RyanSofie replied to nerdtonurse?'s topic in Relations
Your reply was well worth quoting! "As an Oncology NURSE and Hospice NURSE" Thank you! My question was " if this were your loved one what would you suggest". As nurses we are patient advocates. It is not beyond reason to suggest Hospice/Palliative ca...
RyanSofie replied to nerdtonurse?'s topic in Relations
My friend's patient has a tumor large enough in his neck that he has dysphagia, a PET scan has shown several "spots" on his lungs.He has end stage COPD. He is anemic and severely underweight. He is 76 years of age. The "team" has told him he needs to...
You will develop a method to pass medications more efficently. Each nurse tends to do this so don't worry. I suggest you start as early as possible setting up your cart ( right after report if possible). Check to be sure your well stocked with cups/s...
Maybe this comment is tad bit off subject but i find it amusing. I have a son inlaw who decided since I am an RN and he thinks a nitwit, that he wuld go into nursing. Afterall he knows I earn a half way decent living ( which in 10 years I have known ...
RyanSofie replied to SolaireSolstice's topic in General Nursing
I have had this happen and it can make you question yourself. I now see it as the family looking for a better outcome of a situation they cannot control or change. You were correct in requesting family sit with an anxious patient. Your intervention w...
A "REAL" nurse has no problem washing 6 years of dirt off her/his diabetic patients feet and from between his swollen blue toes. A "REAL" nurse takes the time to sit and really listen as the old man with those grungy feet shows the nurse his collecti...
RyanSofie replied to hoolahan's topic in Home Health
The "TOTAL" work hours are as long as it takes to complete visits, open cases,recert cases,discharge cases ( assessments) and make routine visits or prn visits. Then...complete Oasis, med sheets, careplan, orders,Braden scales,pain assessment forms f...
RyanSofie replied to hoolahan's topic in Home Health
Ask if clinicians are allowed contact with physicians if orders are needed. Do physicians see patients if change of status occurs? Commuting/road warrior is the norm for home health. Expect alot of travel time and reams of paperwork unless company ha...
RyanSofie replied to hoolahan's topic in Home Health
Sept/Virgo: HH is a 24/7 commitment without the compensation to reflect the amount of time consumed from your life. The companies know the time required and the managers,adminstration are appropriately compensated for putting the whip at the field st...
RyanSofie replied to hoolahan's topic in Home Health
The focus is on the goals set in the POC. Each visit note should reflect your teaching,the patients response and the progress towards goals.Three weeks before end of cert period your patient should have met at least 80% or more of goals and your docu...
Age has many benefits in nursing as the response above indicates. Life experience and having learned the skill of prioritizing and the ability to accept and utilize constructive criticism are key to making a long day survivable. There is no doubt tha...