captain morgan

captain morgan

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About captain morgan

Latest Activity

  1. REAL Pain or ADDICTION?

    To all of you hospice pain gurus: I have a pt that has been taking Lortab 6xday with MS Contin (100mg) bid and Roxanol (20mg:1ml) 1ml q1-3 hrs prn breakthrough pain, and Fiorcet prn for headache (he takes at least 3 per day). Every time I ask him w...
  2. Portacath question

    Thanks to all for your responses. I have had extensive experience in dialysis lifesite ports with locking needle and was wondering why the hook on the huber? It does not seem to be too stable. The pharmaceutical company supplied an inservice today...
  3. Portacath question

    Hello, I'm actually a new hospice nurse, but am getting alot of patients with implanted portacaths for pain management. I'm unfamiliar with the care of these portacaths and am a little uneasy about changing the huber needles. They have a little hook...
  4. Flying Solo - Hellllllllllllllllllllp

    I ordered and received the Symptom Management Algorithm book from Barnes & Noble and it is just great. I like that it's small and you can flip to what you need to know in a hurry. By the way, the above mentioned pt - after getting to the ER - g...
  5. Flying Solo - Hellllllllllllllllllllp

    This is an extension of my previous thread. Again, thank you to all who took the time to reply. Well..........another day, another learning experience. The same pt called to get sent to the ER as he was in constant pain and could not breathe. Whe...
  6. Flying Solo - Week 2 orientation

    Thanks for all of your responses - Tomorrow is a new day and I can only pray that it will go better than Friday went. I am planning on having a very serious conversation with "corporate" and let them know how I feel about being thrown into something...
  7. Flying Solo - Week 2 orientation

    I am in week 2 of orientation in hospice and wanted some feedback on a situation that happened today. I was the only nurse in today with an admission on a Friday afternoon of a holiday weekend (need I go on???) I have not been oriented on an admissi...
  8. symptom management for dummies

    Thanks all you hospice guru's....I did up the morphine and he is doing much better. He has even been able to putt around in his garden a bit on good days. And I will be investing in a good symptom mgt book.... thanks again and God bless.
  9. symptom management for dummies

    I have started a new job as a hospice nurse and need help on symptom management. Esp. pain. I have a pt who has dx: lung CA who is rating his pain 10+, yet he is sitting up and talking with me???? He is on quite a lot of pain meds - morphine, AHBV ...
  10. What is the best part of being a hospice nurse?

    Thank you to all who answered. You all sound pretty happy overall with hospice nursing and I am excited about starting next week. I'm sure you'll be hearing alot from me in the coming months as I learn the ropes.... Again, thanks for your input.
  11. What is the best part of being a hospice nurse?

    Hello - I am crossing over (no pun intended) into the hospice field from dialysis and was wondering if anyone can give me their perspective on hospice nursing. The likes/dislikes, etc. I have done acute dialysis as well as chronic for the last 7 ye...