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CAPC Palliative Care Discussion Forum
Leadership and Team Dynamics

In Reply To: Nurse Driven PC
Next Reply: Re:Re:Nurse Driven PC
Next Message: Re:Nurse Driven PC

Post Re:Nurse Driven PC
Author: Deb
Date: Jul 28, 2010 4:14 pm
I am a nurse run PC program and have no physician at all. I work with the attendings. Consequently the majority of what I do is talk to pt's about code status, decisions about things like tube feedings, dc options and am frequently in the ICU discussing withdrawal of support. Occ an attending will ask for assist with pain and symptom management and will consider my suggestions...We do have a pharmacist run pain program here, so most pt's with acute pain are well managed. The ones I am usually asked to assist with are the more difficult cancer pain pt's. I have been lobbying for a medical director and a complete team for 5 yrs without success...
Replies: order by [Date] [Author] [Subject]
+ Re:Re:Nurse Driven PC (by Sophia on 07/28/2010)
Hello Deb-
Sounds very much like what I am doing here. I would like to connect for direct communication. Would you mind providing your email contact info?
Re:Re:Nurse Driven PC (by itriana on 09/28/2011)
Deb, I was told yesterday after few months working on designing a PCP and working towards having the best team with at least a physician champion that there won't be such a structure. I'll be working conulting the pts as they are referred to me, process that hasn't been clarified yet.I'm a nurse but not a NP as I well as you( what I understood from your posting). Please can you tell me how you get the referrals and if you have a model for consultations. Do you write orders (NP) or just leave recommendations for the primary physician. How often are they followed? Hoew do you arrange or coordiante services from chaplins or SWorkers if needed?

Your advice will be very helpful.

Thanks IT

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