andyg

andyg

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All Content by andyg

  1. Revocation

    andyg replied to silverwillow's topic in Hospice, Palliative

    You can always discharge due to the patient seeking treatment at a hospice non-contracted facility. I am sure when you admitted them you explained which facilities you contract with. This covers you...

  2. Attending memorial services, funerals, condolence calls etc

    andyg replied to nurselearner's topic in Hospice, Palliative

    I agree with all the above. I've been doing hospice about 14 years now and learned long ago yu can't do it all. I always made it a point to go to visitation for myself and the family (it is also...

  3. Administrative differences between Hospice and Home Health?

    andyg replied to chris_at_lucas_RN's topic in Hospice, Palliative

    Yep I reckon for the most part I am. Since you are a pretty little motivated individual get those others motivated with you and good

  4. nebulized ms

    andyg replied to doodlemom's topic in Hospice, Palliative

    Put my two cents worth in, had some fairly good results in days gone past with some of our end stage COPD'ers, in agreement with the SL working better for pain most of the time but as some have said...

  5. vital signs

    andyg replied to hcan's topic in Hospice, Palliative

    Very interesting to see the various thought processes on this issue. It is not a requirement by JCAHO or Medicare to do VS. This would be more of what your agencies P & P manual had in it. My...

  6. Administrative differences between Hospice and Home Health?

    andyg replied to chris_at_lucas_RN's topic in Hospice, Palliative

    chris, when I read this I thought it's a wonder you haven't had a bunch of thoughts shot at you. My opinion is they are completely different specialties with completely different goals with completely...

  7. Is anyone an admission nurse?

    andyg replied to brainnurse's topic in Hospice, Palliative

    I decided that we would use admission nurses at our agency for several reasons. 1st it would provide the case managers additional time to spend with their case loads. 2nd the patients and families...

  8. What is the ideal caseload?

    andyg replied to Hospice4me's topic in Hospice, Palliative

    Hey there req read, Go to the opening page and log in, go to the 11th bullet under technical assistance, then go to the 13th bullet titled suggested staffing ratios and it's all right there. Good...

  9. How long are your IDT mtgs? And content?

    andyg replied to Cing_angels's topic in Hospice, Palliative

    We go over about 100 patients in approx 1-1/2 hours and cover the areas actually quite well. In fact the last medicare and JCAHO surveyors sat in on the IDT meetings and was most impressed with the...

  10. What is the ideal caseload?

    andyg replied to Hospice4me's topic in Hospice, Palliative

    In reponse to req read's question NHPCO has some recommended staffing rations on it's web site. I believe if you go into the main page then into the inside NHPCO then to technical support that they...

  11. Defibrillators...

    andyg replied to CANRN's topic in Hospice, Palliative

    There is the internal pacemaker which will keep the heart rate essentially "normal" but it usually does not "shock" and will not really affect the patient because of chemical changes within the body...

  12. Any ideas for unrelieved N/V

    andyg replied to spoiled28's topic in Hospice, Palliative

    Have had some diffcult N/V cases over the last 15 years and the good ole standby for me has always been Haldol on these difficult cases. Usually in cases like these I'v eput in a SQ butterfly in the...

  13. Defibrillators...

    andyg replied to CANRN's topic in Hospice, Palliative

    We have run up on this on many occassions. Ususally it has been our experience the "defibs" were placed due to other helath problems in the past and usually has nothing to do with their terminal dx....

  14. Trends in dying process

    andyg replied to req_read's topic in Hospice, Palliative

    I totally agree, I do think a lot of the "newer" Hospice nurses really have not had the opportunity to distinguish between religion and spirituality. In our culture a lot of folks still think these...

  15. how to thank hospice unit

    andyg replied to heartICU's topic in Hospice, Palliative

    One of our most memorable family events was when a family called and asked me if it was okay for her to bring some food over for the staff to show how appreciatvie they were of the Hospice team. To...

  16. Trends in dying process

    andyg replied to req_read's topic in Hospice, Palliative

    After 15 or so years in Hospice I think several areas paly a role in someone hanging on. I think first and foremost from what I've seen that someone who has been "bad" for many years ie. abuse,...

  17. anyone from Jackson TN

    andyg replied to tnstudentnurse's topic in Tennessee Nursing

    Hi, ya'll thought I'd put in my two cents worth. I live in Trenton and have worked in Jackson the last 12-13 years. Welcome all you nursing students and good luck

  18. 6 weeks and going strong

    andyg replied to kelluvanurse's topic in Hospice, Palliative

    Congrats, I'm glad it's going well for you. One word of advice would be to just treat the deceased and the family with respect and you will have little to worry about as far as specific stuff you...

  19. another way in the door?

    andyg replied to felixfelix's topic in Hospice, Palliative

    Felixfelix, I'm not sure of where you live but most of the hospices in this part of the country do not require 4 yrs. (South East). I do agree that it does how you present yourself when interviewed...

  20. Nursing shortage

    andyg replied to doodlemom's topic in Hospice, Palliative

    Hey doodlemom, you don't say where you're located. I know here in TN that many nurses want additional hours and are willing to do extra. So you might try posting at your local hosptial and checking...

  21. I accepted hospice position.

    andyg replied to kelluvanurse's topic in Hospice, Palliative

    Hi, JudithLane Many programs I'm aware of do not use LPN's and some do, but you need to consider several things. Yes you can complete in one year but financially an RN's salary is much more and...

  22. Case Manager caseloads

    andyg replied to ray2512's topic in Hospice, Palliative

    doodlemom You can find this inof on the NHPCO website, once logged into the opening page go to technical support then go to the 12th bullet, suggested staffing ratios, and there you go. Good luck...

  23. I accepted hospice position.

    andyg replied to kelluvanurse's topic in Hospice, Palliative

    Congrats, we can always use more compassionate nurses that are willing to take the jump. One of the books that we use with each of our nurses in orientation (and they get to keep the copy) is "Notes...

  24. Case Manager caseloads

    andyg replied to ray2512's topic in Hospice, Palliative

    I feel your pain!! Our nurses right now are carrying 14-18 patients per case manager but that's because of the amazing growth we have seen over the last four months from adc in August of 92 and now...

  25. Is hospice for me?

    andyg replied to kelluvanurse's topic in Hospice, Palliative

    Most nurses I have known and thought of changing jobs have always been concerned as to whether they could do Hospice or learn it. These are there biggest fears. I have actually hired two dialysis...