jessica

jessica specializes in CHPN Hospice & Palliative Nurse.

Latest Activity

1. What's Your Best Nursing Ghost Story?

   jessica replied to steffck's topic in General Nursing

   Whew! I just got caught up after 2 days of reading. Sufferkate, you're experiences are...well....scary. With that said, I would love to hear more

2. What's Your Best Nursing Ghost Story?

   jessica replied to steffck's topic in General Nursing

   Bump.

3. What's Your Best Nursing Ghost Story?

   jessica replied to steffck's topic in General Nursing

   Keep the stories coming! I adore this thread :)

4. Whats to Enjoy about Nursing?

   jessica replied to sissyboo's topic in General Nursing

   A lot of times you only hear the complaints and definately not enough of the wonderful aspect of nursing. Many consider this forum as a "safe haven" to be able to vent and debrief regarding a situation/problem/or other general rant. It's all a matt...

5. Should I take this job? Please help!

   jessica replied to RiaRN's topic in Hospice

   Sounds like you are getting some pretty sound advice here! Perhaps the next opportunity will work out better. Jessica

6. What do I do?

   jessica replied to dawn1rhino's topic in Hospice

   I would contact the Office of the Attorney General for your state and submit a complaint so that they can investigate. On an aside, perhaps a different hospice agency would be a "better fit" for you. Good Luck

7. Something I've never seen!

   jessica replied to doodlemom's topic in Hospice

   I spoke with my coworker and Morphine 1-5% can be compounded with Silvadine. Also, if the pain is more neuropathic then Ketamine or Gabapentin can be included as well. HTH Jessica

8. Something I've never seen!

   jessica replied to doodlemom's topic in Hospice

   Here's a website that provides information and a picture of an individual Mepilex Border Dressing. I ABSOLUTEY love this product! I'll get you the ratio for the Silvadene/Morphine compund and post it tomorrow. http://www.molnlycke.net/item.asp?id=3...

9. advance directives for hospice pts.

   jessica replied to greenbean's topic in Hospice

   i just ran across a book @ nursing knowledge international re:cpr and the palliative care setting! here's the excerpt from the site: palliative care resuscitation palliative care resuscitation begins by examining the history of cpr and how the proc...

10. advance directives for hospice pts.

    jessica replied to greenbean's topic in Hospice

    If the patient is deceased, and death is evident (as outlined by the Texas Nurse Practice Act) then CPR is not initiated. If I am present when a full-code patient ceases to breathe or the heart stops beating, then I am obligated to initiate CPR at th...

11. advance directives for hospice pts.

    jessica replied to greenbean's topic in Hospice

    I work for an open access Hospice company and we do not require that our patients be a DNR. It's about personal choice. Some individuals and/or families are not able/ready to accept a OOHDNR at the time of admission, or even through to the end. As...

12. Something I've never seen!

    jessica replied to doodlemom's topic in Hospice

    Unfortunately we have seen several fungating wounds recently. Often we find that compounded topical analgesia works very well as an adjunctive. Silvadene/Morphine Cream has been great! I can ask my cohort what strength the morphine is and get back...

13. Grief. Mine!

    jessica replied to BeExcellent's topic in Hospice

    I'm so sorry that you are experiencing this. You obviously give your heart and soul to your patiets and I'm sure that you did everything that you could for that particular patient. I will keep you in my heart and send warm wishes with you as you wo...

14. IS it ok to wear scrubs to an interview?

    jessica replied to WinksRN's topic in General Nursing

    No way would I wear scrubs to an interview. For an entry level position, I may not wear a suit. However, I would be dressed professionally. So often, we nurses complain that we aren't taken seriously and are not perceived as professionals. I think...

15. Methadone as pain tx

    jessica replied to CarrieH's topic in Medications

    I too would like more insight as to the statement of it causes more problems. In my experience, Methadone has been unbelieveable in controlling both visceral and neuropathic pain. Yes, it's slow to titrate but once the correct dose is found for the ...