powerflash

Latest Activity

1. Managing symptoms for a �good death�

   powerflash replied to NRSKarenRN's topic in Hospice

   HELLO! Yes Atropine dosage at this point in time are too low.I've given more in the last hours of death and it does help,ALOT!!!!! Our Medical Director knows we do it,but there is no written order. Cancer.org give .4ml sq ever 15 min. How can "WE" ge...

2. Calling Doctor to START end of life Med.

   powerflash replied to powerflash's topic in Hospice

   Thank you, I do know there PRN's :) It just seemed that every post I read called the Dr. 1st. We never do it,so I wanted input. Take care

3. Calling Doctor to START end of life Med.

   powerflash replied to powerflash's topic in Hospice

   It seemed to me that I've read y'all have the "end of life med order's ie atropine/ativan/oms etc. on admission and alot have written that they notify the Dr. before starting them. (when the pt. is at the end of their life.) I wasn't sure if this wa...

4. Calling Doctor to START end of life Med.

   powerflash posted a topic in Hospice

   Hello,It seems every Post I read the RN calls the Doctor BEFORE they can START end of life Medications. Is this a Federal LAW??? State by State?? Do you HAVE to reach the On call Dr. working Eve. or Night shift or can you leave a message? THANKS ALOT...

5. When will there be a standard order for atropine1% drops with activily dying pts.

   powerflash replied to powerflash's topic in Hospice

   Thanks everyone for your reply's. I'm still not understanding why the Cancer.org gives.4mg q15 min. SQ.&If not working,THEN scopolamine I.V!!! and every hospice Nurse that answered this says their order's are about 1-2 drops q1 prn!! Which I know...

6. When will there be a standard order for atropine1% drops with activily dying pts.

   powerflash posted a topic in Hospice

   I've been a hospice Nurse for over 20 years,worked in at least 3 different agency's. Where I work now has a "unwritten" order(by the Medical Director) to place one very,very long pressure on the bottle q 1! Now one of the Nurses on the dayshift is in...

7. Managing symptoms for a �good death�

   powerflash replied to NRSKarenRN's topic in Hospice

   I'd like to have nurses talk about atropine, I've given more then ordered at the last hours.( It does help) WHAT ARE YOUR FEELINGS ABOUT THIS?