lantanaRN

lantanaRN

geriatrics and hospice palliative nursin

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About lantanaRN

lantanaRN has 15 years experience and specializes in geriatrics and hospice palliative nursin.


RN for 15 years, Hospice and Palliative certified

Latest Activity

  1. anxiety vs. agitation; Ativan vs. Haldol

    1) we provide a comfort kit with Ativan tablet form, Haldol concentrate..for severe agitation and nausea/vomiting, oral MSIR solution, robinul (secretions) Tylenol suppositories. That being said first line of defense for agitation (terminal or other...
  2. Was my "initial" reaction wrong?

    Welcome to the "new" hospice model Been doing this for 10years for a top 11 in the country large not for profit All was good until 2 years ago when they started transitioning with another hospice and another county Total census over 200 covering mult...
  3. CHPN Certification

    Capt Kris, I do not want management but want to be the best in my field, therefore I take it. The ABC's behind my name tell my patients I am an expert in my field
  4. CHPN Certification

    Do the online review. How long have you been a hospice nurse? The exam is tough, almost tougher than boards, do not focus on what YOUR hospice does remember that others do it differently Know the medicare regs, drugs most commonly used etc. 4 year...
  5. The "Differently Abled" Nurse Speaks

    What's a shame is that we actually work in this profession with people who are not kind, who do not understand our underlying compassion is a gift
  6. First day of clinicals, having a hard time emotionally =(

    Jazziepants: you get it and you have it, paperwork and other tasks are a necessity, but showing love and compassion are what help these patients.
  7. blame the morphine

    I'm having trouble understanding how non hospice trained personnel are even providing hospice care As a certified hospice palliative nurse I educate frequently on the myths of morphine and the actual signs of active dying process. Uneducated patien...
  8. The question you need to ask yourself is do you have the "hospice heart" Hospice nursing is a calling, either you have it or you don't
  9. Nov 3 by [COLOR=#003366]echoRNC711 Nov 3 by [COLOR=#003366]echoRNC711 A member since Sep '12 - from 'Bronx, NY, US'. echoRNC711 has '20' year(s) of nursing experience and specializes in 'Med/surg,Tele,CVRU,ASU,PACU,OR,Cardiac R'. Posts: 151 ...
  10. hospice nurses--personal beliefs in life after death

    Dear Son: My heart goes out to you in this very difficult time. Your mom is beginning to show signs of shuuting down, which is usually the norm in a life limiting disease. However, your mother has also bounced back many times before so there is al...
  11. hospice nurses--personal beliefs in life after death

    Wow, you'd think there would be more replies to this one. I feel that experiencing the EOL journey with my patients has enhanced my beliefs in life after death tremendously. I have always had a belief in life after death, but now feel that I know f...
  12. You Know the patient is going bad when...

    when they get that unmistakable look in their eye
  13. The Good Doctor: What Hospice Has Taught Me

    Thank you for a beautifully written letter. As a fellow hospice nurse, I appreciate that someone else feels the same way I do. Not only do I get to practise compassion and caring, but I too walk away with learning from these dear patients the true ...
  14. MORPHINE and Dying Patients

    You are correct on withholding a prn dose, however I am referring to a routine dose, and as many of the other posters have stated, that routine dose that you choose to withhold could cause my patient who appears to be pain free to be right back in pa...
  15. MORPHINE and Dying Patients

    BTW, if the order is for every 3 hours and YOU decide to withhold a routine dose you are making a medication error. A patient may be on routine morphine for many reasons, and to withold just because they are asleep or unconscious is wrong.