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General Operational Topics


Number of threads on this Forum: 76
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Subject Author Posts Last Post
Description
Post Hospice level beds in tertiary care hospital docput 3 02/04/2010
My medical director came up to me the other day and asked about inpatient hospice level beds run by the hospital. He was not talking about a designated palliative care unit but more the idea of beds that could be designated hospice level if the patient we ...
Post Daily Operations PC Nurse Consult Service eriggall 2 11/12/2009
Can anyone share with me,the daily operations of a single nurse consult service?? I was hired 6 months ago to be the nurse coordinator for a consult service in a 300 bed hospital>PC had a 0.75 SW, 0.5Chaplain,0.5Pharmd,we are now changing to consults of C ...
Post Volunteers for PC Patients LKrall 7 11/19/2009
Would like to know if other PC programs offer volunteers for sitting, running errands, etc. for palliative care patients. This is one area I have not seen much information or guidance on. Could this be in any way considered inducement? Thank you.
Post RRT documentation as referral to palliative care pstark 2 10/26/2009
Hello, We are considering having a statement/suggestion for referral of a patient who has had a rapid response team call and for whom it has been determined that the patient would not benefit or desire further aggressive treatment. Has anyone considered t ...
Post Team Wellness Chaplain_Donna 1 08/20/2009
We are starting something similar here. As aSpiritual Care Professional, my thoughts are if we can provide for the staff to "work off" some of their stress from dealing with palliative patients, they will be healthier all the way around and they won't be ...
Post Team Wellness Akroos 2 08/19/2009
We are currently working on policies for our PC program and would like to investigate self-care and wellness for our staff. Does anyone have policies or programs that they have initiated?
Post Use of the CAPCconnect Forum Discussions PCaines 2 07/07/2009
I would like to remind members of our CAPCconnect Forum Community that the Forum was established to promote discussion on topics related to program development and operations of palliative care programs. Topics regarding clinical aspects of palliative ...
Post Palliative Sedation Policies szaglifa 3 10/28/2009
Does anyone have any policies they care to share re: palliative sedation for intractable pain? There is confusion re: who can push Propofol or Precedex, and whether or not pts need to be in the ICU for this to happen. We have had this come up a few time ...
Post Heroin users rnielsen 2 06/24/2009
I have a heroin user who is in for 6 weeks of antibiotics for a mycotic femoral aneurysm. He is on Methadone 143 mg (73 ml)/d, Memantine 10 mg bid; Fentanyl patch 100 mcg /day and dilaudid 72 mg / day by PCA. A few days ago the dilaudid was working, but ...
Post Billing for Social Work Visit cklein 2 06/22/2009
Do any of your Palliative Care Services charge for psychosocials or Social Work visits? If so, what codes are used?
Post Documentation for IDT meetings MarjT 2 01/12/2010
Would it be possible to get some input regarding the documenation of patient discussions within your IDT meetings? Are there recommended guidelines to what needs to be documented and where? I have seen everything from "Plan of care reviewed & updated" w ...
Post Care of Dying Adult Patient MicheleRN 3 05/13/2009
Kathleen, could you also e-mail me your policy and order set. Many thanks. michele.hurley@christushealth.org
Post hospital credentialing DharmaDoc 2 05/13/2009
Has anyone already developed standards for credentialing a physician in palliative medicine? Now that we have board certification, my hospital wants to know what is my scope of practice. I can draw up a list, but don't want to reinvent the wheel. Thanks v ...
Post Futile Care and CPR TerrellVanAkenMD 3 05/06/2009
I have a 55 year old patient on my palliative care outpatient service with metastatic squamous cell CA throughout her mediastinum,neck and cervical spine who in November 2008 underwent extensive debulking & hardware stabilization of her C-spine due to tum ...
Post Fantastic New Book on Doctor-Patient Communication dianeemeier 1 03/31/2009
Tony Back, Bob Arnold, and James Tulsky have written the definitive handbook on how to talk to patients and families during serious illness. It takes on the most difficult and profound aspects of being a doctor- but it is practical, concise, real- you ca ...
Post PCA by proxy tpalmer 3 04/16/2009
I am the clinical coordinator of a 1yr old palliative care program at a ~550 bed academic hospital. Our current policy states "no pca by proxy" I came from a palliative care program where we used PCA by proxy effectively in hospitalized pt's on comfort ca ...
Post Bereavement/customer satisfaction tpalmer 4 04/05/2009
Hi, I am the clinical coordinator of a 1 yr old palliative care service. We have not yet established a bereavement program or a pt/family satisfaction measuring tool. We are considering a brief phone call from volunteers asking specific questions to asses ...
Post Continuous morphine drips beachbum 3 03/02/2009
Hello, we are looking to formulate a policy to cover the use of MS gtts at end of life. we have a policy for PCA administration, but this doesn't cover or address our needs. If anyone has a policy and can share we would appreciate. Thanks Ronnie
Post Coverage at additional Hospital cblankenship 2 02/20/2009
The organization I work for has a dedicated Palliative Medicine program with a palliative medicine team. Soon we will open another hospital in our health system. We will be providing palliative care to the patients in this new hospital but not another p ...
Post policy on care of the imminently dying Akroos 7 12/20/2009
Does anyone have a policy on the care of the imminently dying?
Post PC team visits to pt mjoyce 2 02/10/2009
After the palliative care dr. does his/her assessment and care plan, do the team members visit the patient individually or as a team?
Post Opinions sought RNCoordJenn 5 01/31/2009
Most of you most likely have yet to deal with this....but probably have thought about it in light of recent events. As I-1000, the Washington State Death with Dignity Act, has recently passed and will be put into effect on March 4 of this year, I'm sure w ...
Post PCA patient with surgical repair of fx humerus Diane_RannaNP 2 01/30/2009
Greetings, colleagues, I am writing for practice advice on a patient that was being treated at our hospital, for whom I was consulted very late in a fairly disastrous case: Mr. V was a 64yo man diagnosed with prostate CA 8/2006, underwent CTX and XRT, l ...
Post mortality rate NAycock 2 01/16/2009
We are a relatively new consultation service and are trying to ensure we have appropriate tracers to assist in identifying palliative care patients who would be included in the "excluding palliative care" cases in mortality rate. What significant criteria ...
Post Massage Therapy in Palliative Care jsweeney 6 12/12/2008
I am a certified massage therapist with independent contracts to provide massage therapy in two hospitals in my area. In one, I work on all floors; in the other, I provide pre-op and post-op massage in the surgery center. This work has been incredibly eff ...
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General questions about using the CAPCconnect™ palliative care discussion forum? EmailPatricia.Caines@mssm.edu