RN4ustat

RN4ustat BSN, RN

Hospice, ER, Telemetry

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About RN4ustat

RN4ustat has 15 years experience as a BSN, RN and specializes in Hospice, ER, Telemetry.


Latest Activity

  1. How do you use the FAST Scale?

    Wow!! Thanks for the links.......looks like some really good info!! I was very fascinated by the dementia prognostication info, specifically the mention of the Mortality Risk Index as the company I work for has recently started to use it in determi...
  2. Atropine 1% Eye Drops SL

    Actually, you don't want to initiate atropine eye gtts too early...if the patient is actively dying then it is appropriate to use to manage congestion and secretions. However, if it is started too early, it can actually cause pyschosis.
  3. number of visits per day

    I do 20-22 visits per week and I try to always give myself a day in the office for recerts and other paperwork. I usually see about 5 pts per day but that depends on how much windshield time is required to see them all. I have several patients that...
  4. HELP! Hospice Nurses! How Many Patients Do You Have?

    I currently have 15 and have had as many as 25 but my company utilizes LPNs to assist with the visits. We set our frequencies of course to meet our pt needs and we only have to see our pts q 14 days to do the supervisory visit, but most of us try to...
  5. Going Down With The Ship...Advice?

    No, not all hospices are like the one you're working for. I worked for a large, nationally known hospice last year and can truly feel your pain because it sounds like a carbon copy of the scenario I experienced!! Our Executive director and Patient ...
  6. No ativan for hospice patients

    I recently attended a teleconference regarding terminal restlessness/agitation and was a little surprised to learn that often times, ativan is to blame for increased restlessness/agitation. The physicians that were giving this seminar recommended ha...
  7. HELP! Nosy pt family member driving me crazy

    LOL!!! That just might work.......but may get me fired!! I have tried telling her that I can't discuss any other patients with her........she knows that. I think she just wants to test her boundaries. But its very frustrating. Like I said, I've ...
  8. HELP! Nosy pt family member driving me crazy

    That's exactly what I say but she persists. Any other ideas??
  9. Bear with me while I try to explain this.....never encountered anything like this before and not sure how to deal with it. My hospice covers several very small rural towns that are all about 8 - 10 miles apart. In these little towns, everyone knows...
  10. DME question

    Yes, we tend to order things like O2 concentrators/portable tanks, nebulizers, etc if there is a potential that the patient will need it. Its better to have it on hand and not use it than need it in a crisis and not have it available.
  11. Managing my time :-(

    I just resigned from a hospice that informed me I was not "organized" because I never got finished on time. On a daily basis, I would have 5 or 6 patients with at least 30 mintues drive time in between each one. The boss never took windshield time ...
  12. Wahoo!! I passed too!!
  13. Hospice certification exam

    I feel the exact same way!! I concentrated on studying the core curriculum/study guide as well as a couple of symptom management books that I have and I felt very ill-prepared. i took the exam with my PCM and of course we compared answers afterward...
  14. Using LPNs for visits

    I have been taught that the admission must be done by an RN, but the RN only has to see the patient every 14 days. My hospice uses LPN's and it allows me to have a higher case load than the other case managers (not necessarily a good thing) but it c...
  15. Hospice certification exam

    Have you found any online resources?? If so, where did you find them?? I have the core curriculum and study guide but I am struggling with the core curriculum as I find it very dry. I am very nervous about the test this weekend.........hope I will...