abnerRN

abnerRN

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About abnerRN

Have been an RN for 8 years, the first 7 of which were in long term care. I am now a hosipice case manager and feel like I'm finally doing what I was intended to do

Latest Activity

  1. Any ideas for unrelieved N/V

    Have you tried Haldol? It seems to work for some of our patients.
  2. pain relief in pancreatic cancer

    I have a couple of suggestions: First with pancreatic cancer, the patient tends to be very thin..if this is the case the Duragesic doesn't work properly, 2. We use MSContin extended release given every 12 hours, with MSIR for breakthrough pain with...
  3. Wearing scrubs in public...

    To a certain extent I find the comment amusing..what about us nurses that see patients in their homes, are we supposed to have a clean pair of scrubs between each patient?? Get real
  4. heartache of a hospice nurse...

    I for one believe we are called to hospice..follow your heart There are perdiem and prn positions at our hospice keep trying to find a way Personally for me the pay is fine, but it's the daily blessing of assisting families and patients through th...
  5. treating fever

    I'm with you in the actively dying patient Tylenol is usually ineffective and the temp will go down on its own. I prefer cool cloths on the forehead and a light sheet only for cover. And you're right the Tylenol is usually at the request of family, ...
  6. Where is everyone from?

    Hey V: Welcome Mid 20's is still young I went back to school at 35 became an lpn, continued on to become an rn while working fulltime. Hard?? I think it was, but it's a blur now!!!! Primary license in Missouri, now a hospice nurse in Florida..
  7. Angry patient

    welcome to Hospice nursing, I too feel that this is where I belong and truly am blessed to be involved in end of life care. You don't mention his disease, but it sounds like he's reaching an end poiunt: By refusing all except pain meds he may be sa...
  8. Night Sweats...Why?

    I'm with the other nurses: I'll bet your perimenopausal: I'm 45 and have had night sweats for 4 years now, along with some other lovely symptoms.
  9. Question about State Surveys

    In Missouri, Illinois and Florida (and I assume all other states) each individual LTC facility must have a copy of the survey results and the plan of correction in plain view for residents, families and staff to look at. Also, re-survey results must...
  10. seems to me someone is forgetting that the residents are the ones who matter. It should never be made more convenient for the employees at the resident's expense. I agree that if 11-7 shift gives showers, these poor residents will be getting up at ...
  11. I not only am 100% for medical marijuana use for patients, but also feel that it's time for it to be legalized and capitalize on the taxes and jobs it would create. Face it, pot is less dangerous than alcohol and is widely used, let's make it legall...
  12. Discouraged!!!

    The non-profit hospice I work for in Palm Beach County utilizes LPN's in continuos care, under the mangement of an RN case Manager and also offers tuition reimbursement as well as helping with CHPN certification
  13. pain management for bone ca

    How very sad and unfortunate that there are still nurses who withhold pain medication based on the addiction principle. Bone pain from CA is the most diffucult to relieve, our team MD advocates NSAIDS together with opioids. ASAP!!for crying out lo...
  14. what you experienced with your mother is a common occurence during the final days and hours of dying people. Some call them "visitations" I don't think of them as hallucinations as I had an experience that made me a believer. I had a patient who k...
  15. Is hospice for me?

    I have been an RN for 8 years, 7 of which were in long term care. I have recently switched to hospice nursing and agree with those who say hospice is a calling. I was drawn to this field through working with dying patients and their families in nur...