiregirl

    Hospice questions

    CAPC Courses are great! Some of them are available at no cost or your organization may even have a membership that would allow you free access to additional
  15. Another thing that makes a huge difference is making sure any inservices are well organized, as interesting as possible and geared towards what the audience needs to know to apply that knowledge....
  16. In addition to more formal education suggestions listed above, I also found that when I was a staff development coordinator in a SNF that if staff had easy access to information they were more likely...
  17. vampiregirl

    Camp Nurse. First time, is this par for the course?

    If it's a Summer only camp then I'm kinda not surprised that it looked like it wasn't cleaned since last year. I volunteer at a year round facility so my accommodations are routinely cleaned....
  18. vampiregirl

    Anxiety, depression and job hopping

    Home Health has it challenges but also has some self-care opportunities that not all other nursing jobs have. The drive between patients allows an opportunity for self care - aroma therapy,...
  19. vampiregirl

    How's 2021 camp session going?

    Just finished a great week of camp! The weather was moderate with only 1 rainy/ stormy evening. Had the usual assortment similar to NRSKarenRN. Also as MakeLemonadeRN, I had a higher percentage than...
  20. vampiregirl

    Camp Nurse. First time, is this par for the course?

    Make Lemonade RN - what type of camp are you at and how many campers and staff? Does it operate year round or just for Summer. This info will help me appropriately respond to your questions. As...
  21. vampiregirl

    Best car type for on the road home health visits.

    Hospice nurse here, but I've also worked home health... I love, love, love my Honda CRV. Good fuel mileage, dependable, nice ride, electronics meet my needs (screen big enough for my GPS to be...
  22. vampiregirl

    Therapeutic communication for anxiety

    Lots of great suggestions on this thread! One trick I've found is to ask the child (or adult) what they do to calm themselves down when they get anxious. Many times, it's not the first time this...
  23. vampiregirl

    New FNP- Hospice...Thoughts? Advice?

    The AAHPM Primer of Palliative Care is a favorite reference of both the nurses and our Medical Director at the hospice I work for as a hospice RN. I can honestly saw I use this reference almost daily,...
  24. vampiregirl

    Camp Nurse Experience

    The camp I volunteer for also uses a student nurse - the position is called "nurse intern". Every week has 2 different volunteer RN's, the nurse intern is consistent through the Summer. Our...
  25. vampiregirl

    Postgraduate Study

    As previous posters have mentioned, there are many different reasons for one to pursue a higher degree (Masters or PhD)... I am currently working on my Masters in Palliative and Hospice in order...