ray2512

This is so typical. Hospice administration wanting to inflict as much emotional damage as possible to employees seeking greener pastures. It is so odd that hospice administrators depend so much on compassionate employees yet so often they are so hear...

If you don't know how to maintain your boundaries in hospice, you will burn out very quickly. Don't go against your natural inclination just because your a hospice nurse. Maintain your boundaries in every area of your life! Be strong and don't let pe...

Have you tried gabapentin. 300mg first day, second day bid, third day tid.

You didn't say where the pain was. But if it is in his shoulder its probably brachial plexus. Nuerontin would be the med for that nerve pain. 300 mg tid to start can go up from there.

I have a big problem. I must prove that our clients are not getting adequate care due to understaffing. I need to have my evidence by tomorrow afternoon about 3 pm. Here is the problem. I am having to explain not getting documentation done, quantitiv...

Even low doses of decadrone 2-4 mg daily are helpful in increasing appitite. Considering the possible side effects, thats plenty.

Maybe its time to start a National Hospice Nurses Union!

It's ridiculous that there is even a debate about it. Except that the drug manufactures don't want it, and they probably spend a lot to lobby against it. Weed is good for appetite, anxiety, sleep, depression, pain, Gerd, MS and a multitude of other ...

Amen bro

I think the reason most of it is negative is because it's an oppurtunity to vent. In many settings, such as my own even positive feedback is taken as a bad attitude. One in which you can be fired for even if your a great nurse. Oh, by the way, WWIII ...

I have had 18-19 client mostly at home for the last several months. I drive an average of 700 miles every two weeks. We have lpns that assist but most of the time they are filled up so I don't get to use them much. I usually do one night of call eith...

I will soon be a team leader soon as they hire a nurse to take my case manager position, which takes a long time since our HR is so slow. I have the feeling that the new team leaders will help design the job some what, but I already know about someth...

I went to hospice as a GN and had no nursing experience at all. Infact sometimes its better if you havent had a lot of curitive experience. Hospice is much different from any other kind of nursing. I have been in hospice now nearly 14 years and still...

First of all do you have a inpatient hospice? Secondly do you have an inpatient contract with the hospital? Maybe they just wanted the client to go to an inpatient unit instead of back to assisted living or a nursing home. If your agency has a inpati...

All you really have to do is be quite and smile a lot. That goes a long way. Is that really such a strugle. Give some words of wisdom occasionally, think about what you say before you say it. Don't feel you have to change everything right now. When t...

I dont think there are any laid back nursing jobs, but you might consider hospice.

I was 41 when I started nursing school, I am now 57 and have been practicing on most 14 years. Being older if anything is an advantage!

Your freeking out, calm down. Think of it as apples. you need 400 apples, there are boxes of 200, 100, 50, and 25. so you need 2 boxes of 200 and one box of 50 does that help and by the way thats a lot of trazadone!

We have a full time on call nurse who is now sick. He works 123 hours every 2 weeks, covers 155 home care and about 17 pace clients. He is sometimes called to pick up meds for the hospice house (oh brother) and misc duties there. He also has to give ...

This sucks. I will get paid about $25 bucks for answering calls, and $25 per visit or $50 for death visits. I have all ready gotten 4 calls and its only 615pm Sunday night, I started at 5pm. I will be on call till 8am tomorrow, then work my regular 8...

Im sorry. We get $25 weeknights for carring the pager, $45 on the weekend. Then an additional $25 per visit in town and so on. We also get 48.5 cents a mile reimbursement. No additional for documentation time, but that only takes 10 minutes or so. So...

Have not been in here in a very long time. Hope I do this right. Its amazing how many different variations there are on all these topics among Hospice Nurses. To bad there is not a standard nation wide for these things. I have been a Hospice Nurse f...

I work 8 to 5 pm with an hour lunch which I take most of the time. I have sat and sun off. We have full time on call nurses so I rarely do call. A lot of hospices especially small ones require case managers to take some call.

5cc over

I work for a hospice that has us carrying a 15-17 client caseloads. I drove 555 miles last half and feel that my client are not getting all the attention they deserve. Anyone have any thoughts on this?