JamiRN

Latest Activity

1. life after death

   JamiRN replied to nettie01's topic in Hospice

   i can relate. i once had a patient of a certian religion that i have issues with. i had such a hard time personally with it. i felt for his soul. i worried about his soul. i questioned my own beliefs. i think hospice nurses have a huge challenge in ...

2. Skin breakdown...not sure what to do for it

   JamiRN replied to bebop1's topic in Home Health

   When I worked in LTC, we used to irrigate pond scum bladders with Renacidin solution. 20-50cc in, clamp 20min then release. Often with the thick urine that you describe...we'd see results in just 2-3 irrigations (one a day), then could cut back to PR...

3. Home Health Bag Technique

   JamiRN replied to JAPERRON's topic in Home Health

   Clean stuff on the outside... Clean to sterile stuff on the inside. Never on the floor. A clean drape if there isn't a clean area to set it on. Should be set preferrably on a chair. Once a week, take out everything, restock. Clean the bag with germa...

4. Suprapubic Cath. Irrigation

   JamiRN replied to JamiRN's topic in Home Health

   Home Care Patient; MS. Spouse does Renacidin irrigation BID. She had been using a glass jar of the irrigant. Drawing it up via needle/syringe, disposing of the needle and then using the syringe over and over for the week. Home care just came into the...

5. Suprapubic Cath. Irrigation

   JamiRN posted a topic in Home Health

   Can anyone tell me what policy you follow regarding cath. irrigation. I've heard mixed things. Some say change the irrigation kit daily. Some say every three days. Wash with soap and water between use or rinse with vinegar? Thanks

6. Final days:AGITATION

   JamiRN replied to JamiRN's topic in Hospice

   I agree 100%. Darvocet is worthless. Sometimes, with hospice patients, there is not enough time to 'change' the deep set beliefs they (families/pts) have. Thanks:)

7. Interpreting BP..

   JamiRN replied to JamiRN's topic in Home Health

   Thanks for the input.I saw this patient yesterday and without any c/o pain, at rest 106/78. I guess it just seems odd to see such a little gap (10) between systolic and diastolic with pain. He is a fairly big man too. :)

8. Interpreting BP..

   JamiRN posted a topic in Home Health

   Can anyone tell me what may possibly be going on with a patient of mine who's normal BP is around 110/70 110/78 but occasionally will have pain and readings go to 100/90. MD has no concern. No tests ordered. No current medications in use.

9. Final days:AGITATION

   JamiRN replied to JamiRN's topic in Hospice

   First used DCN, then switched to oxycodone. She was reluctant to take anything for pain but did use the oxycodone, then used oxycontin bid with oxycodone for breakthrough pain. For nausea, we used the ativan with compazine q 6 hours. The compazine w...

10. how many patients

    JamiRN replied to Karina212's topic in Home Health

    Somedays are really long. I average 5 visits a day. I have been doing home care for 6 months. My goal is to be at 6 in about 8 hours. We do all our documentation on the computer and it is MUCH LESS paper work than were I worked before in Long Term Ca...

11. Final days:AGITATION

    JamiRN posted a topic in Hospice

    Can anyone give me any suggestions for dealing with agitation with dying patients. I have had three such patients where nothing seemed to help. One gentleman had not experienced any pain throughout his dying process, no pain meds were used. He was ...

12. Roxanol-How do you describe the effects to the family?

    JamiRN replied to JacelRN's topic in Hospice

    I have had this conversation with a few families. It is never an easy thing to talke about. I find that it helps if 1). you make sure you have TIME to spend with the family, 2). sit down at eye level to them, 3). Involve the dying patient in the conv...

13. Suggestions for Coping with Pt Death

    JamiRN replied to amj10rn's topic in General Nursing

    Wonderfully said needler. Hope people don't bash your belief in GOD. It does provide huge comfort.

14. Laxative Abuse and the Elderly

    JamiRN replied to Cubby's topic in Geriatric

    I have also worked with an LPN in the LTC setting who firmly believes that everyone needs to poop on a daily basis. That makes me laugh. She is always dishing out the MOM if they did not go that day!!! God help me if I ever end up living in an instit...

15. Job Interview-took forever!

    JamiRN replied to avahsmiles's topic in General Nursing

    I had an interview on Monday for a Home Care position. The first 20 minutes was answering multiple choice questions. "Do you like people: strongly agree, agree, neither disagree or agree, disagree, strongly disagree". Yep, about 6 pages of this. THE...