4boysmama

4boysmama

Hospice + Palliative

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About 4boysmama

4boysmama has 4 years experience and specializes in Hospice + Palliative.


Latest Activity

  1. Fall with injury in ltc

    I very much doubt that you will lose our license over this, but you might lose that job. While it is appropriate to delegate personal care to the aides when available, it is also well within our scope of practice to provide that personal care and you...
  2. Multiple prn pain meds requested all at the same time

    I would need more info on this before offering an opinion. There are folks tat I would have no problems doing the meds you listed all together, and there are ones I wouldn't - it all depends on their opiate exposure/tolerance, disease process, etc. ...
  3. RNs: How much vacation time do you get?

    Im a community-based palliative/hospice full time RN. we get 5 weeks PTO, which includes vacation and sick days. Holidays do not come out of this bank - if we work the holiday we get 8 hours holiday time banked (that we can either cash out or use as ...
  4. in my current situation, work enironment wins hand down over more money. If my financial circumstances were to change, then I would consider rappy environment for (much) more money, but it would still be a tough choice
  5. OCN 2017, insight

    congratulations!! where did you take the chemo/bio 2 day class?
  6. Full Code required for surgery?

    how is that even legal? DOes your state have a DNR registry?
  7. New Grad Qualification Question

    it means that you can start applying when you're 90 days out from graduation, and then must take and pass nclex within 90 days from graduation. eligible for licensure means that you have satisfied state requirements for education and are qualified to...
  8. Should I quit my patient?

    have you exhausted all options to get assistive devices for repositioning/transferring? I would start there before quitting...
  9. Is this a normal patient load for one nurse?

    as someone who worked sub-acute/rehab, my very first question is WHY in the world are you doing dressings and treatments on nights? That stuff should all be done 7-3 or 3-11. It's absurd to be disrupting their sleep to do treatments.
  10. Insurancedo

    yes, programs will require proof of health insurance (as well as current immunizations)
  11. Using hospice protocol

    our hospice medical directors are my go-to for the c2 scripts. they are always available by cell phone and willing to fax scripts to our hospice pharmacy (enclara) with a very quick (usually less than a hour) turnaround. in the absence of cooperative...
  12. Why is Neudexta not covered?

    yep, it's not covered by most hospices because it's ridiculously expensive. I had one patient who we just did dextromthorphan 10mg/5ml (give 20mg/10ml) with the quinidine 10mg/1ml liquid (give 10mg/1ml) once daily for the first week and then twice da...
  13. Care plan help

    agree with the others that cardio is not our most imminent assessment with persistent headache and BP that high. what could be the culprit there?
  14. Call 24/7/365, no back up - is this reasonable?

    nope nope, nope, NOPE. they're paying her 70k a year to OWN HER. 24/7/365 is not a sustainable employment plan.
  15. on call requirement

    i responded to your other post and now seeing this. honey, as gently as I can say this...you need to cut and run from that agency. they do not care about their nurses, nor the patients. it is not possible for you to give good end of life care to p...