SurrealMoment

Latest Activity

1. What pay are nurses making these days?

   SurrealMoment replied to BeOne77's topic in General Nursing

   BSN w/ 26 y experience: Northern CA. $41.75/h w/o shift differential incl weekends. Specialty Area: Home Palliative Care/Hospice. FT Health/dental/eye benefits w PTO. Time x 1.5 on 13 holidays. I am grateful for my job and its benefits.

2. Mesothelioma pt.

   SurrealMoment replied to ajitamamasita's topic in Hospice

   I would study his H&P, his scans, to locate the plaques and their sizes..meso is a type of cancer, with plaques invading tissues and spaces. I have one such pt now. It could be a fairly slow decline with a sharp drop at the end, unless your fel...

3. Management of severe EOL pulmonary edema

   SurrealMoment posted a topic in Hospice

   When encountering a pt hours from death in fulminant pulmonary edema, who is gurgling, drooling out the Roxanol, still conscious....family very alarmed....how do you go about your symptom control?

4. Time for a career change!

   SurrealMoment replied to Tina818's topic in Hospice

   I have been a hospice RN x 6y, (CHPN x 2). I would say the skills/qualities most useful would be: a)ability to rapidly assess multiple body/psychic symptoms while understanding likely underlying causes b) Concomitant ability to intuitively/energeti...

5. OMG! My relief staff keeps pushing the "Coming to Jesus" fact..

   SurrealMoment replied to SoCalRN1970's topic in Hospice

   I see the complex word "hope" used repeatedly, and wish I knew how you nurses mean it. Hope for full recovery of one's former healthy life is one thing yet hope for a wound to heal while aware of one's body's decline or terminal illness is very dif...

6. What is your Hospice paying for mileage

   SurrealMoment replied to jeannepaul's topic in Hospice

   Here the discussion of gas prices must be tied to your mpg, your particular vehicle AND your carbon footprint! We only get $0.51 reimbursed per mile driven yet in one analysis (commutesolutions.org) the actual cost to me is $1.25/mile. I get 32 mp...