onewithhospiceheart

onewithhospiceheart has 10 years experience and specializes in Cardiac, ER, Hospice.

Latest Activity

1. Medications through an ileostomy?

   onewithhospiceheart posted a topic in Hospice

   Hi all, Question......have a patient with colon ca....has an ileostomy. He has mets everywhere. Pt is declining fast, I doubt this sweet gentleman will make it to the weekend. He stopped all oral intake last weekend. Has a hx of seizures, was on ...

2. Good deaths versus bad

   onewithhospiceheart replied to missingmydad's topic in Hospice

   I am so sorry for your loss....I lost my father as well, it is very hard for a girl to be without her daddy. I don't have alot of answers for your questions. I do witness deaths as a part of my job, and most often, they are peaceful deaths. I have se...

3. LPN's

   onewithhospiceheart posted a topic in Hospice

   Hi there, We are adding an LPN to our office. Just wondering how you utilize LPN's in your agencies? Do you ever have LPN's in your on call rotation? Understanding that they need to be supervised by an RN, not sure how that would work.

4. question about visits

   onewithhospiceheart replied to onewithhospiceheart's topic in Hospice

   Hi all, thanks for the replies. I was not actually talking about face to face visits.....I am actually talking about if the patient makes a visit to their physician office. Rarely happens of course, but occassionally we have had that family that de...

5. question about visits

   onewithhospiceheart posted a topic in Hospice

   Hi there, When I worked in home care, if a patient had a physician visit that week, that physician visit would take the place of our visit. Example....if pt was to be seen for home nursing 2x wk, and had a physician appt, we would ony make one nursi...

6. Do you hospice nurses attend funerals of patients?

   onewithhospiceheart replied to Butterfly0328's topic in Hospice

   Hi there, At our agency, we attend all viewings funerals. We coordinate this between sw/spiritual/rn/business development/administrator......sometimes more than one team member will go depending on relationships made. Our presence is always extreme...

7. Thank You Hospice Nurses!!

   onewithhospiceheart replied to obnurse4u's topic in Hospice

   Beautiful story...thank you to this nurse who upheld the compassion, integrity and beauty of hospice nursing.

8. Hospice...my calling???

   onewithhospiceheart replied to BerryHappy's topic in Hospice

   What a beautiful story. Hospice is SO rewarding. I have always, during my nursing career, tried to look at each patient with the attitude of "What is this patient supposed to be teaching me?" This has helped me tremendously over the years...instead ...

9. lung ca symptom mgmt

   onewithhospiceheart replied to onewithhospiceheart's topic in Hospice

   Hospicevet....how awful for you to have that patient commit suicide. I don't know what I would do in that situation. I hope that you and your team has come to terms with it, I am sure you tried your best. So sad.

10. lung ca symptom mgmt

    onewithhospiceheart replied to onewithhospiceheart's topic in Hospice

    Hi, This patient has non small cell lung a with the tumor occluding the left lower lobe oriface. Don't know about mets....was to have a PET scan this coming week, but has decided against curative treatment, and against the PET scan. Just diagnosed wi...

11. lung ca symptom mgmt

    onewithhospiceheart posted a topic in Hospice

    Have a new patient with lung ca...diagnosed 2 mths ago. Just discharged from hospital s/p pneumonia...was treated with vanco/levaquin. Was on 15L 02/face mask in hospital....discharged on 6L NC. Now at home 1 day. Mildly sob, wheezy, has inhalers/neb...

12. On Call Schedule.....that is workable

    onewithhospiceheart posted a topic in Hospice

    Hi all, We are currently re-vamping our on-call schedule. We want to make our on-call not be a burden (can that be done?) for the nurses, but still workable for the agency. Those of you who do on call, can you tell me what has really worked for you...

13. Wasting controlled substances

    onewithhospiceheart posted a topic in Hospice

    Hi all, What is the most current guideline for wasting unused controlled substances after a patient's death? Is this documented in the COP's or anywhere else? Thanks