aphillipi

aphillipi

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About aphillipi

Latest Activity

  1. Communication w facilities

    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 fix that... We are offering an educational present...
  2. Communication w facilities

    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 you!!!
  3. MSN leadership and NP

    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 have an opportunity to do that at work in the nex...
  4. Transitioning from Hospice to Critical Care, please help!

    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 luck!
  5. 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 cross out anything he didnt want. i called the offic...
  6. Discontinue tube feeding

    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 guess that's a good way to learn the most up to date...
  7. Discontinue tube feeding

    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 discontinuing at once would be the kinder thing to do ...
  8. Morphine neurotoxicity

    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 again!
  9. Morphine neurotoxicity

    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

    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 going to be a book nerd! (Also just so it's clea...
  11. New grad nightmare...

    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 recommendation! I guess she knew the situation was ...
  12. Morphine neurotoxicity

    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 pt, etc.
  13. Morphine neurotoxicity

    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 been npo. So I've been telling PTs caregivers to les...
  14. New grad in hospice = doomed?

    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 allnurses are saying that all new grads are pretty much...
  15. No dnr

    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 me. if the patient hasn't signed a dnr, and they'v...