rnboysmom

rnboysmom has 10 years experience and specializes in HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS.

Latest Activity

1. Needs a Hospice Nurse's help!!

   rnboysmom replied to JRS75's topic in Hospice

   The general public is so misinformed about hospice care as it exists today. Start by praising him for all of his hard work. Acknowledge his efforts and his wish to keep her home. Tell him that you have some knowledge about a service that can help ...

2. Long Acting Morphine for Resp Distress in Hospice Pt

   rnboysmom replied to jsdrn's topic in Hospice

   We are not worried about diversion of lasix (although I have seen some pretty strange happenings in homes with severe diversion issues). Lasix is an alternate option to consider as an alternate to morphine when there may be diversion issues in the ho...

3. Long Acting Morphine for Resp Distress in Hospice Pt

   rnboysmom replied to jsdrn's topic in Hospice

   There are a lot of short studies on nebulized lasis, some favorable some inconclusive. Lasix, like morphine works to selectively vasodilate capillaries in the lungs (same as morphine). Some of the benefits of lasix (if it works for your patient) ar...

4. New to Hospice Nursing... a bit overwhelmed! Need advice

   rnboysmom replied to makua girl's topic in Hospice

   Even after 10 years in hospice nursing, I keep a sing up in my office that says... "Being a hospice nurse is....waking up each day knowing your schedule is going to change!" Versitility and flexibility are two of the most important traits of a good h...

5. Antibiotics for URI when on Hospice

   rnboysmom replied to Sharry RN's topic in Hospice

   WooHoo, what a touchy topic. Responses are interesting here, even in this column. Interesting response by leslie "infections hurt and need to be treated(as long as it's not related to the adm. diagnosis)". Hmmm, I have seen too many of Leslie's respo...

6. Medicine disposal

   rnboysmom replied to JNF RN's topic in Hospice

   My only concern with returning meds to pharmacies are your local and state laws regarding transportation of medications. In some states, the only time a nurse or other entity can transport medications is when they come directly from pharmacy and are ...

7. Southern Care Hospice

   rnboysmom replied to Bumashes's topic in Hospice

   ABSOLUTELY!!! You deserve better!!!!!!

8. Advice for a new nurse about hospice

   rnboysmom replied to kaybay529's topic in Hospice

   Went into home based hospice 6 months after graduation but had worked on a busy med surg floor as a student nurse for a year then 6 months as a graduate nurse. Would I do it again----probably not. I had a lot of life experience even prior to starting...

9. I Passed!!!-Ever felt down about NCLEX You Must ReadThis!!!!!!!!!!!

   rnboysmom replied to determinedgal1's topic in NCLEX

   What it takes to be a good nurse is not the same as what it takes to be a good test taker. I know some co-students I went to school with that passed with 75 questions and 8 years later still have weak clinical skills--I work with a few of them. As ...

10. Does anyone know why the Nurse Licensure Compact is on hold in Indiana ?

    rnboysmom replied to lislog's topic in Indiana

    just read an article on www.advocatefornurses.typepad.com if you click on the link and read the article it states that the reason for the hold is that reporting infractions of nurses in the state of Indiana ;goes through the Attorney General's offi...

11. Obtaining CII meds at local pharmacies questions

    rnboysmom replied to AtlantaRN's topic in Hospice

    Jimminy, the pitfalls of being a hospice nurse and getting what we need in a timely manner for our patients. I think the pharm laws vary state by state. In our state, the pharmacy has to have a hardcopy script on hand within 5 days (some of our loc...

12. Revocations- how many is too many?

    rnboysmom replied to nursebitback's topic in Hospice

    Google the terms "southerncare" and "24.7 million" and "whistleblower" as mentioned in another post on another topic. Is this the company you work for? If not, the reading is interesting and if you really believe the company you work for is committ...

13. tachypnea symptom.

    rnboysmom replied to oncalllorraine's topic in Hospice

    Agree with the others although morphine is usually our first chice. Dyspnea, tachypnea, even mild is distressing to any patient, and should be considered a priority. We utilize roxanol 0.25 to 0.5ml every 15 minutes until symptoms resolve then cal...

14. New to Hospice - Continuous Care

    rnboysmom replied to kat7ap's topic in Hospice

    at, My intent was not to gain an argument, but rather to explain the benefit. My apology is sincere. I left a better message on your profile page.

15. New to Hospice - Continuous Care

    rnboysmom replied to kat7ap's topic in Hospice

    What I am saying is that "billable" continuous care has specific guidelines under regional and federal guidelines. NHPCO lists an excellent set of examples in their Hospice Operations Manual that are viable reasons for continuous care,including the f...