nhelkhound

nhelkhound specializes in hospice, home care, LTC.

Latest Activity

1. So disgusted

   nhelkhound replied to MomRN0913's topic in Hospice

   Holy crap!!

2. The hardest thing

   nhelkhound replied to tayloramaRN2be's topic in Geriatric

   God bless you for your loving heart.

3. Can a physician deny an order to transport from LTC?

   nhelkhound replied to anangelsmommy's topic in General Nursing

   I once had a physician refuse to give me an order to transfer his Pt to ER after the Pt had fallen on the floor in the bathroom, had a large hematoma on his head, was complaining of acute abdominal pain, and had diarrhea for 48hours. The Dr yelled at...

4. So who do nurses marry or have as civil partners???

   nhelkhound replied to snoopy29's topic in General Nursing

   The man I adore and I met in church when I was 14. He's an IT guy

5. The right to refuse has so many interpretations

   nhelkhound replied to Alnitak7's topic in General Nursing

   I had a hospice patient living in an ALF. Pt was bedbound, on scheduled morphine. Facility policy was repostion Q2 hr, Pt consistently refused in spite of education. I directed LNAs to stop repositioning attempts (some had been repositioning against ...

6. Cry for help: I don't think I can do this.

   nhelkhound replied to -MissTake-'s topic in General Students

   It will get better. During nursing school I was on the Dean's list every semester, and most of my clinical instructors disliked me. I dreaded clinicals. Mean nasty instructors. Never worked in medsurg. Been an RN for 6 years and love it. You will fin...

7. new grad/ltc

   nhelkhound replied to pink2004's topic in Geriatric

   RUN AWAY.

8. Question about breathing at end of life

   nhelkhound replied to Spotty44's topic in Hospice

   I have never seen apnea only during sleep at the end of life, but I'm always surprised by the things I haven't seen (yet)! I would try repositioning this Pt when she exhibits apnea during sleep; if this stimulates breathing she may have had a blockag...

9. drug diversion

   nhelkhound replied to onangelswings's topic in Hospice

   I had a case where the Pt's daughter told me that someone had broken into their apartment and stolen her morphine. Even showed me where the thief had entered; only problem was that the screen was pushed out from the inside!

10. Non Hospice RN

    nhelkhound replied to RNERHOUSESUPOR's topic in Hospice

    I'm sorry that your father is so ill. My opinion is that if you can you should go to your father as soon as possible and spend as much time as you can with him now. Don't wait until he is so close to death that he may not be able to communicate with ...

11. Evening Med Pass Question

    nhelkhound replied to westieluv's topic in Geriatric

    This was the same at every LTC facility that I have worked at, a heavy pass between 4and 5P and another heavy pass between 7 and 9P. I was also exhausted. I had between 25 and 40 patients. Just shoot me. And of course everyone wanted their pills at e...

12. Rusty skills/burned some bridges. what to do?

    nhelkhound replied to SunnyPupRN's topic in General Nursing

    Sorry to hear of your misfortunes. I recommend that you stay away from nursing. Are you able to collect disability? You really need to secure health benefits (possible thru disability) and get your health on track before you're able to safely re-ente...

13. Discharge a patient because they go to er?

    nhelkhound replied to AtlantaRN's topic in Hospice

    As far as I know, this would not be grounds to discharge. A patient has the right to seek medical care. In this instance the patient will be held financially responsible for charges incurred d/t the ER visits IF he did not inform hospice of the visit...

14. Whose patient is this???? assistance please

    nhelkhound replied to AtlantaRN's topic in Hospice

    What a mess. I hate this type of situation. Clearly the scope of services was not clearly discussed and/or understood by the Patient/family. I like the idea of tossing the ball to the PCP.

15. Aspiration risk, Hospice and SNR

    nhelkhound replied to hospicernsrgr8t's topic in Hospice

    Let's keep in mind the goals and desires of the Patient, who is saying she's hungry and wants to eat. The aspiration risk should be explained to her and her family and they should be the ones to decide if the aspiration risk should or can be diminish...