FrankieJane

Latest Activity

1. Need hospice in Waxhaw NC

   FrankieJane posted a topic in General Nursing

   My husband's uncle has end stage esophageal cancer and has less than 3 months to live. The family is looking for hospice services. Does anyone know of a reputable hospice in Waxhaw NC? The one my husband's aunt looked into was talking about a $2000...

2. seasonal birth control pill- only 4 periods a year? healthy

   FrankieJane replied to Angela Mac's topic in General Nursing

   I have endometriosis and my doctor suggested that I take a low dose birth control pill and only allow myself to have 3 periods per year. This doesn't work with the tri packs, the dosage on the pills must be the same. I personally didn't like this m...

3. LPN going deaf. What kind of nursing can I do?

   FrankieJane replied to nursnancy's topic in General Nursing

   I am severely impaired in my left ear and dull normal in my right ear. As my hearing deteriorated, I found that I could actually feel the sounds in my ears through my stethescope (pulse, b/p, etc) so I haven't had to upgrade my stethescope yet. I w...

4. Testicular Cancer

   FrankieJane replied to Paprikat's topic in General Nursing

   My brother was dx'd with testicular cancer when he was 30. He had one testicle removed and had chemo. He did not need to have any lymphnodes removed. It has now been 4 years since he ended chemo and he is still cancer free. He even got his wife p...

5. Can you refuse a pt due to unsafe conditons?

   FrankieJane replied to FrankieJane's topic in Hospice

   Thank you for your reply. I agree that my safety comes first. Even if a security guard escorted me, he can't protect me from a bullet. I am going to refuse this pt. My manager can fire me if he wishes...I don't care. If I don't look out for myse...

6. Can you refuse a pt due to unsafe conditons?

   FrankieJane posted a topic in Hospice

   I just recently ran into a situation with my hospice. We have two new pts in a very bad neighborhood and I recently found out that these pts would be mine. One pt lives in a house and it is a good family. I have no problems seeing this pt. The o...

7. methadone

   FrankieJane posted a topic in Hospice

   Have any of your patients used methadone for pain control? How well did it seem to work for them?

8. lexapro

   FrankieJane posted a topic in Psychiatric

   Can anyone tell me about the medication lexapro? I couldn't find it in my drug book. Have you had any pts on it...if so, what are some of the common side effects and how well does it work?

9. Need help from psych nurses! Severe depression...

   FrankieJane replied to FrankieJane's topic in Psychiatric

   The pt and his wife decided to discontinue hospice services. The pt's physical status was stable and he showed no signs of decline. Unfortunately, the pt's depression never resolved. The anxiety improved, but that was about it. I still think of t...

10. Mandatory Overtime and OSHA

    FrankieJane posted a topic in General Nursing

    Does anyone out there know if OSHA puts a limit on how many hours one can work in the course of a day or a week? The reason I ask is that a friend of mine works in an ADON position. The facility my friend is at does not allow the ADON to hire agenc...

11. On Call

    FrankieJane replied to Mandee's topic in Hospice

    Well, I was just on-call last night and found out at 9:30 pm that I was the primary...and ONLY person on-call. This was after working an eight hour day and seeing 6 pts. I only got called twice, but due to the times of the calls and the length of t...

12. On Call

    FrankieJane replied to Mandee's topic in Hospice

    On-call is bad where I am at right now, mostley due to being short staffed. We have a 24 hour triage that does a good job at handling situations over the phone. We have designated on-call workers for weekdays and weekends. The primary nurses funct...

13. How many pts do you care for?

    FrankieJane replied to FrankieJane's topic in Hospice

    Just a little update: Since my last post, one full-time nurse from our team quit. I got so frustrated that I did go on a couple of job interviews. I checked out other hospice's in my area...and although their pt loads are smaller, they were not ...

14. How many pts do you care for?

    FrankieJane replied to FrankieJane's topic in Hospice

    Our facility has just instituted another job for the nurses. We are supposed to call the MDs of our pts with a verbal report (in addition to the written report we already do) and then inquire if they have any other people in need of our services. D...

15. Patient with problems

    FrankieJane replied to hotweelsmom's topic in Hospice

    I had a pt that had bladder cancer with mets to the vagina. She had growths on her labia and also had growths that protruded through the skin in her groin area. The tumors had a dark brown discharge and a strong odor. The pt used scented candles a...