Em1995

Em1995 has 21 years experience and specializes in Emergency, ICU, Psych, Hospice.

Latest Activity

1. Delta 8 THC now federally legal, what does this mean for nurses?

   Em1995 replied to RNMN667's topic in General Nursing

   As a family nurse practitioner, I certify patients for medical cannabis. Those who see it as evil are not educated about it. It has greatly helped hundreds of my patients. Studies also show that THC may attack cancer cells. However, they are not comp...

2. Nurse educator AND FNP..need advice!

   Em1995 replied to prettyRN4's topic in Educators

   I'm also working as a Family Nurse Practitioner and as a faculty member. It's the best of both worlds!

3. Driving time

   Em1995 posted a topic in Hospice

   I put in about 3 hours driving time today and saw 6 patients. There was no time to stop for coffee and forget even 10 minutes for lunch. Had I stopped I would never have been done on time.However,when I mention that I put 100 miles a day on my car, m...

4. Leaving one company for another question

   Em1995 replied to AtlantaRN's topic in Hospice

   I cannot believe I found this one particular post! I resigned and gave a one month notice. The management THINKS I am going to another hospice, but they do not know for sure. They did not allow me to see my patients either and asked me to leave. One ...

5. average # of nursing home patients

   Em1995 replied to Em1995's topic in Hospice

   Are you guys serious? Our nursing home nurses are expected to see only 4 patients a day in a nursing home. I was told by someone at work that the national standard is 4 nursing home patients in one day. I have fellow colleagues in hospice nursing in ...

6. average # of nursing home patients

   Em1995 posted a topic in Hospice

   Does anyone know the average # of nursing home hopsice patients seen in a day? I find 6-8 very do-able.

7. REAL Pain or ADDICTION?

   Em1995 replied to captain morgan's topic in Hospice

   I noticed you mentioned "legal", Carolyn. I chuckled. One of my 20 year old patients with stomach cancer experienced intractable nausea and vomiting. I had tried everything under the sun from diet change to meds: Zofran, compazine ativan...you name i...

8. REAL Pain or ADDICTION?

   Em1995 replied to captain morgan's topic in Hospice

   The word "addicted" doesn't ever enter into my vocabulary or thought process. Pain is pain and whatever the patient says it is. Our mission is to alleviate that pain.

9. mileage guidelines

   Em1995 posted a topic in Home Health

   Does your agency specify a time for driving? For example, I heard one agency specifies 2 minutes per mile.Your thoughts?

10. Unsafe Discharge?

    Em1995 replied to cincopup's topic in Hospice

    I applaud him or her, too...but, why complicate matters and continue futile interventions (lopressor). With good family support, (I assume the hospice admitting nurse was at the hospital to assure support to transfer the pt home), usually the family ...

11. Unsafe Discharge?

    Em1995 replied to cincopup's topic in Hospice

    I agree with Leslie on this. But, have some comments. Lopressor will DECREASE blood pressure, if this patient is actively dying, why continue it? I question a medical director who would approve of the patient going home with IV Lopressor. And, th...

12. Tips for New Hospice Nurse

    Em1995 replied to RNandlovingit's topic in Hospice

    SweetSue...you cannot recertify a patient if they are not showing a decline. Do you find anything that indicates a decline? Any weight loss? Increased sleeping? Increased infections? UTI's? Decline in mobility? Increased confusion? Do any of the co-m...

13. Use of an Oxymetor

    Em1995 replied to Mazzi's topic in Hospice

    I have some strong feelings about the use of oximeters in hospice. As a long-time ER nurse, and now a full-time hospice nurse, I have often seen these measurements to be inaccurate and over-used(and, I saw those inaccuracies many times in the ER). Ox...

14. Feeling Frustrated with LPN on my team!

    Em1995 replied to Brightonrn1's topic in Hospice

    Ktw...What I meant to say was this: if another nurse, social worker, volunteer, whomever...doesn't discuss his or her ideas with their co-worker, then no, they are not being a team player. This is all about communicating WITH each other. It doesn't m...

15. National average for pt caseload

    Em1995 posted a topic in Hospice

    Just wondering if anyone knows the answer. Do your full-time home care nurses carry about 12 patients? And, what about facility nurses? To me, it seems like they can handle more as in facilities the facility nurse carries out the work and the hospice...