OneThunder

OneThunder BSN, RN

Medsurg, Rehab, LTC, Instructor, Hospice

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All Content by OneThunder

  1. Need New Ideas, CHARTING

    OneThunder replied to rockchalk_jayhawk's topic in Hospice, Palliative

    yes,I agree, anything can be invasive if you let it. I use my palm pilot/cell phone with a pda patient tracker program in it. It ismy personal program. But the paper is all there. We need to find a...

  2. Hospice On-Call Schedules

    OneThunder replied to Wren's topic in Hospice, Palliative

    Just a little note about on call. "Brutal" would only be if you had a huge census and quite a few death visits per night. I work at Odyssey and my PCM upholds the service standard of daily contact....

  3. Should BSNs be paid more?

    OneThunder replied to edcampbe's topic in General Nursing

    Okay, here is the deal. I have a BSN. I recieved it 10 years after completing my ADN. My ADN had two clinical days per week. My BSN had one Clinical day per week. The most hands on experience I had...

  4. Will they make her cut her hair?

    OneThunder replied to HeartsOpenWide's topic in General Nursing

    I don't find a problem with dredlocks. I don't find a problem with piercings. I don't find a problem with tattoos. But I do find a problem with a society that can not embrace individuality. Maybe I'm...

  5. At Your Hospice, Do You. . .

    OneThunder replied to Katillac's topic in Hospice, Palliative

    Yes, he can be on dialysis, as long as his terminal diagnosis is NOT associated with renal failure. I have had a few patients on dialysis, but as time goes on, they do decide to stop as it becomes...

  6. Artificial feeding-Terri Schiavo

    OneThunder replied to ktwlpn's topic in General Nursing

    Thanks for the great article. We need balance in these times of high

  7. Artificial feeding-Terri Schiavo

    OneThunder replied to ktwlpn's topic in General Nursing

    http://www.theempirejournal.com/0311051_schiavo_attorney_felos_n.htm Especially check out the information about medicare

  8. Permanent Paracentisis Sites

    OneThunder replied to Valorie D's topic in Hospice, Palliative

    I will

  9. looking for some input frm Hospice nurses

    OneThunder replied to darla80's topic in Hospice, Palliative

    You have given enough information for a hospice eval. There are medicare guidelines that put forth for various diagnosis. I agree with the other posters, End stage debility sounds like the correct...

  10. Methadone conversion

    OneThunder replied to Penguinurse's topic in Hospice, Palliative

    Both answers are correct. You also need to have this patient on "in-patient" in order to properly adjust their medications and get their symptoms under control. This means to "step up" services, all...

  11. Tube feeding controversy

    OneThunder replied to Penguinurse's topic in Hospice, Palliative

    stopping a feeding tube is NOT routine in hospice, at least not the hospice that I work for. We are about comfort and symptom control. Tube feedings are "cut back" if the digestive system does not...

  12. Hospice akin to "giving up"???

    OneThunder replied to zacsmimi's topic in Hospice, Palliative

    1.the discharge planner/social worker at the hospital was not doing their job, they should have considered hospice at one of the choices for this patient 2. Sound like a good opportunity for hospice...

  13. Permanent Paracentisis Sites

    OneThunder replied to Valorie D's topic in Hospice, Palliative

    I had a patient that the interventional radiologist place a "port" much like the ports used in chemotherapy, in the patients abdomen. The physician then accessed the port at bedside to drain the fluid...

  14. Terminal agitation in hospice patients

    OneThunder replied to Blackcat99's topic in Hospice, Palliative

    Excellent

  15. PO meds can be given rectal?

    OneThunder replied to rnbackagain's topic in Hospice, Palliative

    we have a pharmacy that will work with the case manager, medical director and "compound" a custom suppository with the required medications. This is the exception,rather than the norm, but it is all...

  16. Waking up hospice patients at night?

    OneThunder replied to Blackcat99's topic in Hospice, Palliative

    I think the easiest way around this issue is to speak to the Hospice case manager. She would simply discuss this with the Hospice Medical director, get a his/her order to give the meds at a more...

  17. Holistic Nursing Education

    OneThunder replied to Shanti's topic in Holistic

    This is my dream too! I am completing my BSN so I can apply to the American Holistic Nurse Association. But, unless a university within driving distance of home has graduate courses, I won't be...