rosemadder

rosemadder

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All Content by rosemadder

  1. Possible career change to hospice

    rosemadder replied to cydney7's topic in Hospice, Palliative

    Two visits to each patient a week sounds odd to me. Visits should depend on the patient's needs, not a number requirement. Some patients need two visits and some may only need bimonthly

  2. Vital Signs

    rosemadder replied to RNinRubySlippers's topic in Hospice, Palliative

    We obtain vitals once per 12 hour shift but it's not written in stone. If the patient is sleeping...we don't wake them up. If we can't get readings we don't worry about

  3. IVs and catheters

    rosemadder replied to linfull's topic in Hospice, Palliative

    Our Hospice nurses do put in catheters quite a bit in the home. They have to be changed because they quit working (d/t sediment), or the dementia patient pulls it out, or they just need to be...

  4. Rx for comfort measures?

    rosemadder replied to Just wondering's topic in Hospice, Palliative

    Oh, and needles are always a last last resort. We normally manage quite well without having to give injections of any

  5. Rx for comfort measures?

    rosemadder replied to Just wondering's topic in Hospice, Palliative

    Our Hospice also uses the Atropine gtts for wet respirations (they are on our Standing Orders) and are very affective (I think that the Scop patch with the gtts work even better), we also have...

  6. First yr Nursing Student Looking for a Willing RN to Interview

    rosemadder replied to Nicoliz28's topic in Nursing Student Assistance

    1. What is your clinical area of practice? Hospice Nurse on a 6 bed Patient Care Unit 2. What is your personal philosophy of nursing? Be God's Hands, Eyes, Voice and Ears 3. How do you utilize info....

  7. another way in the door?

    rosemadder replied to felixfelix's topic in Hospice, Palliative

    Our hospice does not require BSN's. When I first got out of nursing school I had high hopes of starting at Hospice and although I was a Hospice Volunteer, I still was unable to start without two...

  8. 6 weeks and going strong

    rosemadder replied to kelluvanurse's topic in Hospice, Palliative

    I always say that my greatest weakness ...caring too much is my greatest strength in Hospice....it is a catch 2 dilmena...when you quit caring it's time to get out...at the same time when you care too...

  9. UNC-Charlotte RN-BSN

    rosemadder replied to sdrn04's topic in North Carolina Nursing

    I contacted them by email and sent transcripts last fall. I finally got an email after about two months telling me they were being reviewed. I let it go because I wasn't that intent. Now, I have...

  10. Dansko Shoes are killing my feet!!!

    rosemadder replied to Carianne's topic in Scrubs, Uniforms, Gear

    Resell them on ebay and buy some walking sneakers. I've tried nursing shoes of various brands and other than my Crocs none are comfortable. The walker shoes like Nike or Reeboks worked best for me....

  11. Fitting In

    rosemadder replied to intothemoon's topic in First Year After Licensure

    Definitely let them know you are looking forward to them "helping" you learn how to be a

  12. insulin med error

    rosemadder replied to flyladynurse's topic in First Year After Licensure

    In our facility, a med error was not addressed except by the pharmacy after it happened. Then we got a five page report to fill out that most nurses conveniently filed in trash. Med errors are going...

  13. New Job before 1year of experience??

    rosemadder replied to Kate0140's topic in First Year After Licensure

    I would review your long term goals and what you need to succeed. I had to remain on Med/Surg for two years because my goal was to become a Hospice nurse. I absolutely hated Med/Surg but I loved my...

  14. methadone

    rosemadder replied to flea's topic in Hospice, Palliative

    LOVE LOVE LOVE Methodone...am so pleased that our Medical Director uses this

  15. Thinking of career change to hospice - HELP!

    rosemadder replied to Genista's topic in Hospice, Palliative

    The absolute best thing about hospice is MORE human interaction...compared to hospital nursing you will be amazed at the time you have for your patients. Hospice nursing makes me feel like a "real"...

  16. Is hospice for me?

    rosemadder replied to kelluvanurse's topic in Hospice, Palliative

    The worst day at Hospice beats the best day at the Hospital hands

  17. Hospice Interview Questions

    rosemadder replied to Nuna's topic in Hospice, Palliative

    I think our home care nurse's workload is 10-12 cases. Sometimes its less and ocassionally goes up to 13-14. I work on the patient unit so I'm not absolutely sure. We do have PRN nurses to help...

  18. What does it take? Direction please

    rosemadder replied to NCINDASUN's topic in Hospice, Palliative

    Our Hospice requires two years Med-Surg. experience. (The last place I wanted to work...but I bit the bullet and now I'm a Hospice nurse...you can do it

  19. Hospice patient receiving TPN ?

    rosemadder replied to Blackcat99's topic in Hospice, Palliative

    A major reason a dying person would be receiving TPN is because the family desires it. Sometimes it takes time for families to let go and accept that a person's illness is terminal. In Hospice, the...

  20. nursing differences

    rosemadder replied to midwife2's topic in Hospice, Palliative

    Is this nurse providing comfort for the patients? Is she caring and onboard with the Hospice philosphy? It sounds like she has a lot of experience and might be more liberal because she knows a lot...

  21. Marinol/marijuana use

    rosemadder replied to Mazzi's topic in Hospice, Palliative

    I would call his MD and get the order for Marinol if able. At this point, if the patient thinks Marinol will help and it's legal in that state then that is what I would do. I have had patients who...

  22. 1st signs of passing.

    rosemadder replied to Just wondering's topic in Hospice, Palliative

    Just a note about first signs of passing...sometimes there aren't any! Some people don't fit any mold and one moment they'll be breathing and the next they'll be gone! For hospice patients......

  23. treating fever

    rosemadder replied to ktwlpn's topic in Hospice, Palliative

    we use peppermint soap on our hospice unit. if the patient cannot withstand a bath in it then you can use it behind the ears, on the wrists, and on the ankles. it helps cool the patient down....

  24. Lasix in Nebs for Air Hunger?

    rosemadder posted a topic in Hospice, Palliative

    i recently read a past post where a hospice used lasix mixed with normal saline in neb treatments for air hunger or feelings of suffocation. does anyone use this treatment in your hospice and if so...

  25. skills help

    rosemadder replied to Spider Cat's topic in First Year After Licensure

    Glad to help in anyway...feel free to personal message me at any time you have questions anyone...I've not been a nurse but two years (so I can remember well starting out) but I'll help all I can....