vampiregirl BSN, RN

vampiregirl has 14 years experience as a BSN, RN and specializes in Hospice.

Latest Activity

1. 

   nursing student with midfoot oa

   vampiregirl replied to liz maj's topic in Disabilities

   Are you under the care of a rheumatologist or podiatrist? If not, especially with your young age, this might be something to consider. Establishing a good plan of care now could be important to your future comfort and mobility. One of the amazin...
2. 

   Is looking at a patient's chart on your floor a HIPAA violation?

   vampiregirl replied to PrettyPeachyRN's topic in HIPAA

   My thought process has always been that if the patient is on a unit which I am working on and my assistance/ care with a patient for whom I am not specifically assigned is needed, then it is appropriate to look in the chart to obtain or verify the ne...
3. 

   Questions for a nurse educator

   vampiregirl replied to Maggieinpdx's topic in General Nursing

   I don't have an MSN, I have a Master's in Palliative Care. I assist the education department at my agency as needed but work in another position full time. Not sure if my responses fit exactly what you are looking for... 1. I use a variety of te...
4. 

   Is this an unstageable ulcer?

   vampiregirl replied to coltonk1234's topic in Home Health

   I would agree this is unstageable:) The slough completely obscures the wound bed. Pressure injuries are either over a bony prominence or caused by pressure from a medical device/ something else. It takes time to consistently accurately sta...
5. 

   Pay per visit VS hourly

   vampiregirl replied to JS-RN's topic in Home Health

   You've gotten some great suggestions and perspectives from other posters... Additional information that might help your decision: How long a typical SOC takes at each agency (different charting programs and different processes at differe...
6. 

   EKG order

   vampiregirl replied to cepr4's topic in General Nursing

   Another thought... if the patient was having an inferior wall MI an EKG could have made a huge difference due to the risk of hypotension with nitro.
7. 

   11 Best Nursing Shoes (Plus 6 Most Comfortable)

   vampiregirl commented on Julia Liou's article in Radiology

   Alegria is the brand that works best for me! Comfortable, easy to clean and well constructed. I have flat feet - no aching. Recommended by a friend who is a hospitality manager for a camp/ retreat center and is on her feet all day on hard surfa...
8. 

   Kyprolis Med Administration

   vampiregirl replied to Thisonenurse's topic in Medications

   Kudos for investigating something further that you're not familiar with! Have you looked into the policy or procedure for administering Kyprolis at your workplace? If I can't find a specific policy or procedure regarding something, typically my ...
9. 

   What should I do if I feel like I can never get a job outside of the SNF

   vampiregirl replied to dsaprog's topic in General Nursing

   I'm another nurse who got a good skills foundation in SNF. I encourage you to take every opportunity to learn. Look things up, take every training opportunity available. Don't discount all the informal non-technical skills you've gained as a cha...
10. 

    On Call Nurses - advice needed

    vampiregirl replied to Peachpit's topic in Hospice

    Agree with above poster. Also recommend (if you haven't done so already) to get your scheduled hours and compensation in writing. Not sure what your caseload/ visit load is or your geographic area is. I work a 48 hour weekend position...
11. 

    Question on End Stage Parkinsons

    vampiregirl replied to pmabraham's topic in Hospice

    Parkinson's patient's can be tricky to accurately assess if they meet the life expectancy criteria of 6 months or less if the disease process takes it's normal course! Some of the considerations our team presents to our providers in order for th...
12. 

    Struggling with med pass-LPN in LTC

    vampiregirl replied to Mariah Walker's topic in Geriatric

    It takes time to get faster. Learning to keep yourself organized and getting a process in place can help. Little things like figuring out a system for yourself to order refills. Making sure the med cart had all the required supplies including fresh w...
13. 

    Observations on boundaries between Nurses and Patients (Psych)

    vampiregirl replied to hppygr8ful's topic in General Nursing

    @hppygr8ful - Nope, I don't think you are old and out of the loop. Especially in the psych setting, professional boundaries are crucial as is following policies. Consistency amount staff is also crucial to maintain a therapeutic milieu in that enviro...
14. 

    How do you assess a patient with lots of phlegm in their throat?

    vampiregirl replied to kate2827's topic in General Nursing

    Agree with above posters recommendations for most settings. I work in hospice though so "gurgly" breathing is not uncommon with some disease process progressions (either cardiac/ respiratory or aspiration). SpO2, HR, RR can be helpful. Doe...
15. 

    Where should I realistically be at this point in orientation?

    vampiregirl replied to cblossom78's topic in General Nursing

    Please be kind to yourself! Safety comes first. Making sure you are learning steps to ensure patient safety in the processes you perform is critical. As you build muscle memory, you want to make sure all the safety steps are in your process. Whi...