tewdles 24,796 Views
Joined Jul 10, '09.
Posts: 4,880 (60% Liked)
After working in Med surg for 4 years on two very difficult units, I have been offered a job as a home hospice nurse. No more working every other weekend, no more working holidays. On call requires only 2 days a month. And i'm hoping for once i will be in a position where my nursing skills will be much more appreciated. I am so excited to be working with families to help them through their difficult times and to make the patient comfortable in their last days of their life. I am a little nervous, but excited at the same time, for a big change. Any advice to a new hospice nurse out there? Any good tips that you wish someone had told you when you started? Thanks!
I am dismayed that the nurse who had a legal medical marijuana card was not hired because of it...
Would that also have been true if the nurse had tested postive for ativan or some other med for which he/she had an RX?
Like the other medications included on the drug screens, marijuana actually has proven medical benefit for some people in some circumstances, often with fewer side effects than other more "traditional" medications.
The hospice I currently work for has standing orders for Atropine 1%, 4 gtts Q4 hr SL prn secretions...another hospice allowed same #gtts Q2 hr prn. we also have standing orders for either scopolamine transdermal or levsin if the atropine is not working well. I agree that position is helpful in controlling this troubling symptom. Make sure that you educate the family as well as possible as the noise is often more distressing for them than the symptom may be for the patient.
Standing orders for managing these common symptoms of the dying process should be in place for your hospice, if they are not you can get some support from your national and regional hospice and palliative care orgs to help your agency come in line with the standards of care.
Our agency encourages the nurses (and other disciplines) to attend the visitations. One of the things that is troubling to families is the fact that their loved one dies and at the same time they lose all contact with the team that they bonded with. Visitation attendance helps both the family and the staff to experience "closure" of that relationship with less time requirement and social pressure for the hospice professionals.
I think I still look quite a bit like my image there on the brochure...LOL
Unfortunately, not all of the family members have good social or coping skills...stress increases the likelihood that people will behave badly...
No. I'm an idiot. I had no idea.
And your argument is for the HR dept who withdrew their offer to the nurse, not me.
I was told when I moved to Fairbanks that Fairbanksans don't want their community to get too big. So I am supposed to tell everyone that it is too dark, too cold, and there is too much snow so they should stay in the lower 48.
Other than that, I would highly recommend it. AK is a beautiful state and has lots of opportunity. AK has not been as troubled by the recession as the lower 48 have been. There are no dumb people in AK, they freeze along the road in the winter.
Okay, that last comment was a bad joke, I will admit...and there is the matter of their recent Governor that would beg argument on the point anyway.
Thank you for breaking a stupid rule...
I love being a Christian..
I love being a wife.
I love being a mother.
I love being a nurse.
All of those things exist in my life simultaneously. All of those things impact my practice and expression of each of those other things. My job is to keep the proper balances in my life where those things rub together.
In my experience it has more to do with how you decline their offer of employment than other issues.
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