rnin0513

rnin0513

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About rnin0513

rnin0513 has 2 years experience.


Hospice is my heart!

Latest Activity

  1. Methadone analgesia.

    We use methadone a lot in cancer pain, especially bone pain. We usually start out very low (2.5mg bid) and overlap with their current pain meds for the initial loading 72hrs. I've had pts on as much as 120mg a day. Great alternative when MSSR isn't g...
  2. anxiety vs. agitation; Ativan vs. Haldol

    We don't have comfort kits unfortunately (don't get me started) but I have great success in lorazepam for terminal RESTLESSNESS at very end of life (the picking, reaching, life review stuff). For agitation/combativeness we use Haldol but I have way m...
  3. PT/number of visits

    We see our patients twice a week, 4 days a week. So a caseload of 8 would equal 4 patients per day. For me, that would be a dream day. Our ratio is 10 but with PRN, sick nurses, etc., I often see 6 per day. That's difficult to do AND get your chartin...
  4. IV Amiodarone extravasation

    If we must do it thru a PIV, we always start an additional line w/an 18g.
  5. How do you pass meds?

    Dispensing at bedside is part of our mandatory 3-check system. The first check is the MAR to the PIXIS screen. The second check is the meds from the PIXIS drawer to the MAR. The third check is when we dispense at bedside from the package. I always do...
  6. Advice - I'll need a meal tray too

    Omg, that was so stinkin' hilarious! I'm a student now but was an ER scribe for a long time. I've heard EVERY ONE of those statements. And believe it or not, I'm going to be in ER nursing. The comedy is never ending...the dilaudid one cracked me up t...
  7. Ceramic Watches

    I LOVE my ceramic Fossil! I had to look everywhere to find exactly what I was looking for. Pastel pink with military time, date and day of the week with a second hand for pulses. And just the right about of bling to not look to tacky at the age of...
  8. Peds Hospice/Palliative Care

    I'm 43 and finally getting my RN! I'm interested in pediatric hospice or pediatric palliative care. Will I need any additional education, certification, etc? As a new grad will I have trouble getting into that field? I live in a relatively small to...
  9. Taking Chem and Bio in the same semester?

    I'm currently taking A/PII and Chem at the same time. It was a little overwhelming at first but my A/P teacher is HARD! Chem is just a dirty word for MATH, lol which I don't really have problems in. I'm currently getting in A in both classes but I...
  10. Just got an email and I was...

    MAJOR congratulations!! I apply between Jan and March and hopefully be able to post the same thing. Good luck!! =)
  11. chemistry question

    I'm over half through with Chem and often have wondered why it's not called Math, lol. Lots of algebra type work. While I find A/PII harder, I'm actually doing worse in Chem because it's incredibly detailed. Just read your problems very carefully ...