angieRN

angieRN has 8 years experience and specializes in hospice, pediatrics.

Latest Activity

1. POOP! What do I put on my nursing notes for poop?

   angieRN replied to xxiangel's topic in Student Assist

   I prefer nutty and corny to describe poop.

2. pt. load for case managers

   angieRN replied to holiday2525's topic in Hospice

   I can't decrease them because of company policy saying that we must provide 2 visits/week to facility patients to help communication and coordination of care. I think it's a bunch of bull if you ask me. We're supposed to provided the same level of ...

3. Paediatric - Palliative Care - Hospice

   angieRN replied to Stargirl1980's topic in Hospice

   I was a pediatric nurse for 18 months before starting in hospice (almost 6 yrs. now) Because of my background, I am usually selected to care for any pediatric patients. It is VERY taxing on the staff involved. I would do some hospice work first to...

4. pt. load for case managers

   angieRN replied to holiday2525's topic in Hospice

   My question is with a caseload of 12-18 does your agency require a minimum of 2 visits per patient per week? I have this requirement, so with a caseload of only 14, my weekly visits are at 34! There are some that could certainly get by with one wee...

5. Hospice RNs- How would you interpret this?

   angieRN replied to DLS_PMHNP's topic in Hospice

   It could just be fluid collecting there from her CHF. Depending on the level of dementia...we've told patients with edema in areas that question why, that the fluid is being kept there like "money at a bank" so that the heart doesn't have to "look a...

6. Getting Calls When Not On Call?

   angieRN replied to missninaRN's topic in Hospice

   I think what you did was the right thing and totally acceptable. If that particular employee questions your actions, you can explain to them that in order to be your best for all of your patients, you have to set boundaries. If that isn't a good en...

7. Average Nurse Manager Salaries?

   angieRN replied to angieRN's topic in Management

   Thank you so much! I was thinking on the low end of that and salary.com was a great help even though it didn't have a peds specialty listed specifically.

8. Scalp IV's

   angieRN replied to justcurious99's topic in Pediatric

   The first time I had to put a scalp IV in myself, I was horrified. I quickly came to favor that site if it looked to be the most favorable option. I also had good luck with them holding out longer. However, I always tried to explain to parents pri...

9. Average Nurse Manager Salaries?

   angieRN posted a topic in Management

   Hello! I have unexpectedly (but very thankfully) been asked to interview for a nurse manager position. It is a 27 bed pediatric unit in a magnet hospital. Because I did not seek this out on my own, I have not truly ever considered what a reasonabl...

10. When will there be a standard order for atropine1% drops with activily dying pts.

    angieRN replied to powerflash's topic in Hospice

    We also do 4 drops every 2-4 hours prn.

11. How do you respond when you tell people you are a hospice nurse?

    angieRN replied to RachelRN25's topic in Hospice

    I usually say, "Yes, it can be a hard job at times, but very rewarding." That pretty much covers it! Angie

12. frequency on RN visits

    angieRN replied to americanTrain's topic in Hospice

    Hmmm..we're having caseload/visit issues as well. I don't think it's unreasonable to see your stable patients once weekly, and for a while, we did that as well. Now we're back to the same as your company. Twice weekly, no matter what. They want o...

13. Discipline Frequencies

    angieRN replied to shrinky's topic in Hospice

    In the home setting we do the same as above, usually 2-3x/wk and prn for the nurses. We're usually pretty specific on the # of days for CNAs. In the facility, we have to be very specific down to which days of the week and AM or PM for Nsg, CNA. SW...

14. HELP! Nosy pt family member driving me crazy

    angieRN replied to RN4ustat's topic in Hospice

    I ususally add in besides the normal "I can't discuss this information with you....blah, blah, blah" "I don't discuss my other patients just as I don't discuss [Name] and all of the private details of what goes on when I'm in your home." Most peopl...

15. Fairmont State graduate?

    angieRN replied to Student_Nurse_WV's topic in West Virginia

    I graduated in 2001 from the ADN program. I really enjoyed and was very glad that I ended up attending at Fairmont rather than WVU. I felt like the instructors gave a lot of personal attention. I know quite a few of the instructors have changed si...