river19

Latest Activity

1. How to inform family that pt is dying?

   river19 replied to nrq9897's topic in Hospice

   Try to be sensitive in communicating changes the family needs to be aware of, such as change in respirations or mottling. Many times these signs mean death is closer, but not always. Our hospice uses a well written booklet, "Gone from my sight" to ex...

2. On Call Schedule.....that is workable

   river19 replied to onewithhospiceheart's topic in Hospice

   Where I used to work we started having ATC staff on regular salary instead of the case managers doing it. So far I hear it has worked fabulously. You could easily work all night as well as work all day if it was your day to be on call before the chan...

3. Terminal agitation

   river19 replied to river19's topic in Hospice

   The ABHR suppository has haldol in it. It had no effect, even at doubled dose.

4. Terminal agitation

   river19 posted a topic in Hospice

   Been a Hospice nurse for a while. Had a patient die last week. She had vocalizations at end of each respiration, which were originally responsive to increased O2 and oral morphine. The vocalizations came back the next day, they were not responsive to...