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 ...
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...
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...
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...
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...
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 ...
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...
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 ...
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...
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...
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...
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...
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...