RnRatchet

RnRatchet has 9 years experience and specializes in Hospice, BMT / Leukemia / Onc, tele.

Latest Activity

1. Hospice and Palliative Nurse Cert. Exam

   RnRatchet replied to LadyBugLass's topic in Hospice

   I had 4 years of experience when I took the exam. I studied the core curriculum and used the quiz book alone and with a study partner. The exam was more challenging then the RN boards for me.. just because many of the questions seemed to have more th...

2. Can a Sticker on my car = Hippa Violation?

   RnRatchet replied to AtlantaRN's topic in HIPAA

   Our agency did give out window clings with our logo on them to anyone that wanted them. BUT they were also available to the public and our volunteers. (Free advertising..lol) Our company saw it as just a way to support a local business.. no different...

3. APA publication manual?

   RnRatchet replied to marilynmom's topic in General Students

   I bought a program called PERRLA.. best $25 I spent since being in my BSN program and having to write several papers! http://www.perrla.com/Pages/1/2.aspx

4. 'Real' nurse's kit for toddler play?

   RnRatchet replied to ladybugsea's topic in General Nursing

   Looks like you can get this from a european toy store.. http://www.elc.co.uk/toy-41104?&parent_category_id=534&category_id=604&showall=

5. Question about CHPN Exam test prep

   RnRatchet replied to Genista's topic in Hospice

   When I took it last year, I felt like a large chunk of it came from my past experiences and relating it to the questions. There were several case scenarios that asked "what would you do next?" So, the studying that I did helped mesh my experiences wi...

6. J&J Tribute to Nurses Videos--MUST-SEE!

   RnRatchet replied to RDH-NrsgStudent's topic in General Nursing

7. How long are your IDT mtgs? And content?

   RnRatchet replied to Cing_angels's topic in Hospice

   Well.... if we have students or a resident that has stopped by to observe.. he likes to show off..lol He sometimes gets off on a tangent too.. :chuckle

8. How long are your IDT mtgs? And content?

   RnRatchet replied to Cing_angels's topic in Hospice

   we do a weekly report with the nurses and the CSM (clinical services manager) then acts as voice for the nurses during IDT.. it has really cut down on staff having to cram all their patients in to be seen around the meeting. Besides CSM the social wo...

9. If there is such a thing as a beautiful death.....

   RnRatchet replied to TazziRN's topic in General Nursing

   How very beautiful. Good for you and your co-wrkers to be with this gentleman as he left this life. I too believe no one should die alone. We have vigilant volunteers that work with our hospice that will stay with a patient around the clock if no fam...

10. medicine or wives tale????

    RnRatchet replied to leigh21's topic in Ob/Gyn

    LOL.. my sister is PG with her 2nd baby. When she went in for the ultrasound the Dr. told her husband he was sexist for wanting a boy..lol.. After he told her it was indeed a girl (what she was hoping for) the doctor said he likes girls better becaus...

11. Hospice Houses

    RnRatchet replied to Curious1alwys's topic in Hospice

    For what you would be willing to pay for him to stay at a hospice house (even though this particular one doesn't do residential) maybe you could look into a senior community of sorts? We visit several patient's in places where there is a LPN or RN wh...

12. computerized documentation programs?

    RnRatchet replied to terri hudson's topic in Hospice

    We use Suncoast at our agency and have been for a couple years. It was rough at first, but now everyone wouldn't go back to paper for anything. The availability of the information so quickly is nice when I'm on call. Since I'm an admission nurse, I'm...

13. Any ideas for unrelieved N/V

    RnRatchet replied to spoiled28's topic in Hospice

    We also start with Phenergan and then go from there. One combo that we commonly use for any type of cancer involving the abdomen is a BRD.. Benedryl, Reglan, Decadron.. I've also seen variations with Ativan or Haldol in them depending on patient need...

14. lpn's in hospice?

    RnRatchet replied to greenbean's topic in Hospice

    in our agency it's just the sop - it's a blanket statement i think to cya for the agency

15. lpn's in hospice?

    RnRatchet replied to greenbean's topic in Hospice

    at our hospice an lpn can do almost everything a rn does. the things lpn's don't do: hha sup visits, lab draws, admission assessments. good luck!