FLArn

FLArn

Hospice, LTC, Rehab, Home Health

Member

  • Content

    503

  • Visitors

    12,468

  • Followers

    0

  • Likes

    10

All Content by FLArn

  1. Nurses who never worked in the hospital?

    FLArn replied to cannonball59's topic in Nursing Career

    Never worked in a hospital. Worked in skilled nursing facilities on the skilled (rehab) floors. They are what hospital med surg used to be: 2 to 3 day post op CABGs, joint replacements, post CVA / MIs...

  2. 1st day as a hospice rn what to expect?

    FLArn replied to nixx7's topic in Hospice, Palliative

    Be prepared for anything! Always remember that regardless of what would be most beneficial for them; the patients and families get to decide whether and how much pain med they will use, Whether or not...

  3. Taking off your Nurse's Cap

    FLArn replied to GinaDecorRN's topic in Hospice, Palliative

    I think his goal was to get you to take care of yourself and let others take care of the nursing needs of your mom. For you to be there for her emotional needs and leave the physical care to the...

  4. Hospice and Ventilators? Need input please

    FLArn replied to ovnerati's topic in Hospice, Palliative

    Oh, by the way, sometimes vents are "passed off" as BiPaps or CPaps; but I know a vent when I see one.

  5. fear of calling docs

    FLArn replied to SimplisticRnx's topic in First Year After Licensure

    Make sure you have all the pertinent information at hand before you call. Info such as VS, any pertinent labs, xrays, All overt symptoms and voiced complaints of patients. Have the current med profile...

  6. Pain med PRN ATC

    FLArn replied to Nursingluv101's topic in Hospice, Palliative

    If the patient is able to speak, ask him. The pain is as severe as he says it is. If he is not able to speak, look for signs such as grimacing, moaning, guarding, restlessness, agitation,...

  7. ABHR topical

    FLArn replied to Vtachy1's topic in Hospice, Palliative

    If the patient has no or limited absorption from the gut, it may be the best choice for the patient. Our hospice has used it for years with good results and we apply to wrists alernating wrists with...

  8. Hospice and Ventilators? Need input please

    FLArn replied to ovnerati's topic in Hospice, Palliative

    If the patient was admitted as end stage cardiac with COPD as a co-morbidity, the ventilator would be considered palliative for respiratory distress. People die while on ventilators

  9. Aggressive treatment?

    FLArn replied to Meliss214's topic in Hospice, Palliative

    Is the patient symptomatic for UTI? If there is no pain, burning, itching etc. and the patient is already on an ABT, treatment not specifically for comfort (symptomatic UTI) may not be necssary....

  10. Pushing 0.5 ml med into a central line

    FLArn replied to Neverbefore's topic in Patient Medications

    Draw up the 0.5 ml of med in the 3 ml syringe. Squirt out only 2.5 to 3 ml of the NS in the 10 ml syringe. Aspirate 1 to 1.5ml of NS from the 10 ml syringe into the 3 ml syringe to dilute the med then...

  11. In need of encouragement

    FLArn replied to larien37's topic in LPN, LVN Corner

    By all means if you are living locally to the jobs you are applying for, put your application in in person. Mailing the application when you live locally may give the impression that you are...

  12. A patient passed away last week..

    FLArn replied to MN-Nurse's topic in Spirituality, Religion

    I hope you are able to disguise your obvious disdain for the spiritual/religious practices of your other patients. I also hope the remarks you made to your co-worker --...

  13. Are UK RN's considered LPN's in America?

    FLArn replied to Smilty's topic in United Kingdom

    I don't have an exact answer for you, however, my best guess would be to advise you to contact the Board of Nursing of the state in which you would like to practice. Include a copy of the curriculum...

  14. Lasix use in CHF?

    FLArn replied to gorgenurse's topic in Hospice, Palliative

    Is the patient whose Lasix was d/c'd normotensive and still making urine? If not, there may have been a valid reason to stop using the Lasix. Just saying not all meds are stopped just because the...

  15. Hospice and Assisted Suicide

    FLArn replied to Spidey's mom's topic in Hospice, Palliative

    My understanding of Florida regulations is as follows: Any expressed plans must be reported to the MD and SW for follow up. If staff is present during the attempt of execution of a plan the EMS...

  16. inpatient hospice nurse/pt ratio

    FLArn replied to clite's topic in Hospice, Palliative

    Our ratio is 4-5 patients: 1 nurse. We use a mix of RNs and LPNs. We use aides mostly in our houses (residential care rather than acute inpatient) and to do visits in ALFs/ECFs/patients own

  17. Dont wanna be a floor nurse..

    FLArn replied to Meese.C's topic in General Nursing

    No personal experience in this issue but with the current economy and the difficulty a lot of new grads are having getting any job; I would guess the chance of moving into areas you describe with less...

  18. What do I do if the patient's family member is very fresh because I am a sitter?

    FLArn replied to leogirl8's topic in General Nursing

    I think you did fine; although you might have put the call light on and explained the situation to the patient's nurse and let her deal with the

  19. do nurses get employer sponsored pensionplan?

    FLArn replied to lily1289's topic in General Nursing

    How is there a downside? I contribute nothing, the company puts in 100%. I am free to invest my money however I please. The profit sharing is extra for me. I am not counting it in my retirement plan....

  20. do nurses get employer sponsored pensionplan?

    FLArn replied to lily1289's topic in General Nursing

    We have a 403B plan that we pay into and our company has also a profit sharing plan that is 100% employer contribution. The profit sharing plan is optional, you have to sign up for it and believe or...

  21. What Colored Scrubs Do You Wear?

    FLArn replied to glutton4punishment's topic in Scrubs, Uniforms, Gear

    Whatever color we want as long as they are clean, pressed and no inappropriate sayings, pictures

  22. Help! Cute Visitation Sayings in LTC facility....

    FLArn replied to shell1977's topic in Geriatric, LTC

    How about..... "When Mom said you should share she didn't mean your

  23. NOW how does it feel???

    FLArn replied to JanetCCURN's topic in Patient, Colleague Relations

    I am not 100% clear on the time line of your post...did you get rid of the tubing earlier than needed just so he would need to get all new tubings etc for his doses? If so, then yes it was a little...

  24. Long term foley use

    FLArn replied to Vtachy1's topic in General Nursing

    Check to see if the foley is the correct size and that the balloon is not overinflated. This can cause spasms, very few patients actually need the balloon to be inflated with more than 10 to 15 cc....

  25. I got fired today

    FLArn replied to NurseLoveJoy88's topic in Geriatric, LTC

    :hug:So sorry this happened, sit down, relax*wine,regroup and start looking for a new "home". God has something great in store for