sharlyb

Latest Activity

1. Managing symptoms for a �good death�

   sharlyb replied to NRSKarenRN's topic in Hospice

   This is a philosophy you are describing, namely that anyone who has unresolved issues will have a conscious death if and only if those issues are resolved. Based upon the stories you shared this appears primarily to be patients who have been involved...

2. Am I stepping on senior nurses toes?

   sharlyb replied to b eyes's topic in Emergency

   You took initiative to improve the flow of things. That's a good thing. Anyone using the packets you made up should rightly be appreciative of the ease of knowing everything is together in one place. Any reasonable person would be all too happy t...

3. About to embark on a Career in Hospice- Need Advice

   sharlyb replied to medicine121's topic in Hospice

   I wish you well. I've been in hospice nursing for over three years now. It is the most rewarding nursing I've done in 27 years having worked in many different areas of nursing. One thing I would caution you about is "for profit" hospice agencies. ...

4. Is this practicing without a license??

   sharlyb replied to rnkalee's topic in Hospice

   Officially we're supposed to get the order first. In reality, when it comes to things like duoderm, we just apply it and then send in the order. Most of our docs do not want to be called for this and, in any event. we are fortunate to have a medica...

5. Hospice On Call Compensation Structure

   sharlyb replied to Katillac's topic in Hospice

   We have two full time on call nurses. Each works two weeknights from 4PM-8AM the next morning and every other weekend from 8 am Sat. to 8 am Mon. That makes for a 56 hour week for the on call nurse. Case managers take turns covering on call for Fr...

6. Finding Hospice Nursing Position

   sharlyb replied to CAM281's topic in Hospice

   Consider looking for an in patient hospice unit. We have one and about two years ago we hired a new graduate who is doing a great job and is still with us. That will allow you the chance to work in hospice and still have the necessary support from ...

7. Press Gainey AARRGGHH

   sharlyb replied to susi_q's topic in Emergency

   As I read these posts about patient surveys I am left to conclude that the average patient is: a. a griper and whiner just waiting to get a nurse in trouble about something b. never satisfied with anything we do c. intent on asking the impossible and...

8. So....when would you just say enough is enough and leave?????

   sharlyb replied to mom2michael's topic in General Nursing

   There are two possibilities here regarding the potential black listing. A. they are serious about it. B. they are not. Given the current nursing shortage and given the fact that you are choosing to leave rather than that you were fired, I rather doub...

9. Ocean County RN Graduate looking for job.

   sharlyb replied to slurgee's topic in New Jersey

   Hi Slurgee, First of all, congratulations on your accomplishment! Welcome to the world of nursing and all it has to offer. I have been a nurse for 27 years and have worked in many different areas of nursing. You are right in thinking that home care...

10. Press Gainey AARRGGHH

    sharlyb replied to susi_q's topic in Emergency

    This is an interesting topic and one that will not likely go away. As someone else already pointed out, patient surveys are here to stay whether Press Ganey or other forms of polling patients post admission. Scripting is nonsense. How silly I woul...

11. Private Duty Annoyances

    sharlyb replied to Jo Dirt's topic in Private Duty

    You have my sympathies for this challenging situation. Having done a fair bit of home care and private duty nursing over the past 27 years as a nurse as well as presently working in home care hospice I can relate well to the dynamic you have describe...

12. "Easy" LPN jobs

    sharlyb replied to remrimsgems's topic in LPN/LVN

    There are definitely jobs in nursing for LPN/LVN's that are not direct patient care. One LPN I know works at a fitness and wellness center. Another works in an MD's office. There are definitely a variety of options out there. You just need to loo...

13. Case Manager caseloads

    sharlyb replied to ray2512's topic in Hospice

    I have worked for two different hospices and I can tell you there is a vast difference between the two of them in terms of skill in management and knowledge of how to deliver quality hospice care effectively. To answer your specific question as to r...