mom4josh

onc, M/S, hospice, nursing informatics

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All Content by mom4josh

  1. mom4josh

    Green stool

    mom4josh posted a topic in General Nursing

    Does anyone know what would cause a stool to be green and 'fuzzy' looking, kind of like algae? The patient hasn't started any new meds, has no s/s of any GI disorder, not taking iron supplements....
  2. mom4josh

    EPIC Application Coordinator

    mom4josh posted a topic in Nursing Informatics

    Yay! I got a position with my hospital as an Application Coordinator! I will be learning EPIC (which means going to Wisconsin in the dead of winter) and will begin an 18 month journey to get our...
  3. mom4josh

    How to maintain my EPIC certification?

    mom4josh replied to RN_Wannabee's topic in Nursing Informatics

    You can find that information on Epic's website. I think it's also in their training
  4. mom4josh

    HIPAA violation or just a bad decision?

    mom4josh replied to concerned2012's topic in HIPAA Challenges

    "If I only had a
  5. mom4josh

    Does a CNA have to wipe butts?

    mom4josh replied to sssssaidthesnake's topic in Medical Assistant, CNA/MA

    I'm hoping you don't have children. Oh, and you have to wipe not only the butts with poop, but the poop you have to wipe off of YOURSELF when the patient throws it at you or explodes on your
  6. mom4josh

    Socializing after work in your scrubs

    mom4josh replied to klone's topic in Patient, Colleague Relations

    This has been a huge deal for our facility lately. It has come down the pike numerous times something to the effect of "Thou shalt not weareth thy scrubs outsideth the worketh facility-eth." I'd bet...
  7. mom4josh

    What phrases do you use?

    mom4josh replied to JBudd's topic in Emergency

    I just got off the phone and made up a new one! SAD: Stupid A$$ Doctors! Grrr... Tell me again why THEY get paid the big
  8. mom4josh

    Copied documentation?

    mom4josh posted a topic in General Nursing

    Grrr... so frustrated! I work with a social worker, and part of our job is to do initial consultations with potential hospice patients. I was checking some charting yesterday on a patient when we did...
  9. mom4josh

    Copied documentation?

    mom4josh replied to mom4josh's topic in General Nursing

    Thanks everyone for your responses. I guess I was having a bad day...
  10. mom4josh

    Don't you hate secrets?

    mom4josh replied to Vtachy1's topic in Hospice, Palliative

    I am a very strong advocate for telling the entire family the truth. My own mother died when I was 22, and I had no idea it was serious enough to take her life. Nobody else seemed surprised,...
  11. mom4josh

    It shouldn't have happened this way....

    mom4josh replied to nerdtonurse?'s topic in Hospice, Palliative

    We have had similar situations in our hospital. These patients sometimes seem "forgotten" by nursing staff. "Oh, they're hospice," has been overheard more than a few times, like they somehow don't...
  12. mom4josh

    A co-worker peeve- VENT!

    mom4josh replied to perfectbluebuildings's topic in Patient, Colleague Relations

    I can relate. Deep breath... Hope you don't have to work tonight. Sounds like you could use a night or two off. Hang in there. Just think of it as ignorance. But, you definitely need to let...
  13. mom4josh

    Pinning up long hair

    mom4josh replied to annetter's topic in Patient Safety Issues

    Our policy simply states, "Hair must be worn in a way that prevents contamination and does not present a safety hazard." Seems rather non-specific to me. But I've noticed that this organization is...
  14. mom4josh

    Hospital policy?

    mom4josh posted a topic in Hospice, Palliative

    In your hospital, do they allow another hospice to come to visit patients to solicit hospice? We have hospice services at our facility, and we we do in-patient, home, and nursing home hospice....
  15. mom4josh

    Hospital policy?

    mom4josh replied to mom4josh's topic in Hospice, Palliative

    I understand that they must be given a choice. My concerns are when the case managers recommend another hospice or when another hospice solicits within the hospital. Sorry if I didn't make that...
  16. mom4josh

    Clinical Nurse Specialist

    mom4josh replied to pmshiftrn's topic in Clinical Nurse Specialists, CNS

    Hi! I have been an RN for almost 10 years, having received my ADN (three years) at Northwestern State University of Louisiana in 2001. I worked med/surg, then oncology for nine years, and have been...
  17. mom4josh

    Clinical Nurse Specialist

    mom4josh replied to pmshiftrn's topic in Clinical Nurse Specialists, CNS

    I am a hospice clinical nurse specialist in the hospital M-F 8-5. I admit patients to hospice in the hospital, and do education visits for patients who want to go home or to a nursing home with...
  18. mom4josh

    peer interviews

    mom4josh replied to serein's topic in General Nursing

    I have been an interviewer in one of these peer interviews, sometimes individually and sometimes in a group. They are very helpful in getting a better sense of how the person interacts with those...
  19. mom4josh

    feel like an idiot

    mom4josh replied to katygw's topic in General Nursing

    ARE YOU KIDDING
  20. mom4josh

    Patients "waiting to die"

    mom4josh replied to RescueNinja's topic in General Nursing

    I also have a patient like this. She has been anuric for three weeks, unresponsive with respirations about 5-6/minute with morphine 15 mg/hr. I told her family to tell her it was okay for her to go....
  21. mom4josh

    What is your Hospice paying for mileage

    mom4josh replied to jeannepaul's topic in Hospice, Palliative

    I live in Central Texas (between Dallas and Austin). We get .51/mile plus $60 phone reimbursement. Oh, and gas is ~ $3.60 right
  22. mom4josh

    Questions about hospice

    mom4josh replied to Genista's topic in Hospice, Palliative

    I don't know what a revisit nurse it. We are paid $0.51 per
  23. mom4josh

    Questions about hospice

    mom4josh replied to Genista's topic in Hospice, Palliative

    I am a hospice nurse and I admit patients to the hospital for end of life care. The reason I did not want to be a case manager was due to all of the driving (because it's incredibly hot in Texas and...
  24. mom4josh

    I suck at IV starts

    mom4josh replied to what2donow's topic in General Nursing

    Don't feel bad. I suck sometimes, too. And I've been at this a while. But when I don't get a lot of practice, I get sucky again. I don't start them often on night shift, especially when I work in...
  25. mom4josh

    Can I do this to help me insert a Foley?

    mom4josh replied to allthesmallthings's topic in General Nursing

    A seasoned nurse taught me this trick: pull the blankets up from the feet so the patient doesn't get cold by being completely uncovered. Take a warm, soapy wash cloth and clean the area thoroughly,...