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Songbird,RN 3,417 Views

Joined Apr 23, '12. Posts: 44 (82% Liked) Likes: 66

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  • Jul 15 '15

    We bring our personal life experiences with us to work, don't we? I think one of the keys to being successful nurses is to to let these experiences inform and enrich our professional lives, without allowing our emotions to dictate our responses. It's a balance that we seek on a daily basis, isn't it?

  • Jul 12 '15

    Agree that we don't need to use the term "hospice" but we cannot and should not be precluded from discussing end of life subjects with the hospice beneficiary. They have the right to discuss difficult topics about their imminent death should they want to, regardless of the discomfort that causes those who will survive the episode of care.

  • Jul 12 '15

    Quote from rnin0513
    We see our patients twice a week, 4 days a week. So a caseload of 8 would equal 4 patients per day. For me, that would be a dream day. Our ratio is 10 but with PRN, sick nurses, etc., I often see 6 per day. That's difficult to do AND get your charting done. To me, 4 is perfect.
    This sounds like a "cookie cutter" approach. In my view hospice nursing visits should be based upon the patient needs and the POC. Many hospice patients, once symptoms are stabilized do quite well with a single RN case manager visit/week. Some do well with a nursing visit by an LPN or non case manager visit one week and a RN CM visit the next (to prep for IDG).

  • Jul 7 '15

    Actually, no bm is a common cause of both pain and agitation. On my inpatient hospice unit, we tracked bms pretty closely and made sure to note them in change of shift report. We admitted more than one hospice patient for obstipation and/or sbo.

    As for the cigarette thing, if it's facility policy to get an md order for smoking then that's what you need to do ... although I agree that witholding a cigarette is pretty meaningless in the context.

  • May 13 '14

    I've come to realize some people just want to lash out; regardless. One of my favorites is the parent who is mad at you because the x-ray you recommended is negative!!! I guess they would have felt better if the kid's bone was broken.

  • May 13 '14

    Compliments of a beautiful little girl with Down Syndrome:

    Student: "I fell down and hurt my knee"
    Me: "Well, what do you think you might need?" (expecting "ice" as the answer)
    Student: "A new kneecap."
    Me: "I don't have any of those, can you think of something else?"
    Student: "Yes, crutches."
    Me: "How about some ice"
    Student: "That will work."

    Always love her visits

  • May 13 '14

    We called EMS for a student who had passed out after giving blood.
    Paramedic "Have you eaten today?"
    Student "Yeah. I had a pretty good breakfast"
    Paramedic "Did you drink anything today"
    Student "Nah. I haven't have like beer or anything in like a few months" *serious tone*
    Everyone in the room: Silence
    Paramedic "That's not what I meant. Water? Tea? Soda?"
    Student "OMG! Sorry yes I've been drinking water today!" *turns to Vice Principal* "You aren't going to tell my parents right? Or suspend me? Please?"

  • May 13 '14

    I am laughing so hard the tears are about to run down my leg!! Not at your plight but your description of it. Last year I got Norovirus after half my assisted living facility got it.....I was the last to get sick, and I went down like a sack of rocks. I actually threw up on Interstate 5 as I was trying to get home (I started feeling the symptoms at work). And wouldn't you know, the ONE time I don't want someone to stop to help......well, let's just say he got back in his car in a big hurry as soon as he saw what was happening. LOL!

  • May 13 '14

    Parents perspective here. I have 2 kids with ADHD and anxiety. Needless to say I'm on a first name basis with school staff.
    Our school nurse will call if one of the boys is acting funky (med issues) or gets hurt. she leaves me a message as I'm in school and the first words out of her mouth are either it's not an emergency or call me
    right back please.
    I love her! She keeps me
    informed without calling everyday and she touches base with me every few weeks.

  • May 13 '14

    Sometimes, one cannot be tactful. After several friendly reminders that did not work, I ended up posing the following question just this last Thursday, "Now, listen, Ms. Teacher, do I walk through and hang out in your classroom while you're teaching?" I did not see her at all the rest of Thursday, nor Friday. Score one for the nurse!

  • May 13 '14

    I have to mention that one of my biggest problems with Staff are the questions about health concerns. There are only a handful, but it's really annoying to get calls that start off about their spouse, kid, their skin rash/urine color/etc. I'm not a Doctor and I'm not saving you a co-pay. Neither am I a 24/7 Nurse hotline. I had a staff member come up to me in a department store during the weekend asking if I could look at their young child's rash. Luckily I was in a fantastic mood already and politely declined. OMG!

  • May 13 '14

    Many, many years ago...
    I carry the memory of my first hospice experience as a CNA. The last days of my favorite patient, withered away and suffering. She wiped MY TEARS as I bathed her on her last day. I'll never forget her face twenty years later❤️

  • Apr 14 '14

    "Time to start getting ready for the 06:00 shift change."

  • Apr 14 '14

    Once, a long time ago. In a school nurse's office far, far, away. I had a 6th grader sent to me for the persistent poo odor too. Fellow students were making fun of him.Long story short, a doctor found he had a 10 centimeter impaction and liquid was leaking around the impaction.
    That poor kiddo.

  • Apr 14 '14

    Great, I was jinxed today after reading this post. Teacher sent a 4th gr. male down then called me and said that he smells like poo. She also said that it was not the first time she noticed he smelled like poo and says she has confronted him about needing to use the bathroom and he denies it. Said she has spoken to dad about it however dad does not think it is a big deal. I told her I would talk with him and give him the opportunity to clean up but I can not "wipe him". I spoke to student, he denied needing to clean up and asked why I was telling him to do so. I was honest and told him his teacher was concerned and thought he needed to clean up since she smelled poo near him. He said he was fine and back to class he went. I called the teacher and told her to reach out to his father again and explain to him what her concerns are, ie fear of student being teased, etc. Teacher was not happy. I don't know what she expected me to do. I didn't smell poo or any order for that matter but then again I was trying to have lunch so I only smelled my delicious burger.


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