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Search Results Type: Posts; User: Kittypower123

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  1. Help for the new hospice nurse please
    All the things mentioned above are good points. I think it's important as well to involve the nurses at the LTC in the decisions about changes to POC and/or meds. They know what's going on with the...
    Nov 26, '14
    Forum: Hospice Nursing
  2. CHF alzhemiers difficulty
    Sometimes patients with Alzheimer's have increased agitation with Ativan. Perhaps try Haldol instead rather than in addition to. I've seen Haldol and Seroquel given together work well too. When all...
    Nov 17, '14
    Forum: Hospice Nursing
  3. Dementia pts and hospice
    Hopefully you have a copy of the FAST with you for reference. It's important to remember that you cannot skip an item. Start at number one and continue until something doesn't apply to the patient....
    Jul 15, '14
    Forum: Hospice Nursing
  4. A nurse but not hospice or geriatric nurse
    I'm sorry that your mom is ill. You are going through a difficult time and difficulty in many aspects of life is not unusual. If your mom is not already on hospice, I would recommend getting hospice...
    Jul 11, '14
    Forum: Hospice Nursing
  5. The Death Knell Of Hospices Everywhere
    Just this week I had to talk to the Medicare Part D for a patient. I gave the name, dosage and diagnosis for each non-covered med as well as the hospice diagnosis. Once I had done that, the person I...
    Mar 29, '14
    Forum: Hospice Nursing
  6. time to step back
    It hasn't happened to me personally, but I did know a nurse who went through something similar. You need to allow yourself time to deal with your grief. Do something else for awhile and if you decide...
    Feb 6, '14
    Forum: Hospice Nursing
  7. Pain medicine and bone mets
    Havd you tried Methadone? I have had very good results with methadone for bone mets pain. It takes 3 days to build up in the system so you have to wait before titrating. For my patients with bone...
    Feb 6, '14
    Forum: Hospice Nursing
  8. How do you deal with death?
    I've dealt with death personally and I'm surprised to hear you say that you "got over" the death in your family in two weeks. When someone you are close to dies, you don't ever "get over" it. You...
    Dec 29, '13
    Forum: General Nursing Discussion
  9. LPN hired into hospice.. only have ALF experience
    I think I'd ask for more time at the HH, not just shadowing, but helping the nurses and actively seeking to be involved with procedures you're not familiar with. You need to get hands-on as much as...
    Dec 22, '13
    Forum: Hospice Nursing
  10. I am Really Enjoying My Hospice Clinicals (Community Health Class)
    I also worked in LTC first. I learned a lot and feel that I was better prepared for hospice.
    Nov 27, '13
    Forum: Hospice Nursing
  11. Question about dressing
    We had a patient with a similar problem. We used zinc oxide applied daily (after cleaning the legs of course) covered with abd pads and wrapped with kerlix. We did the wound care daily and the wounds...
    Nov 27, '13
    Forum: Hospice Nursing
  12. Should we teach unlicensed caregiver . . . . .
    Could you get an order for Haldol cream/gel? Easier to teach the caregiver to administer and safer for CG and patient.
    Nov 1, '13
    Forum: Hospice Nursing
  13. Volunteer?
    I'd suggest going straight for your RN, LPN's have limited roles in hospice and many aren't hiring LPN's anymore.
    May 31, '13
    Forum: Hospice Nursing
  14. Do many hospice patients also have continuous G-tube feedings?
    At our hospice, the patients with G-tubes were admitted with them. We won't make them stop using the g-tube but will only pay for the formula if it is the patient's only source of nutrition. If a...
    May 5, '13
    Forum: Hospice Nursing
  15. Win $100! February 2013 Caption Contest
    I hate it when they run!
    Feb 15, '13
    Forum: allnurses News and Announcements
  16. What song describes your workplace environment?
    The theme song to Mission Impossible
    Feb 7, '13
    Forum: Geriatric Nurses / LTC Nursing
  17. Old car guys in nursing home
    Reminds me of when I was a CNA, I found a gentleman on the floor under a table in the dining room. When I asked him what he was doing, he told me he was trying to fix the thing-a-majig on the train....
    Jan 25, '13
    Forum: Nursing Humor / Share Jokes
  18. Hospitals illegally firing nurses for refusing flu vaccines
    The job of a hospital or other healthcare facility is to provide an environment of healing for the patients. This includes protection against facility acquired illness. Influenze can be particularly...
    Jan 23, '13
    Forum: Disasters: Preparing and Responding
  19. Surveyors on site--help with GTube Medications?!?
    Look up your facility's protocol and follow that. It doesn't matter what the regulation says. If you violate your facility policy, you will be cited. This happened at our facility when one of the...
    Jan 15, '13
    Forum: Geriatric Nurses / LTC Nursing
  20. I received a "write up" warning at my LTC
    Been there done that. Generally I'm pretty good at getting out on time, even with the charting. Sometimes though, I have one of "those" nights and just can't get out on time. I've found that if I...
    Jan 10, '13
    Forum: Geriatric Nurses / LTC Nursing
  21. First job advice...
    It really depends on your long term goals. If you want to work in geriatrics/LTC, go with that one. If you see yourself in the hospital in the future, it would be better to take the hospital job.
    Jan 8, '13
    Forum: Geriatric Nurses / LTC Nursing
  22. Things pts say that make you scratch your head.
    Well, not a patient, but a family member. I work in LTC and the daughter comes running up to nurse's station yelling "Call 911 she can't breath!" Knowing this family and patient, I did not pick...
    Jan 6, '13
    Forum: Nurse Colleague / Patient Relations
  23. State Survey all this week.
    One more thing - when you get on shift, go through your cart and pull any expired meds and make sure everything opened (insulin, neb meds, eye drops, etc.) has a date on it.
    Jan 5, '13
    Forum: Geriatric Nurses / LTC Nursing
  24. State Survey all this week.
    If in doubt - wash your hands! We had our survey last month and the big thing they dinged us on was infection control, mostly not washing hands enough. Also, remember - no gloves in the hallway. If...
    Jan 5, '13
    Forum: Geriatric Nurses / LTC Nursing
  25. Feeling burnt out
    I agree - you need your days off. Be protective of your free time.
    Jan 2, '13
    Forum: Geriatric Nurses / LTC Nursing