pnhopeful

pnhopeful specializes in RN.

Latest Activity

1. Failed CHPN practice test!

   pnhopeful replied to pnhopeful's topic in Hospice, Palliative

   Thanks and congrats! I did pass. I would say reading the HPNA core curriculum and study guide along with the practice test were all very

2. Failed CHPN practice test!

   pnhopeful posted a topic in Hospice, Palliative

   Hi all! I will be taking the RN cert Tues. I have been getting all the practice questions correct in the HPNA study guide for the hospice generalist and palliative nurse but didn't do so hot on the...

3. piercings/tattoo

   pnhopeful posted a topic in Ohio Nursing

   Hi! I am curious what your dress code is and what kind of facility it is you work in. I am specifically curious if the central Ohio hospitals allow small nose studs for nurses. However, please chime...

4. meds for actively dying

   pnhopeful replied to pnhopeful's topic in Hospice, Palliative

   What symptoms are typically treated with roxanol in the minimal responsive to unresponsive patient? Rapid respirations? Grimacing? What about moaning with personal care? I would use it in all 3...

5. meds for actively dying

   pnhopeful posted a topic in Hospice, Palliative

   To the experienced hospice nurse...are you typically going to see ATC roxanol in someone in the active stage? My insticts would say typically, yes. Just would like to hear others'

6. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice, Palliative

   Yes! So true! Total uphill battle. Thank you

7. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice, Palliative

   Thanks all! Believe me, I know this is wrong and that is why I am disturbed. I have been reading some resources myself, but they are too advanced for the people I am referring to. I am looking for...

8. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice, Palliative

   I wish you could come and educate at this hospice! They are RNs and think they are hospice trained. Where I live one does not have to be CHPN to work in hospice. I would love to attend a symposium or...

9. blame the morphine

   pnhopeful replied to pnhopeful's topic in Hospice, Palliative

   Lets just say their pain assessments are different than mine. Them missing non-verbal s/s of pain among other issues! I think they believe breathing 50 breaths a minute is just fine and dandy. I am...

10. blame the morphine

    pnhopeful replied to pnhopeful's topic in Hospice, Palliative

    Thanks all! What resources or classes or books would you recommend to despell these kinds of myths? Like a hospice 101 crash course! And yes, the med director does not take charge of the hospice. In...

11. blame the morphine

    pnhopeful posted a topic in Hospice, Palliative

    I have been running into this a lot lately with my hospice nurse coworkers. Patients' declines and decrease in level of consciousness are being chalked up as "over-medication". This misconception is...

12. On-call staffing solutions for a growing hospice

    pnhopeful replied to nyx1121's topic in Hospice, Palliative

    We have a census of approx 225 with a designated triage nurse, 2 RNs on call for weeknights M-Th and 3 RNs on call for weekends Fri 5 pm -Mon 8 am. We also have a designated admissions nurse also....

13. Health care reform/future of home health

    pnhopeful replied to pnhopeful's topic in Home Health

    Thanks for the

14. Starting A Home Health Agency

    pnhopeful replied to OBRN4U's topic in Home Health

    HealthyNurse, this is interesting info. I started another thread about reform and home care. I would love to hear your input if you have

15. Health care reform/future of home health

    pnhopeful posted a topic in Home Health

    I saw the thread about the new face to face rule. Is that going to affect many of your patients? Does anyone know if the "face to face" visit can just be a general visit or does it have to be in...