anashenwrath ASN, RN

anashenwrath has 11 years experience as a ASN, RN and specializes in Hospice.

Latest Activity

1. 

   Asymptomatic in SNFs/ALFs?

   anashenwrath posted a topic in COVID

   Hi all, Hospice RN seeing COVID+ patients exclusively. So far, all my patients have been at SNFs or ALFs, all are geriatric with lots of comborbidities and usually dementia. One thing I'm noticing is how mild symptoms seem to be: mild cough, a few da...
2. 

   Caring for COVID as visiting/hospice nurse

   anashenwrath posted a topic in COVID

   Hi all, hope everyone is taking care out there. I am a hospice nurse, so normally have a mix of home patients, SNFs, ALFs. My county has a little under 1,000 positive cases; we are in our surge, not yet peaked. We hadn't had any confirmed positive ca...
3. 

   Lasix for EOL secretions?

   anashenwrath replied to kat7464's topic in Hospice

   Ugh. I have a vague memory of a hospice patient at a SNF (not one of mine, but I knew the patient and the staff) who was having significant secretions. Apparently the floor nurse on 11-7 called the on-call doc (for the facility, not hospice) and he s...
4. 

   Advice, Applying for Home Hospice RN

   anashenwrath replied to RNstat123's topic in Hospice

   Ask about census, how many patients you'll be expected to see a day, mileage, etc. Investigate the turnover... see if you can talk to the nurses/aides and get the real-deal scoop. Is there an on-call/weekend nurse, or do case managers rotate? I hav...
5. 

   Miles on my car

   anashenwrath replied to friendlylark's topic in Hospice

   I don't stress about miles; I feel like I get fairly compensated. I drive a hybrid, which definitely helps! I average about 100 miles a day. If I wasn't getting reimbursed, though, I would have a big problem with that! The thing that gets under my s...
6. 

   What is a bad day?

   anashenwrath replied to kelzerize's topic in Hospice

   Getting called to leave an actively dying patient with grieving family that you've been taking care of for a month to admit a 60-something year old who lives at home independently and who you didn't find eligible in the first place. bcs it's all abou...
7. 

   Should I feel bad for not picking up extra shifts?

   anashenwrath replied to nursekaterpn's topic in General Nursing

   Sweet summer child. They will say ANYTHING to get you to pick up a shift. It will never change and it will never stop. Screen your calls and rest easy. You are under no obligation and they are lucky to have you. Nurses are made to feel bad for saying...
8. 

   Opoid crisis and providing hospice care

   anashenwrath replied to angshallad's topic in Hospice

   I'm on Cape Cod (ie, that place where HBO did a documentary about the opioid crisis) and find overall it's not too bad. Like anywhere, different prescribers prescribe differently, but it's not necessarily about the opioid crisis... it can just be ign...
9. 

   I made a medication error. What will happen to me?

   anashenwrath replied to whyohwhy's topic in General Nursing

   As others said: not sure what your working environment is, but I think you'll be fine. I remember when I made a narcotic error. And I didn't catch it, my supervisor did the next day! I was horrified, mortified, and thoroughly convinced I was going t...
10. 

    ER to Hospice

    anashenwrath replied to friendlylark's topic in Hospice

    Congrats OP! Based on your username, I'm going to assume you're in Oregon, which is a very good state for EOL care! Reading through your pros and cons, I noticed a lot of "logistical" factors, so I wanted to chime in as you get started as a hospice n...
11. 

    Triage and on call

    anashenwrath replied to cargalrn's topic in Hospice

    Ugh my heart breaks for our on-call nurses (especially bcs the RNCMs have been covering for one of them for the last three months!). On-call gets called for anything (ignoring actual out-of-control symptoms, admissions, and deaths). Boo boo? Fall wit...
12. 

    Cape Cod Nursing

    anashenwrath replied to Cahoon BSN RN's topic in Massachusetts

    Cape Cod RN here! The healthcare system on the Cape is kind of a horror show. Cape Cod Health basically runs the show, Outer Cape Health is "reorganizing," and we only have two major hospitals (both owned by CCH I believe). Emerald physicians is the ...
13. 

    License renewal Chapter 260 requirements??

    anashenwrath replied to anashenwrath's topic in Massachusetts

    Hey ya'll! Just in case anyone was lurking to find out an answer.... I found out that the training is not yet available and we MA nurses will not be held responsible for it until it is posted on the Board's website. After it is posted, nurses who h...
14. 

    License renewal Chapter 260 requirements??

    anashenwrath posted a topic in Massachusetts

    Hey there, My colleagues and I are all SO confused bcs we keep getting emails saying we have to complete a mandatory Domestic and Sexual Violence Training when we renew our license. However, after navigating a million links on mass.gov, all we can fi...
15. 

    Aspiration drama!

    anashenwrath replied to anashenwrath's topic in Hospice

    Great responses from you both. Thank you! I've incorporated this advice into my last few visits, and I think we'll get on the same page (hospice/patient, spouse, and facility). much love to my hospice homies!