aphillipi

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1. Communication w facilities

   aphillipi replied to aphillipi's topic in Hospice, Palliative

   Yes exactly and yes I'm a hospice rn. Our CAHP survey scores show there is an issue with families receiving conflicting information from hospice and facility. So we are trying to brainstorm on how to...

2. Communication w facilities

   aphillipi posted a topic in Hospice, Palliative

   Hello! I was wondering if anyone would be willing to share any practices or forms their agency uses to facilitate good communication with SNF or ALFs... it's consistently an issue for us. Thank

3. MSN leadership and NP

   aphillipi posted a topic in Post Graduate Students

   Is it possible to get my MSN in leadership and management (online) and then get a doctorate of np or do you have to first get a msn in nurse practitioner? I'm interested in leadership/management and I...

4. Transitioning from Hospice to Critical Care, please help!

   aphillipi replied to dwskillman's topic in Neuro Intensive Care, ICU

   Congrats! I'm in hospice too and sometimes think about doing what you're doing. This book and website is amazing as far as I can tell and has helped me w general nursing practice: index best of

5. Who's right? Verbal order versus fax order

   aphillipi posted a topic in General Nursing

   New nurse here w question: Earlier today i could NOT get ahold of a doc on the phone for my new ltc pt. so i sent him a fax w standard admission orders, asking him to add anything else he wanted or...

6. Discontinue tube feeding

   aphillipi replied to aphillipi's topic in Hospice, Palliative

   Yeah I'm really starting to have my doubts about this nurse's credibility... It's hard when you're new and can't trust your "very experienced" coworkers advice. I have to look EVERYTHING up - but I...

7. Discontinue tube feeding

   aphillipi posted a topic in Hospice, Palliative

   In your experience when a patient has entered end of life phase and family decides to dc continous tube feedings,is it completely dc'd at once or gradually the rate is lowered? I would think that...

8. Morphine neurotoxicity

   aphillipi replied to aphillipi's topic in Hospice, Palliative

   Thank you so much for posting that link! I had found it a long time ago and loved the Fast Facts but lost the address in my bookmarks. I need to print that whole website out. Thanks

9. Morphine neurotoxicity

   aphillipi replied to aphillipi's topic in Hospice, Palliative

   Thanks Tewdles I have quite a few of them and can't wait for my core curriculum from hpna to arrive any day!

10. Morphine neurotoxicity

    aphillipi replied to aphillipi's topic in Hospice, Palliative

    Thanks for the insight! The other nurses I've talked to have said the same. I guess I need to go with the flow of hospice instead of focusing on my textbooks and the internet. Unfortunately I'm always...

11. New grad nightmare...

    aphillipi replied to baglemae22's topic in First Year After Licensure

    I went through the same exact thing as a new grad. After I had one terrible, horrendous night I called the don and said I was never coming back. She was actually really nice and wrote me a letter of...

12. Morphine neurotoxicity

    aphillipi replied to aphillipi's topic in Hospice, Palliative

    I should also note that the pt I have in mind has no history of pain other than some arthritis and was receiving it for pulmonary edema and dyspnea. I'd be much more aggressive w morphine in a cancer...

13. Morphine neurotoxicity

    aphillipi posted a topic in Hospice, Palliative

    I'm reading a lot about neurotoxicity seizures and hyperalgesia occurring due to morphine being administered around the clock even after a patients kidneys have stopped putting out urine and pt has...

14. New grad in hospice = doomed?

    aphillipi posted a topic in Hospice, Palliative

    I'm a new grad who just started working in hospice as a case manager three months ago. (I worked in a SNF for 3 months before I took my license and RAN to hospice.) I see that a lot of people on...

15. No dnr

    aphillipi replied to aphillipi's topic in Hospice, Palliative

    I emailed my board of nursing and got a reply yesterday pretty much saying follow your company's policy... Not really the answer I was looking for. Their policy is no CPR but it really feels wrong to...