introspectiveRN

introspectiveRN

med/surg, hospice

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  1. Any folks here work hospice in Florida?

    introspectiveRN replied to introspectiveRN's topic in Hospice, Palliative

    yes, please do :cheers:...I am really hoping to hear some positive stuff though...it seems like there has to be some good news about the sunshine state

  2. Any folks here work hospice in Florida?

    introspectiveRN replied to introspectiveRN's topic in Hospice, Palliative

    Looking to the panhandle. From Tallahassee to Pensacola and almost any spot in between. Do you have any knowledge of hospices in those areas? Yeah- I know Florida wages are stinky compared to other...

  3. Continuous Subq Infusion help

    introspectiveRN replied to Cored42's topic in Hospice, Palliative

    we used the small subcue needles (appx. 31 gauge) that were set in a small disk -- cannot remember the name to save my life but the disk was flat as paper - like a large button and the needle...

  4. Medical Supplies question

    introspectiveRN replied to AtlantaRN's topic in Hospice, Palliative

    Office staff orders supplies and the CNA's have a limit of appx two packs of diapers per week and two packs of chux pads. If more is needed and the family requests- we usually provide. But no...

  5. Bone Pain

    introspectiveRN replied to RNSUEIA's topic in Hospice, Palliative

    I would recommend scheduled doses of an NSAID 'round the clock (ibuprofen is now the gold standard for bone met pain...go figure). If this gives "decent" relief but leaves wiggle room- I would also...

  6. I think Hospice needs hospice...

    introspectiveRN posted a topic in Hospice, Palliative

    What do you think? Nurses that have been in hospice for longer that I have been all say the same thing...that it is so radically different than it used to be (not for the good) and there is no sign of...

  7. RN to BSN online

    introspectiveRN replied to mona b RN's topic in Online Distance Learning

    Have you heard anything yet? I have read through this thread and was following up with UOW until I got to your post...does not sound good at

  8. Medicare Probe

    introspectiveRN replied to PeacePisceRN's topic in Hospice, Palliative

    :yeahthat:.

  9. could someone please map this?

    introspectiveRN replied to introspectiveRN's topic in Operating Room

    Actually, this is very encouraging because I was intimidated by the "pristine documentation" and "OCD" comments because I don't have either one! whew! I feel very relieved....I have really wanted to...

  10. could someone please map this?

    introspectiveRN posted a topic in Operating Room

    I was able to observe one surgery in nursing school and of course now I have forgotten what I did learn as far as the OR setup. Could you please describe the different players in the OR theatre and...

  11. Advice please!

    introspectiveRN replied to Scarlette's topic in Hospice, Palliative

    Given your previous experience and your own description of what you are perceiving hospice to be, I would strongly suggest working in an inpatient hospice unit first. And IMHO you can go ahead and...

  12. Need your input before we all quit.......

    introspectiveRN replied to KJB_65's topic in Hospice, Palliative

    I am so sorry to hear all of this ...I really hope that a better opportunity presents itself for

  13. Interview questions and Red Flags for Hospice

    introspectiveRN replied to Fiesta Red's topic in Hospice, Palliative

    In addition to case load I would also suggest asking about average acuity. At one of my former hospices we were "open access". Sounds great on paper but it was awful to work with. Very high acuity...

  14. I think Hospice needs hospice...

    introspectiveRN replied to introspectiveRN's topic in Hospice, Palliative

    My experience has been that "not-for-profit" is a ruse at best and an outright lie at worst. Now...I really don't want to just bring up problems without coming up with solutions as well. We are...

  15. Need your input before we all quit.......

    introspectiveRN replied to KJB_65's topic in Hospice, Palliative

    nope. no way. no how... because: in order to start a union we would have to do more paperwork.

  16. Question about "terminal diagnosis"

    introspectiveRN replied to AtlantaRN's topic in Hospice, Palliative

    I usually choose the dx that will allow me to provide the most meds. Usually this is CHF, COPD or ES CAD....with Adult FTT there are more meds that could also fall under this, you just have to make...

  17. which fields offer the most travel opportunities?

    introspectiveRN posted a topic in Travel

    I see needs in ICU, ER and OR. As travellers- what areas of nursing do you see offering the most openings in good locations to travel ("good" is however you define it!) ?

  18. Need your input before we all quit.......

    introspectiveRN replied to KJB_65's topic in Hospice, Palliative

    Before I quit my last hospice, I had a case load of 21 pts...all of them homecare and I was absolutely at the end of myself. The case load you are trying to juggle is insane...I dont care how stable...

  19. which fields offer the most travel opportunities?

    introspectiveRN replied to introspectiveRN's topic in Travel

    sank

  20. which fields offer the most travel opportunities?

    introspectiveRN replied to introspectiveRN's topic in Travel

    Yipes! nuthin'???

  21. Where does my experience fit?

    introspectiveRN posted a topic in Travel

    Hello there and thank you in advance for taking the time to read and (hopefully) reply to my post. I am a newby nurse with appx 1.5 years experience. I worked med/surg for four months and then...

  22. Pancreatic Ca and Nausea

    introspectiveRN replied to SCgirl1962's topic in Hospice, Palliative

    Isn't that one of the worst aspects of pancreatic CA? Because it is so hard to overcome nausea once it has started, we usually do scheduled dosing of ativan, phenergan, compazine and reglan along c a...

  23. Something I've never seen!

    introspectiveRN replied to doodlemom's topic in Hospice, Palliative

    Although I have yet to see wounds like the OP is describing, I have been dealing with patients who have terrible, malodorous breakdown wounds that never heal. With the pharm that we used previously,...

  24. Hospice Pharmacia- wounds

    introspectiveRN replied to nurselearner's topic in Hospice, Palliative

    Although we us HP for our meds, we do not use them for wound care. Previously we had used Palliative Pharmacy Solutions for our wound care as well as med needs; now we buy a mixed bag of wound care...

  25. The driving is making me a nervous wreck...

    introspectiveRN posted a topic in Hospice, Palliative

    Friday was a typical day....I drove well over 200 miles from the time I left home until I pulled back in the driveway. I get up in the morning, run around getting ready, getting kids ready, walking...