Sterling-RN replied to futurenurseOB's topic in New Nurse
I guess I would say, try not to compare yourself with people who have clearly destroyed their lives, and compare yourself with someone who is successful. We can all point to someone who has it worse than us, and to someone who has it better.
Sterling-RN replied to Hoosier_RN's topic in Geriatric
Honestly, I think I am in a similar sitation. RN (BSN), with roughly the same amount of time under my belt. Med-surg, LTC/psych, Hospice. I work in hospice admissions so it is also the job that a lot of people would want to have. I do very little ha...
Sterling-RN replied to WldChrry's topic in LPN/LVN
I don't think they missed the mark at all. I believe that the original post DOES sound "wounded, unhappy, and defensive." And, I'm sorry, but clearly the OP feels that there is no difference between an RN or an LPN besides a letter "R" or a differen...
When I was an On Call nurse for hospice, it was expected that when you heard the phone ring and got your assignment, you were to be on your way within 15 minutes. If it's 3am and you had been sleeping, that gives you almost no time to throw clothes ...
A good friend of my told me she has a male GYN, and said "Well I just wouldn't feel comfortable with a woman looking at me there." I don't think it's discrimination, it's a comfort issue. And what difference does it make? So long as it's individual c...
Sterling-RN replied to dianne777RN's topic in Hospice
Again...can't agree more with Tewdles. Also, if your patient has a history of chronic pain and is not being medicated with long acting pain medication for one reason or another, it is important to consider this in your pain assessment when giving prn...
Sterling-RN replied to nurseebol's topic in Hospice
Our hospice uses a care team called: extended care. We are not supposed to use the term "continuous" because our regulations state that Continuous level of care requires a minimum of 8hrs presence in a 24 hr period. And rather than putting assumption...
Sterling-RN replied to NRSKarenRN's topic in Activism
First of all, I don't agree that the NRA isn't protecting the 2nd amendment, but even if that were true why are you assuming that an organization protecting "GUN MANUFACTURERS" is so horrible? We have unions that protect automobile manufacturing indu...
I agree with the replies. I would also recommend that any time you question something, write it down and call your supervisor, or another nurse on your team who can help. If there general hospice questions, post them here, and that can also help. Do...
Sterling-RN replied to Little_Mouse's topic in Hospice
Having been an admission nurse for 2 years for hospice, I would recommend that you start out in hospice doing primary or on-call nursing if the field before starting with the admissions team. There is so much knowledge from experience that you need.....
Hi...I spent 2 years as an on call nurse before I moved into a primary nursing role with hospice. It was also 7 on and 7 off. My hours were 4:30pm to 8a. My coverage area was huge, and I was responsible for symptom/death/admission visits. I was also ...
I hesitate to use oxygen with patients in active/terminal decline as it dries the mucous membrane and the body's requirements for O2 is reduced. Evidence shows a gentle fan on low hitting the trigeminal nerve is more effective in maintaining comfort....
Sterling-RN replied to nhelkhound's topic in Hospice
In our state (not sure if this applies nationally), a physician now needs to perform a face to face assessment with the pt for certification. I don't know what your hospice criteria is, but if a physician refers a pt that the physician deems "likely...
Sterling-RN replied to Marshall1's topic in Hospice
Totally agree with all the posters. I am in a similar on call position that you are going into. I work 7 days on and then have 7 days off (16 hour nights). Starting salary for me was $50,800 + mileage + benefits. Mileage makes all the difference ...