nosonew

nosonew BSN, RN

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About nosonew

Latest Activity

  1. mileage guidelines

    Luckily, No. We do document where, how long, miles, etc, but have never been questioned. I totally depends on the traffic, weather, etc.
  2. Okay... new hospice nurse (RN since 93 however) and having difficulty transitioning from curative to palliative care. (imagine that!) Pain control: What do you most commonly use? Do you ever fear using too much Roxanol? How do you explain the differe...
  3. Concerned about new widow... she is VERY angry

    Actually, I was a bit more concerned about what she might do to the oncologist than to herself. However, UPDATE... spoke with her at length today. She sounds better and she and I do get along very well. She told me our bereavement counselor "sucked"...
  4. Her husband died after a very short battle with cancer. The oncologist told them due to his liver function that chemo would kill him, but he did do radiation. However, the cancer spread and within 3 months he died. They were just about to retire and ...
  5. Can a patient do chemo or radiation?

    We pay for all meds associated with their hospice dx. Including any comfort care items (ie: bowel, bladder, depression, pain, etc. of course) The thrift shop is in a rented building on our main street. They take donations, have volunteers that come i...
  6. Can a patient do chemo or radiation?

    We currently have 58 patients. We live in a rural community and cover many counties. Luckily, we do have many donations and many/most of our clients do memorials to our hospice which helps make payroll (that is paid after paying medical bills of cour...
  7. Can a patient do chemo or radiation?

    So more or less it depends on the Hospice Organization itself? The hospice I work for is non profit and allows this... yet I have a friend across the US that can not find a hospice to help with her 80 yoa MIL who has terminal ca but needs palliative ...
  8. Can a patient do chemo or radiation?

    And still be considered a hospice patient? I am wondering because those can both be done for comfort care, to keep the size of the tumor from growing, thus allowing increased comfort. I am new to hospice nursing and confused! Help!
  9. Interested In Dialysis

    Honestly, my biggest stressor in 7 years with dialysis are the critical issues you deal with. No, they do NOT happen often, however, they do happen. Strokes, seizures, anaphylaxis, etc. I have been extremely lucky in that I have never actually had a...
  10. encouragement needed

    My first 3 months were a nightmare. Large unit, hateful staff, none of whom had ever heard of teamwork. When I went to a smaller unit, it was soo much better. Honestly, if I had stayed at the larger unit, I would have ended up quitting. I worked in ...
  11. Pregnant Nurse and Dialysis?

    I was pregnant twice in my 7 years. I didn't have any issues with pregnancy and working, although I ended up on bedrest (I was 35 and 37 during each pg). So, I was off work a bit longer than normal, but other gals I worked with had no issues. Person...
  12. After 12 years clinical experience, I decided to do what I love best... teach. I love teaching patients, families and staff. So, I took a position with our local college and now have the full time job of developing an ON LINE Out of Practice RN Revie...
  13. pto/sick time

    I recently quit Davita after 7 years but they pay both PTO and EIL (Extended Illness Leave). Don't know who you work for... but I personally wouldn't be happy... sounds like someone is giving you false info.
  14. I am quitting...after almost 7 years.

    Deigo... I just emailed my local college DON about open positions... she put me to work right away! Most of these jobs are word of mouth, rarely advertised! Of course, I knew her... perhaps you could go in person... Babs... I would have LOVED workin...
  15. dialysate prescription

    At our unit we had a 2K or 1K bath.. nothing else. If below a 5.0 K we did a 2 bath...if over 5K we did a 1 bath. All we could do. Also, I titrated versus patient telling me what he or she was eating.. summers, lots of 1.0, winters, 2.0 due to veggie...