pnhopeful

pnhopeful specializes in RN.

Latest Activity

1. Failed CHPN practice test!

   pnhopeful replied to pnhopeful's topic in Hospice

   Thanks and congrats! I did pass. I would say reading the HPNA core curriculum and study guide along with the practice test were all very relevant.

2. Failed CHPN practice test!

   pnhopeful posted a topic in Hospice

   Hi all! I will be taking the RN cert Tues. I have been getting all the practice questions correct in the HPNA study guide for the hospice generalist and palliative nurse but didn't do so hot on the practice test purchased from HPNA website. I have st...

3. piercings/tattoo

   pnhopeful posted a topic in Ohio

   Hi! I am curious what your dress code is and what kind of facility it is you work in. I am specifically curious if the central Ohio hospitals allow small nose studs for nurses. However, please chime in if you live anywhere in Ohio and let me know if...

4. meds for actively dying

   pnhopeful replied to pnhopeful's topic in Hospice

   What symptoms are typically treated with roxanol in the minimal responsive to unresponsive patient? Rapid respirations? Grimacing? What about moaning with personal care? I would use it in all 3 scenarios, but want other's input. What point is it prud...

5. meds for actively dying

   pnhopeful posted a topic in Hospice

   To the experienced hospice nurse...are you typically going to see ATC roxanol in someone in the active stage? My insticts would say typically, yes. Just would like to hear others' input.

6. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice

   Yes! So true! Total uphill battle. Thank you :-)

7. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice

   Thanks all! Believe me, I know this is wrong and that is why I am disturbed. I have been reading some resources myself, but they are too advanced for the people I am referring to. I am looking for some really basic straight forward stuff. As in, easy...

8. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice

   I wish you could come and educate at this hospice! They are RNs and think they are hospice trained. Where I live one does not have to be CHPN to work in hospice. I would love to attend a symposium or class regarding this issue.

9. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice

   Lets just say their pain assessments are different than mine. Them missing non-verbal s/s of pain among other issues! I think they believe breathing 50 breaths a minute is just fine and dandy. I am considering a change, but before I do I am looking f...

10. blame the morphine

    pnhopeful replied to pnhopeful's topic in Hospice

    Thanks all! What resources or classes or books would you recommend to despell these kinds of myths? Like a hospice 101 crash course! And yes, the med director does not take charge of the hospice. In other words he lets the uninformed nurses call the ...

11. blame the morphine

    pnhopeful posted a topic in Hospice

    I have been running into this a lot lately with my hospice nurse coworkers. Patients' declines and decrease in level of consciousness are being chalked up as "over-medication". This misconception is happening with actively dying patients as well as t...

12. On-call staffing solutions for a growing hospice

    pnhopeful replied to nyx1121's topic in Hospice

    We have a census of approx 225 with a designated triage nurse, 2 RNs on call for weeknights M-Th and 3 RNs on call for weekends Fri 5 pm -Mon 8 am. We also have a designated admissions nurse also. Case Managers rotate call for holidays that fall on w...

13. Health care reform/future of home health

    pnhopeful replied to pnhopeful's topic in Home Health

    Thanks for the reply!

14. Starting A Home Health Agency

    pnhopeful replied to OBRN4U's topic in Home Health

    HealthyNurse, this is interesting info. I started another thread about reform and home care. I would love to hear your input if you have time.

15. Health care reform/future of home health

    pnhopeful posted a topic in Home Health

    I saw the thread about the new face to face rule. Is that going to affect many of your patients? Does anyone know if the "face to face" visit can just be a general visit or does it have to be in regards to home care? For instance, can the client have...