Latest Likes For Kittypower123

Latest Likes For Kittypower123

Kittypower123, ADN, BSN, RN 3,130 Views

Joined Feb 13, '09. Posts: 138 (66% Liked) Likes: 275

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  • Jun 11

    Quote from Nurselm14
    I'm have found that working by myself such as a hospice case Manager or home care help a with the sensory overload part of it. I am responsible for my work with very little drama from other nurses. The families we work with are over the top sometimes but with some time by myself at the end of the day i did it for almost 6 years.
    Me too. I scored 22 on that little list. As a hospice case manager, I visit patients where they live. I love being able to see one patient at a time, then spend time by myself between visits. Facilities can be a bit on the noisy side, but I don't have to stay there for an entire shift, just long enough to complete the visit(s) I have there. I also make sure to take a lunch break. I eat and read (or something) and don't think about work. When I worked in LTC I quickly learned to leave the building during my break, even though I just sat in my car. It can be challenging for us sensitive folk, but it's doable.

  • Jun 7

    I just want to put this out there - "Normal" is a setting on your washing machine. Everyone is unique. As others have said, there is no stigma with taking medication for diabetes, allergies, hypertension, sleeping disorders or whatever. There shouldn't be with ADD either. Figure out what works, learn to work the way you need to. Just because someone else organizes themselves a certain way doesn't mean you have to. I get teased a bit at work because of how I do things, but I also get compliments for the results. I laugh with my coworkers (it really is all in fun, we get along great) and keep on doing what works for me.

  • Jun 7

    Quote from nutella
    I and my coworkers wonder a lot lately...
    Granted, I work in end-of-life care and there is a lot of symptom management related to terminal illness. There has always been the group of providers who are very hesitant to prescribe narcotics for symptom management pain and would not prescribe liquid morphine to deal with SOB unless the patient decided to be CMO.
    Pain management is not that easy to begin with if a person has more than the standard pain issues or prior substance use. When we see patients who have a prior narcotic history or are already on high doses they may do better with methadone but many prescribers do not have the experience and do not like to deal with it for example. I had a patient basically screaming out in severe pain because of cancer and the patient had a prior tolerance history with taking up to 200 mg of morphine a day. What can I say? methadone fixed the problem but it was an act to get there....
    I do think that providers need to be more educated about prescribing narcotics and also utilize other medications and methods.
    So well said! So much more education on pain control and narcotics is needed, specially in regards to end of life. I run into the Morphine kills, once you start taking Morphine you'll be dead in 2 weeks, type comments. Thankfully, I work with a doctor who is comfortable with Methadone - works wonders for bone and cancer pain too.

    As a side note, I do my own conversion calculations before I talk to the doctor. That way I can say "if we switch to x drug, the equivalent dose would be y." It helps that I work with great doctors.

  • Jun 4

    I just want to put this out there - "Normal" is a setting on your washing machine. Everyone is unique. As others have said, there is no stigma with taking medication for diabetes, allergies, hypertension, sleeping disorders or whatever. There shouldn't be with ADD either. Figure out what works, learn to work the way you need to. Just because someone else organizes themselves a certain way doesn't mean you have to. I get teased a bit at work because of how I do things, but I also get compliments for the results. I laugh with my coworkers (it really is all in fun, we get along great) and keep on doing what works for me.

  • Jun 4

    I just want to put this out there - "Normal" is a setting on your washing machine. Everyone is unique. As others have said, there is no stigma with taking medication for diabetes, allergies, hypertension, sleeping disorders or whatever. There shouldn't be with ADD either. Figure out what works, learn to work the way you need to. Just because someone else organizes themselves a certain way doesn't mean you have to. I get teased a bit at work because of how I do things, but I also get compliments for the results. I laugh with my coworkers (it really is all in fun, we get along great) and keep on doing what works for me.

  • Jun 4

    Quote from nutella
    I and my coworkers wonder a lot lately...
    Granted, I work in end-of-life care and there is a lot of symptom management related to terminal illness. There has always been the group of providers who are very hesitant to prescribe narcotics for symptom management pain and would not prescribe liquid morphine to deal with SOB unless the patient decided to be CMO.
    Pain management is not that easy to begin with if a person has more than the standard pain issues or prior substance use. When we see patients who have a prior narcotic history or are already on high doses they may do better with methadone but many prescribers do not have the experience and do not like to deal with it for example. I had a patient basically screaming out in severe pain because of cancer and the patient had a prior tolerance history with taking up to 200 mg of morphine a day. What can I say? methadone fixed the problem but it was an act to get there....
    I do think that providers need to be more educated about prescribing narcotics and also utilize other medications and methods.
    So well said! So much more education on pain control and narcotics is needed, specially in regards to end of life. I run into the Morphine kills, once you start taking Morphine you'll be dead in 2 weeks, type comments. Thankfully, I work with a doctor who is comfortable with Methadone - works wonders for bone and cancer pain too.

    As a side note, I do my own conversion calculations before I talk to the doctor. That way I can say "if we switch to x drug, the equivalent dose would be y." It helps that I work with great doctors.

  • Jun 4

    Quote from nutella
    I and my coworkers wonder a lot lately...
    Granted, I work in end-of-life care and there is a lot of symptom management related to terminal illness. There has always been the group of providers who are very hesitant to prescribe narcotics for symptom management pain and would not prescribe liquid morphine to deal with SOB unless the patient decided to be CMO.
    Pain management is not that easy to begin with if a person has more than the standard pain issues or prior substance use. When we see patients who have a prior narcotic history or are already on high doses they may do better with methadone but many prescribers do not have the experience and do not like to deal with it for example. I had a patient basically screaming out in severe pain because of cancer and the patient had a prior tolerance history with taking up to 200 mg of morphine a day. What can I say? methadone fixed the problem but it was an act to get there....
    I do think that providers need to be more educated about prescribing narcotics and also utilize other medications and methods.
    So well said! So much more education on pain control and narcotics is needed, specially in regards to end of life. I run into the Morphine kills, once you start taking Morphine you'll be dead in 2 weeks, type comments. Thankfully, I work with a doctor who is comfortable with Methadone - works wonders for bone and cancer pain too.

    As a side note, I do my own conversion calculations before I talk to the doctor. That way I can say "if we switch to x drug, the equivalent dose would be y." It helps that I work with great doctors.

  • Jun 3

    I just want to put this out there - "Normal" is a setting on your washing machine. Everyone is unique. As others have said, there is no stigma with taking medication for diabetes, allergies, hypertension, sleeping disorders or whatever. There shouldn't be with ADD either. Figure out what works, learn to work the way you need to. Just because someone else organizes themselves a certain way doesn't mean you have to. I get teased a bit at work because of how I do things, but I also get compliments for the results. I laugh with my coworkers (it really is all in fun, we get along great) and keep on doing what works for me.

  • Jun 3

    I just want to put this out there - "Normal" is a setting on your washing machine. Everyone is unique. As others have said, there is no stigma with taking medication for diabetes, allergies, hypertension, sleeping disorders or whatever. There shouldn't be with ADD either. Figure out what works, learn to work the way you need to. Just because someone else organizes themselves a certain way doesn't mean you have to. I get teased a bit at work because of how I do things, but I also get compliments for the results. I laugh with my coworkers (it really is all in fun, we get along great) and keep on doing what works for me.

  • May 25

    I work in hospice too and am going to pursue wound certification. If you go the WOCNCB website and look at the eligibility for the exam, it explains that there are two different pathways. Taking a course and successfully completing it make you eligible to sit for the exam (you must apply to take the exam within 5 years of completing the program). The other option is to qualify through experience. This pathway requires 50 CEs for each specialty (wound care, ostomy, and continence) you wish to test for and 1500 direct patient clinical hours within the last five years (at least 375 within the last year). I am opting to take the course. I am only pursing certification in wound care at this time, not ostomy or continence. You can look at the requirements at Eligibility | Wound, Ostomy and Continence Nursing Certification Board. Hope this helps.

  • May 7

    They're all alive and I'm off at 5!

  • May 6

    1. Things will never go according to plan.
    2. Lunch is a luxury.
    3. The last hour of the day is the most nerve wracking.
    4. You will rarely get everything done.
    5. There is a fate worse than death.

  • May 3

    They're all alive and I'm off at 5!

  • May 1

    I was watching The Walking Dead and the town they were in was attacked. Not by zombies, by other people. Anyway, a woman is carried into the clinic with a large slash wound to her abdomen. The lady who was the "doctor" (she was actually a psychiatrist, but at least she'd been to med school, right?) says "She's severed her femoral artery."

  • May 1

    As soon as I finish this assessment I need to change the dressings in rooms 5 and 7, change the foley in room 6, help Susan in with the wounds in room 8, do my next med pass, and finish my charting.


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