Latest Comments by BiohazardBetty

BiohazardBetty, BSN, RN 5,228 Views

Joined: Dec 10, '09; Posts: 185 (31% Liked) ; Likes: 153
Palliative Care Coordinator; from US
Specialty: 4 year(s) of experience in Oncology, Palliative Care

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  • 1
    ReadyToListen likes this.

    I have a little 'nursling' buddy that I've mentored through high school and her first year of college and she starts her first job as a CNA on Monday. What things would you consider useful for a new CNA? I'd like to make her a little "survival kit" with things like pens and a clipboard... would you find that stuff useful? What else do you wish you had on your first day?

  • 0

    Do you leave central/PICC/peripheral lines post mortem to make embalming easier for the funeral home? If so, how does it help? Maybe it's more to do with the embalming fluid leaking from the site after removal? I've always removed them during post mortem care to help the body look as normal as possible. I appreciate the advice!

  • 0

    Quote from Spidey's mom
    Clinical Pearls are very common. So, not unique.

    I'm afraid I'm like nutella and heron. Not a fan of cutsey either.
    Not looking for unique either, so if the expression "clinical pearls" may be familiar to some staff then that may be the way to go. Thanks!

  • 0

    Quote from heron
    Personally not a fan of cutesy. I like nutella's suggestion. Another might be something along the lines of "Palliative Care, Compassionate Care".

    ETA: nutella's is better.
    Thanks, I like that. I'm definitely going for cutesy... Just trying to make something unfamiliar seem a little less scary. I love your suggestion!

  • 0

    Quote from ktwlpn
    As a CPHLN I find it all really interesting.I always try to personalize my tips to make them more interesting to the staff.
    I'm the Palliative Care Coordinator at my hospital & I think it's so interesting too... I wish everyone shared our passion! We are really ramping up our house-wide education. I hope the more relatable the inservices sound the more interest I can generate, with the end result being better care provided to our palliative patients.

  • 0

    Quote from ktwlpn
    Why "cutesy"it up? Never have been a fan of that.It's a pretty important specialty and should be treated with gravity,IMHO. monthly palliative care tips?
    Just trying to make it sound a little more interesting & not quite so foreign/boring/institutional is all. I thought "Palliative Care Pearls" was more interesting than "tips" and referred to the expression about pearls of wisdom. Thanks for your post.

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    Hi, do y'all have any ideas for a good name for monthly Palliative Care training? I'd like to make it sound a little more interesting... maybe "Palliative Pearls"?? Another suggestion was "Palliative Care Pals" but I wouldn't want to take a chance on it being confused with actual PALS... Any ideas?

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    Hi, do y'all have any ideas for a good name for monthly Palliative Care training? I'd like to make it sound a little more interesting... maybe "Palliative Pearls"?? Another suggestion was "Palliative Care Pals" but I wouldn't want to take a chance on it being confused with actual PALS... Any ideas?

  • 0

    Quote from radiologynurse1
    It is unrealistic to think that the radiology nurse would be responsible for every patient that goes through radiology. Interventional radiology is different. There should always be a nurse to nurse hand off if a patient is under going an invasive procedure.
    Who is responsible for the patient if they go to the cafeteria? Radiology staff are educated in BLS, but seldom have to use it. I am a certified radiology nurse. We have had the same problem, patients coming from the floor, ER, or "step down" ICU. Even if your patient requires telemetry, they should be placed on a transport monitor and brought down by a qualified individual that can monitor the pt and act on the monitor were the patient to become unstable.
    As the radiology nurse, I preformed mock code blues and mock rapid response team drills monthly. The staff in radiology are very intelligent. They are not trained like nurses. They need practice to know how to handle those situations. Also, they need support from hospital administration that they will not get in trouble for making the wrong call. It is a culture in hospitals to dump on radiology. My staff have gotten in trouble for calling a code when the patient was unresponsive, but had a pulse. The next time a situation occurred, they did not want to call a code in fear of being wrong and getting in trouble. I have given my staff cart blanch to call a code or rapid response regardless if they are "sure" or not. I will take the heat and deal with the angry doctors and ER/ICU nurses that responded unnecessarily. I'd rather call them and not need them, than need them and not call them.
    Should you be responsible for your patient coding in radiology? Not if you documented the stability of the patient upon transport. You should however respond to the code. Nobody knows anything about your patient except the diagnosis given for the exam ordered, if they have an IV, if they are NPO and allergy status. You will be able to do the most good for your patient giving the code team their history.
    The patient was coming from a regular medical bed for a routine CT. I really appreciate your input. It always helps to see it from another side.

  • 0

    Quote from loriangel14
    If someone is palliative I can't see what harm it would do. We provide fans for our palliative patients. It provides a lot of comfort.
    Does your facility have a policy?

  • 1
    VivaLasViejas likes this.

    Does your facility allow fans at the bedside? If so, do you have a specific policy for infection control?

    I'm a palliative care nurse & I'd like to be able to provide bedside fans for dyspnea that would either be thrown away or sent home with the pt upon discharge. My facility's infection control director is worried the fans would never be properly cleaned &, even if they were cleaned, would blow infections into wounds, lungs, or sterile sites & the hospital would be held responsible for the infection because we provided the fan, which makes sense; however she doesn't really understand the relief a fan can have on dyspnea & said we should just adjust the thermostat. When I specifically mentioned my palliative care/end-of-life patients she said her mom had been on palliative care for a year & wasn't end-of-life... When I said a doctor's order would be required to get a fan from SPD she said her brother is a doctor & she knows nurses ask doctors for orders walking down the hall so they could order fans for everybody. [emoji17]

    I understand the infection control concerns, but I've also seen the comfort blowing air in someone's face can provide... Which may decrease medications and maybe decrease sedation which could improve quality of life. What are your thoughts/policies on fans for palliative care patients?

  • 1
    klone likes this.

    Quote from klone
    Well, that was certainly a tempest in a teapot. I guess I assumed you had already tried discussing it with the manager and had received pushback.
    I'm pretty sure 'tempest in a teapot' is my new favorite phrase. Totally had to google it [emoji87]

  • 4

    Quote from rnannmari1
    I am not at work for "everyone," I am at work for me and my patients. You are attempting to guilt your co-workers into attending unpaid meetings which is manipulative behavior. I could care less how my attendance affects anyone else's paycheck. If a meeting is mandatory it need to be paid time, period. And until EVERYONE gets on board with that, pay raises will be affected. Like another poster said, this type of behavior would never fly at a union hospital. Instead of trying to guilt your co-workers into attending mandatory meetings off the clock, why not support them by not caving to unreasonable demands from management? Sorry if I sound harsh but I absolutely cannot stand being manipulated. I don't stand for it in my personal relationships and I don't stand for it in my professional relationships either.
    I'm not sure where the misunderstanding occurred, but it was never my intention to manipulate or guilt anyone into anything... I was just replying to another persons comment that they would deliberately miss the meetings because it was unpaid time.

    I don't disagree with your comments about working for free, & that's why I took my concerns to my manager. She's handled the issue & moved huddles to 0645 so everyone is appropriately compensated. Hopefully our unit will now have a chance to meet our 95% attendance goal & get our raises at the end of the year.

  • 2
    SummitRN and Eru Ilúvatar like this.

    Quote from Eru Ilúvatar
    Can you imagine if the people who protested for the 8 hr work day had your attitude?

    They are true Martyrs because they died defending their principle, i dont see management killing us yet for our ideals.
    Semantics regarding the true definition of a martyr aside, there certainly is a time & place for the solution SummitRN proposed, so I don't think it's necessarily a bad attitude to have... Had things not gone as well with my manager as they did, reporting the situation to a higher power would have been the next step. And I'm not so sure I'd be as brave at that point to slap my name all over a topic my direct supervisor told me to squash.

  • 3

    Quote from SummitRN
    Here is a little story: I once worked a job where they stopped paying employees outside of facility posted hours but we were expected to be there early and stay late to close up. It added up to 15min per day unpaid. I went to the owner and diplomatically explained why that was neither fair nor legal. I figured he'd listen since it was no secret I was his favorite employee. He said he would consider what I said. About 15 minutes later I was informed my services were no longer required.

    Few with official power gives a crap about how things should or should not be. Things are what they are and you can play life strategically to achieve just outcomes, or you can play righteously based on how things "should be" and get burned.
    Of course, I did not approach the issue citing unfair or illegal actions, I just asked if she wanted to pay everybody else more to be there early or not... Ultimately it was clearly her decision & I stayed in my lane.


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