ray2512

ray2512

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All Content by ray2512

  1. Leaving one company for another question

    ray2512 replied to AtlantaRN's topic in Hospice, Palliative

    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...

  2. new nurse- hospice case manager

    ray2512 replied to weavrvirgorising's topic in Hospice, Palliative

    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...

  3. Pain med for ALS hospice pt

    ray2512 replied to spoiled28's topic in Hospice, Palliative

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

  4. REAL Pain or ADDICTION?

    ray2512 replied to captain morgan's topic in Hospice, Palliative

    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

  5. HELP! I must prove our inpatient facility is understaffed by tomorrow!

    ray2512 posted a topic in Hospice, Palliative

    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...

  6. Decadron uses?

    ray2512 replied to henrysmom's topic in Hospice, Palliative

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

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

    ray2512 replied to KJB_65's topic in Hospice, Palliative

    Maybe its time to start a National Hospice Nurses

  8. Why so negative ?

    ray2512 replied to MichaelFloridaRN's topic in General Nursing

    Amen

  9. Why so negative ?

    ray2512 replied to MichaelFloridaRN's topic in General Nursing

    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...

  10. HELP! Hospice Nurses! How Many Patients Do You Have?

    ray2512 replied to tencat's topic in Hospice, Palliative

    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...

  11. Hospice Team Leader

    ray2512 replied to saribeth's topic in Hospice, Palliative

    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...

  12. Experience required for Hospice RN

    ray2512 replied to IDidIt2007's topic in Hospice, Palliative

    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...

  13. After Hospitalized, Patient goes to another hospice

    ray2512 replied to AtlantaRN's topic in Hospice, Palliative

    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...

  14. My inability to brown nose is holding me back in my nursing career

    ray2512 replied to FireStarterRN's topic in General Nursing

    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...

  15. What are the most laid back nursing jobs?

    ray2512 replied to kgard7777's topic in General Nursing

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

  16. Will I be too old for nursing school?

    ray2512 replied to nrsbetsy's topic in General Students

    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

  17. Hospice On Call Compensation Structure

    ray2512 replied to Katillac's topic in Hospice, Palliative

    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...

  18. Hospice On Call Compensation Structure

    ray2512 replied to Katillac's topic in Hospice, Palliative

    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...

  19. Hi, New user, Hospice nurse looking for input from other hospice nurses

    ray2512 replied to pcrn's topic in Hospice, Palliative

    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...

  20. Hi, New user, Hospice nurse looking for input from other hospice nurses

    ray2512 replied to pcrn's topic in Hospice, Palliative

    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...

  21. calling all hospice nurses!

    ray2512 replied to lesrn2005's topic in Hospice, Palliative

    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...

  22. Foley Cath Question

    ray2512 replied to oxyjen's topic in General Nursing

    5cc

  23. Case Manager caseloads

    ray2512 posted a topic in Hospice, Palliative

    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...

  24. Giving pain meds thru a colostomy?

    ray2512 replied to Blackcat99's topic in Wound, Ostomy, Continence

    We put the morphine sulfate solution between the cheek and gum. I absorbs well there and does not drip out of the mouth if you use 1 cc or less. SC morphine is not pain free, labour intensive and...

  25. Giving pain meds thru a colostomy?

    ray2512 replied to Blackcat99's topic in Wound, Ostomy, Continence

    You don't need to put Roxinal in anything it asorbs in the oral mucosa but you can if the client is able to swallow soft