ray2512

Latest Activity

1. Leaving one company for another question

   ray2512 replied to AtlantaRN's topic in Hospice

   This is so typical. Hospice administration wanting to inflict as much emotional damage as possible to employees seeking greener pastures. It is so odd that hospice administrators depend so much on compassionate employees yet so often they are so hear...

2. new nurse- hospice case manager

   ray2512 replied to weavrvirgorising's topic in Hospice

   If you don't know how to maintain your boundaries in hospice, you will burn out very quickly. Don't go against your natural inclination just because your a hospice nurse. Maintain your boundaries in every area of your life! Be strong and don't let pe...

3. Pain med for ALS hospice pt

   ray2512 replied to spoiled28's topic in Hospice

   Have you tried gabapentin. 300mg first day, second day bid, third day tid.

4. REAL Pain or ADDICTION?

   ray2512 replied to captain morgan's topic in Hospice

   You didn't say where the pain was. But if it is in his shoulder its probably brachial plexus. Nuerontin would be the med for that nerve pain. 300 mg tid to start can go up from there.

5. HELP! I must prove our inpatient facility is understaffed by tomorrow!

   ray2512 posted a topic in Hospice

   I have a big problem. I must prove that our clients are not getting adequate care due to understaffing. I need to have my evidence by tomorrow afternoon about 3 pm. Here is the problem. I am having to explain not getting documentation done, quantitiv...

6. Decadron uses?

   ray2512 replied to henrysmom's topic in Hospice

   Even low doses of decadrone 2-4 mg daily are helpful in increasing appitite. Considering the possible side effects, thats plenty.

7. Need your input before we all quit.......

   ray2512 replied to KJB_65's topic in Hospice

   Maybe its time to start a National Hospice Nurses Union!

8. Do you think patients should have the right to use medical marijuana?

   ray2512 replied to Brian's topic in General Nursing

   It's ridiculous that there is even a debate about it. Except that the drug manufactures don't want it, and they probably spend a lot to lobby against it. Weed is good for appetite, anxiety, sleep, depression, pain, Gerd, MS and a multitude of other ...

9. Why so negative ?

   ray2512 replied to MichaelFloridaRN's topic in General Nursing

   Amen bro

10. Why so negative ?

    ray2512 replied to MichaelFloridaRN's topic in General Nursing

    I think the reason most of it is negative is because it's an oppurtunity to vent. In many settings, such as my own even positive feedback is taken as a bad attitude. One in which you can be fired for even if your a great nurse. Oh, by the way, WWIII ...

11. HELP! Hospice Nurses! How Many Patients Do You Have?

    ray2512 replied to tencat's topic in Hospice

    I have had 18-19 client mostly at home for the last several months. I drive an average of 700 miles every two weeks. We have lpns that assist but most of the time they are filled up so I don't get to use them much. I usually do one night of call eith...

12. Hospice Team Leader

    ray2512 replied to saribeth's topic in Hospice

    I will soon be a team leader soon as they hire a nurse to take my case manager position, which takes a long time since our HR is so slow. I have the feeling that the new team leaders will help design the job some what, but I already know about someth...

13. Experience required for Hospice RN

    ray2512 replied to IDidIt2007's topic in Hospice

    I went to hospice as a GN and had no nursing experience at all. Infact sometimes its better if you havent had a lot of curitive experience. Hospice is much different from any other kind of nursing. I have been in hospice now nearly 14 years and still...

14. After Hospitalized, Patient goes to another hospice

    ray2512 replied to AtlantaRN's topic in Hospice

    First of all do you have a inpatient hospice? Secondly do you have an inpatient contract with the hospital? Maybe they just wanted the client to go to an inpatient unit instead of back to assisted living or a nursing home. If your agency has a inpati...

15. My inability to brown nose is holding me back in my nursing career

    ray2512 replied to FireStarterRN's topic in General Nursing

    All you really have to do is be quite and smile a lot. That goes a long way. Is that really such a strugle. Give some words of wisdom occasionally, think about what you say before you say it. Don't feel you have to change everything right now. When t...