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CAPCconnect™ palliative care discussion forum

General Operational Topics


Number of threads on this Forum: 131
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Subject Author Posts Last Post
Description
Post Methadone and prolonged QT/arrhythmias jcroen 4 02/01/2012
We have a young gentlemen on a dilaudid drip of 22mg/hr. He has a strong desire to go home but his opiate requirements are too high. Methadone has been suggested in the past but he has experienced arrhythmias and has a QT of 480. Any suggestions would b ...
Post Role of physicians in patient transfer out of bed ahmedof11 2 02/03/2012
I am a geriatrician responsible for educational palliative care program in the general hospital I am working in. My Palliative Care interest is that for noncancer patients. I found that patients transfer out of bed is too much neglected specially for pati ...
Post Primary Care Physician Education AFrieman 2 01/25/2012
I am looking for a resource to educate primary care physicians on palliative care, specifically on communication/advance care planning. Does anyone know of a good online or easily accessible resource for doing this? I would love for the docs to be able to ...
Post Scheduling templates dduncan 1 01/20/2012
I am looking for examples/templates of how physicians are scheduled for consults and models used to determine when it is necessary to hire a new MD. In addition to monitor productitivty. Thank you!
Post I need to teach a palliative care subject Fhaied 2 01/05/2012
Dear colleagues, I would like to get direction from you as I need to teach palliative care subject in undergraduate level-nursing college. I do not know what the best component and topics to be delivered to them. I need advises. Kind Regards, Fh ...
Post Handoff or Checkout Form / Tool eriegel 2 11/16/2011
Do any teams out there have a standardized format for a handoff tool that works well for the physician, nurse and social work members of the team? We utilize a self-created template here that gets a bit cumbersome and hypo-helpful. Hoping other teams have ...
Post NEW: Clinical Site Visit Directory Available PCaines 1 10/17/2011
Dear CAPCconnect Forum Community: The Center to Advance Palliative Care (CAPC) receives frequent requests for information regarding palliative care programs willing to host clinicians and hospital teams interested in on-site clinical training. In resp ...
Post Care Plan Format and Process BarbZenker 2 10/12/2011
We are updating our care plan format and process. We are interested in benchmarking with other hospice and palliative care agencies to see what you do and what has worked best for you. Our goal is to have an interdisciplinary plan of care that meets regul ...
Post Concerns of opiate diversion and illicit drug use sgray 2 09/12/2011
Does anyone have any polices on how to address concerns with diversion and illicit drug use. Is there a process that occurs when a patient with known cancer pain also has a positive tox. screen or is suspected of diversion?
Post Inpt hospice facility in a SNF SSmart 2 09/08/2011
I am looking for information from anyone who has a licensed hospice inpt unit that is located in a nsg home/SNF. I am needing information on contracts, leasing, staffing, etc. Any help is appreciated.
Post Phenobarbital use in Palliative Sedation jkiser 2 08/30/2011
We are currently in the process of developing a Palliative Sedation policy and Hospice Phamacia was contacted to inquire about pheonbarbital titration parameters. They stated it is not recommended for PC sedation and the only recommendation they gave was ...
Post Palliative Sedation Standard of Care Janine 3 08/07/2011
Does anyone know if there has been an established standard of care for "Palliative Sedation"? One of our Pall Care physicians in our corporate network has written and submitted to our corporate for consideration and approval.
Post Palliative Care Sedation policy Janine 2 08/09/2011
I have been asked to attempt to find out how many Palliative Care programs nationally offer Palliative Sedation (with policy)? Can anyone help me with this question?
Post algorithm link: hospital process for ADs lynceronsky 2 07/25/2011
Dear Colleagues, In response to your requests to view a hospital process for advance directives, our advance directive algorithm is now available on the capc website. Paste the following address in your browser: http://www.capc.org/tools-for-palliative-ca ...
Post CPR Snebl 2 07/30/2011
Do you require CPR for your clinical staff?
Post Inpatient Acute Hospice physician standing orders sarahellman 2 09/08/2011
I am working on a standing physician order set for a new acute care inpatient Hospice House opening in Ocotber and would love some examples that anyone is currently using. Thanks!
Post RN Orientation Deb 3 07/20/2011
Does anyone have a formalized orientation designed for a palliative care RN? When I started this, I oriented myself because there was no one else here who was doing this...
Post A general question Leisa_Greathouse 4 07/24/2011
Will palliative care replace hospice as the word for which we care for those with life-threatening or terminal illnesses? I would like to see it. I'm not sure what hospice does that palliative care doesn't do better. Can you elaborate on that for me, or e ...
Post Generalist/Primary Palliative Care Weissman 1 07/12/2011
In January CAPC published a consensus paper on integrating triggers to identify patients at high risk for unmet palliative care needs on hospital admission or during daily rounds (http://www.capc.org/research-and-references-for-palliative-care/pivotal-pa ...
Post homebound status mariap 2 06/29/2011
Hello. I am curious what the word is out there re: homebound status as a PC criteria. My organization still includes this as a requirement, but the implementation is soft. Listening to the briefing today re: the new research on the perception of PC nati ...
Post Weekly team discussions cwood 2 07/16/2011
Since our program's inception,we have had weekly team meetings to discuss our consults, what each of our roles is, and the general plan for the patient. "Minutes" are taken, and stored in a binder, and also electronically. They have not been part of the m ...
Post Inpatient Hospital Palliative Care Units JenRN 1 05/18/2011
I am the Program Director for an inpatient,hospital based,consultation palliative care team. Interested in starting an inpatient unit. Would like to talk with other centers wih already have an inpatient unit. Thanks,Jennifer Beckner jennifer.beckner@flhos ...
Post Quality Metrics Reporting, QNET rsawicki 8 05/18/2011
It has come to our attention that if a patient in our hospitals has a palliative care consult ordered, our quality reporting service...QNET...automatically removes them from the measures, considering them to be "comfort care only". Clearly this is a mispe ...
Post Documentation KelleyWoggon 2 04/26/2011
Our hospital is switching from a Meditec EMR to EPIC. Does anyone with an inpatient consultation services currently use EPIC? If so, does your team document as a single provider or does each discipline have to document individually? What do we need to b ...
Post Upcoming Briefing: NYS Palliative Care Info Act PCaines 1 04/01/2011
Your Responsibilities Under the New Palliative Care Information Act April 13, 2011 10:30 AM-12:30 PM Register online by April 8 here: http://www.surveymonkey.com/s/5Q57BT6 The Healthcare Association of New York State and Greater New York Hospital Associ ...
Post orders for initiation of narc drip with prn's DorothyC 2 03/28/2011
Does anyone have a standardized comfort care narcotic drip MD order form that includes additional prn meds such as Ativan?
Post Interface between AD's and POLST juliegethics 2 03/10/2011
Our sponsoring state legislator has asked me how would adding POLST affect or change advance directives for people with current directives. I have described the clinical continuum to her. I want to be sure I'm not missing some legal/procedural snafu, ho ...
Post MOLST in New York State suzannenk 3 03/10/2011
While we rarely initiate a MOLST form in the hospital. since physicians do not find it user friendly for an acute setting, the ethics committee has noted that there are situations where it has been very useful. We do include MOLST in all advance directiv ...
Post POLST in hospitals njoyner 2 03/10/2011
It is my understanding from the teleconference today that POLST is used across settings but not within a hospital setting?
Post POLST patients dying in nursing homes juliegethics 2 03/10/2011
followup question from POLST and palliative care teleconference. When a POLST prgram is set in place, Susan Tolle said that more patients would die in place, in nursing homes or at home, hopefully with hospice. How is that effecting the capacities of ...
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