lykeen

lykeen

Cardiology, critical care, hospice, CCM

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About lykeen

lykeen has 13 years experience and specializes in Cardiology, critical care, hospice, CCM.


Latest Activity

  1. Need some peer direction

    Thank you! I'm glad I wasn't the only one who thought my words were a form of encouragement as opposed to an attack. To the OP, I really do hope you find whatever it is you need on this forum. We are not trying to "abuse" you, but we'd like to hel...
  2. How much personal info do you share with pts?

    It's best not to focus on your personal life with patients. You are there to take care of them; keep the focus on them!
  3. Absolutely true! All nurses have had to answer this question at one time or another, now you're in the hot seat! Good luck!
  4. This is very good advice. Remember, to stay organized and keep yourself focused on the task at hand. If you are freaked out about HIPAA all the time, there is no way you can effectively care for your patient.
  5. Need some peer direction

    I agree with the other 2 posters. This doesn't sound like it's necessarily the jobs you are taking. Maybe you just need a reevaluation of your career and goals, and I mean that in the kindest of ways. Does your current employer offer an EAP (emplo...
  6. CHPN Exam

    Congrats to both of you!
  7. Ventilator support at end of life

    Our hospice did admit a patient on a ventilator. However, there was a continual re-evaluation of the goals of care, and eventually there was a consensus among the patient and the family to discontinue the ventilator. I think in these instances, the...
  8. What can I do or say???

    Sounds like you are dealing with compassion fatigue, so make sure you are looking out for yourself! As far as the patient/family situation goes, continue to teach and document the education provided. I agree with the other posters in that a visit f...
  9. I don't have a similar story, but that is definitely interesting... Sometimes it's not the clinical interventions that make all the difference.
  10. funny story...

    Yes, definitely funny! In all our seriousness with hospice nursing, we definitely needed that! :)
  11. Expiratory vocalizations at the end of life

    I also agree with the previous 2 posters. You did the right thing in treating her as if she were in pain. It was just as important to keep the family calm as it was the patient.
  12. Healthcare is NOT a basic human right.

    I wholeheartedly agree! There is a reason they are called 'amendments'!
  13. MAR error

    I'm a bit confused, as are many of the other commenters here. This does not appear to be a MAR error. If you had given the wrong med, I could see your point. But I tend to agree with CollenRN2B, this was false documentation. You signed out a med,...
  14. Turning a hospice patient in severe pain?

    I completely agree with your interventions during your shift. In hospice care, patient comfort is of the utmost importance. It appears that your dayshift counterpart does not quite understand this concept, and I can understand that, since I came fr...
  15. Cardizem drip?

    I tend to agree with the comments of the other posters. You should check on protocol first; I would be extremely surprised if your hospital/unit does not have one already in place. Otherwise, call the physician just to cover your own behind. There...