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CAPCconnect™ palliative care discussion forum

General Operational Topics


Number of threads on this Forum: 91
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Post Templated Order Forms Posted on CAPC.org PCaines 1 08/17/2010
Dear Forum Community: Templated order forms are posted on CAPC.org for your use. To view them, copy and paste the below link into your web browser: http://www.capc.org/tools-for-palliative-care-programs/clinical-tools/order-forms We hope these t ...
Post comfort care orders efracchia 1 08/16/2010
I would be happy to share our comfort care orders. Please email me directly with your request for copy: efracchia@wwbh.org
Post Comfort care standing orders janunnery 3 08/16/2010
Are there programs out there that are using standardized order templates for patients getting "comfort care only"? If so would you be willing to share.
Post Comfort care standing orders janunnery 2 08/20/2010
Are there programs out there that are using standardized order templates for patients getting "comfort care only"? If so would you be willing to share.
Post How To Post on the Forum PCaines 1 08/05/2010
Dear Forum Community: Depending on the speed of your internet connection there may be a delay when your create a new post and then click the "Post Message" button. As a result, after you type the body text of your new post, or reply to an existing post ...
Post New consult order for readmissions? thelenm 3 08/02/2010
We have a two year old palliative care program. We require a physician's order for an initial palliative care consult. Up until now, our practice has been that once a patient has been seen by palliative care, palliative care can automatically see the pa ...
Post Use of Skype in palliative settings Chapdavid 3 07/28/2010
We are thinking of encouraging families to use skype for family-physican conferences, and for persons to "sit vigil" with dying loved ones when they cannot be physically present. Is anyone doing this? How are you doing it? What has been the response from ...
Post Non-verbal pain scale pstark 3 08/17/2010
I am looking for a non-verbal pain scale for non-icu patients. Would welcome any feedback. Thanks Phyllis
Post unbefriended nondecisional- signing on to hospice? juliegethics 2 06/30/2010
In Illinois, a legally recognized substitute decision-maker is required to sign a patient up with hospice. In our Nursing Homes are many nondecisional people who have NO ONE to make decisions on their behalf, and for whom legal guardianship (ie., state g ...
Post Percent of Hospital Deaths with PC Consult mbordofsky 3 06/15/2010
Is anyone aware of a target, range, or other stats or standards regarding the percent of hospital deaths for which a palliative care consult is performed?
Post Physician referrals rkozyckyj 5 06/10/2010
need input from colleagues. Our large teaching hospital is re-examining the way consults fro Palliative Care are initiated. One of the proposals involve allowing nurses to call for a consult, then after chart/caser review the Palliative Care consultant i ...
Post Inpt Palliative Care-Physician Medical Director Daya 2 05/13/2010
We have only one PC/Hospice Certified physician in our facility who is the medical director of our outpatient home health hospice program. Another physician is pending completion of his hours and pending certification. Can the physician who is pending c ...
Post palliative care volunteers KellyNP 3 05/03/2010
Are there guidelines for volunteers? If so, I am unsure where to look. We have had volunteers in the past with no real structure in place or role definition. I would like the volunteers to feel 'fulfilled' by what they do. These folks are not necessarily ...
Post Palliative Care Reporting Structure aretta 3 04/28/2010
I have been researching to determine if there is a standard or best practice regarding the reporting structure for a Palliative Care (PC) Department. Should a Palliative Care Department report to a physician aligned department or to Nursing or Administra ...
Post Info pamphlets for low/no cost akinderman 2 04/08/2010
Does anyone know of organizations that will provide information on death and dying, palliative care topics, etc, at low or no cost? We are a brand new program with few resources, but would love to be able to provide information for families. EXTRA CREDI ...
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 ...
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General questions about using the CAPCconnect™ palliative care discussion forum? EmailPatricia.Caines@mssm.edu