Ginapixi BSN, RN

L&D, Hospice

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About Ginapixi

Ginapixi has 30 years experience as a BSN, RN and specializes in L&D, Hospice.


Latest Activity

  1. Ginapixi

    Best tips for blood draw on elderly

    yes! it is done with gloves and i have done plenty of blood draws in the hospital setting as well as in the home (though MUCH less!), port access etc, always with gloves - However, i have started nursing back in the day when gloves were for the OR, m...
  2. Ginapixi

    End Of Life Care

    nicely done!
  3. Ginapixi

    Hospice Contract RN Salary

    I hear a lot of agencies will pay per visit, especially off hours; a case load of 15 should be manageable if there is back up if needed; who covers nights/on call? and how large is the area you cover? I used to work for a company who paid salary to ...
  4. Ginapixi

    Hospice failure

    seriously, the med dir should have talked to the case manager as well as at least one of the family doctors where i worked patients always kept their family physician or other doc as attending, the hospice med dir was only a back up and support; othe...
  5. Ginapixi

    Patient Right to Know

    I have seen similar cases quite a few times. Some times it was denial on the side of the family, some times over-protectiveness, some times selfishness... the reasons are many and for those working with death and dying on a regular basis often hard t...
  6. Ginapixi

    So disgusted

    yes it is - or it seems so to you - and me, and many others a regard for people, alive or dead not every one has it laws, regulations and the understanding of death do not make the scenario any easier at least here the police and ambulance called out...
  7. Ginapixi

    considering hospice on call position

    over the years i have come to the conclusion that yes, the company needs to treat you right, but they are about all the same; the difference ? The colleagues you work with! they are the ones that either support you or... burden you (no one has stabbe...
  8. Ginapixi

    Going from cardiac floor nursing to hospice

    remember why you changed job fields!
  9. Ginapixi

    Hospice nurse and bullying manager

    seriously what ever happened to nursing care? does an enema in the case you state not fall under basic nursing care? what in the enema is medication? I got out of hospice care because we could never care properly for patients after hours (had orders...
  10. Ginapixi

    "Don't tell her why she's here"

    we live in such a fake world! most patients know very well that they are dying! some may deny that fact, but they know once hospice is involved. Some families try to spare the patient, some patients try to spare the family, but the longer one works i...
  11. Ginapixi

    Using PPS Palliative Performance Scale

    yes, I was not implying they are no good, they can be helpful, I just think we put too much emphasis on them; I am so sorry to hear about the shortage of beds, but we used to have to pick and chose (unfortunately many times the choice fell to the one...
  12. Ginapixi

    Using PPS Palliative Performance Scale

    I can see that some may take offense at my comment, but it has bothered me for quite some time that nursing, even hospice nursing, has become such a business. We need to fit people into categories in order to get the needed support for them; some pat...
  13. Ginapixi

    Death stories?

    stories like yours "by Marties" just make me wonder! thanks for sharing!
  14. Ginapixi

    Hospice and GIP admissions

    we used to have some when i still worked, usually they were in such a state that transport was not feasable or not wanted and death was most often within 24 hrs - we basically made sure the symptoms remained controlled (nothing the hospital staff cou...
  15. Ginapixi

    My first death

    back in the seventies when i was in nursing school, we had a pt who declined over the weeks and was actually exhibiting all the text books signs of dying; the floor nurse took us newbies in and did a wonderful job in caring for the patient as well t...