jerseyRN

jerseyRN

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All Content by jerseyRN

  1. Good or Bad Luck with Hospice Pharmacia?

    jerseyRN replied to Vtachy1's topic in Hospice, Palliative

    Call back if you need to. They have some amazing pharmacists picking up the phone. Call back until you get one of

  2. So the family asks me "Is Mom dying?"

    jerseyRN replied to 357maggie's topic in Hospice, Palliative

    Hey RNkitty, Sounds like you're ready for a break.... even though we've been through it all before, it's probably the first time for the family you happen to be seeing that

  3. So the family asks me "Is Mom dying?"

    jerseyRN replied to 357maggie's topic in Hospice, Palliative

    Need to take issue with your rule of thumb about sx not being "normal" if they're not seen in healthy people. The dying don't look like healthy people. Noisy secretions are normal at end of life. We...

  4. So the family asks me "Is Mom dying?"

    jerseyRN replied to 357maggie's topic in Hospice, Palliative

    sounds like you are assessing and doing all the right things for your patient, and also that she is actively dying. Tell the family the disease is taking their loved one, and the goal now is to keep...

  5. need help with kennedy ulcer

    jerseyRN replied to ImJustMe's topic in Hospice, Palliative

    I agree with previous posters. It sounds like an ominous turn. Remember the goal of wound care is comfort at this point - keeping her clean and dry, and medicating for comfort. Mouth care for comfort/...

  6. Anyone attending Thomas Edison State College RN to BSN?

    jerseyRN replied to smkiya's topic in Online Distance Learning

    ps- one thing I wish was different is there's limited opportunity to commiserate with other students. There is a part of the discussion board where you can post anonymously - allegedly. Nobody used...

  7. Anyone attending Thomas Edison State College RN to BSN?

    jerseyRN replied to smkiya's topic in Online Distance Learning

    I started this semester with the Nursing Informatics course. It was a lot of work, but do-able. I was disappointed in that the course was more about following APA style than Nursing Informatics. The...

  8. Hospice RN looking for advice STAT !!!

    jerseyRN replied to eliciarn's topic in Hospice, Palliative

    You could contact NHPCO or HPNA and see what they say. Who employs you and this director RN? She must have a supervisor. Maybe you should seek out that person if you can't approach her directly with...

  9. Hospice nurse "survival kit"

    jerseyRN replied to mrsraisinkain's topic in Hospice, Palliative

    I love my little Maglite super-bright flashlight (under $10). Bandage scissors. And I have never have enough pens! Be sure to have some chocolate in

  10. What do you wear to work?

    jerseyRN replied to GhostsWerePeopleToo's topic in Hospice, Palliative

    We wear street clothes, business casual. Would rather be able to wear scrubs ... hate getting dressed every morning, especially when it's >100 degrees as it is this week. We also are prohibited...

  11. The "older" Hopsice Nurse

    jerseyRN replied to lakewin's topic in Hospice, Palliative

    OK, let's get this straight - over 50 is not "older". Over 70 is "older'. Don't take my denial away from me! We all know it can be an effective coping

  12. In need of some feedback

    jerseyRN replied to Hospice Nurse LPN's topic in Hospice, Palliative

    Well, hmm. What to do? I think I would be sure to document very carefully... especially about the contradictions in her self-rating of pain and her behavior, such as reporting her pain is better,...

  13. In need of some feedback

    jerseyRN replied to Hospice Nurse LPN's topic in Hospice, Palliative

    Yes, I wondered about this case too. Not to say limiting her meds is the wrong action, because I didn't see the patient and don't want to backseat-drive my colleague's instincts and decisions. But I...

  14. Dress code.....

    jerseyRN replied to indianahope's topic in Hospice, Palliative

    We're required to wear street clothes ("business casual" is what I do). I'd prefer to wear scrubs because it's easier and tax deductible, but it's not the policy of my agency. I wouldn't choose a lab...

  15. Telling relatives the patient has died

    jerseyRN replied to snoopy29's topic in General Nursing

    Oh, Leslie, sorry for your losses, and sorry you encountered such an emotionally inept doc at such a sad time. Personally, no matter what the loss, I find no comfort in, "It's a blessing." No matter...

  16. Terrible breach of professionalism?

    jerseyRN replied to NurseMarla's topic in Hospice, Palliative

    No problem with a few tears, but if the nurse is so emotional that the family needs to comfort HER, it crosses a

  17. Terrible breach of professionalism?

    jerseyRN replied to NurseMarla's topic in Hospice, Palliative

    Agree with all previous posters that it's ok to be sad, share a few tears, feel loss and grieve. But in my life I've only gotten mascara on the shirts of guys who were holding me while I was sobbing....

  18. How do you respond when you tell people you are a hospice nurse?

    jerseyRN replied to RachelRN25's topic in Hospice, Palliative

    Wow, monkeymind... "heart of stone"? Just the opposite! I tell people it's rewarding to be a part of helping families keep loved ones at home and comfortable when hospitalization won't help and a...

  19. career advice WOCN or RN to BSN

    jerseyRN replied to LivewellRN's topic in Wound, Ostomy, Continence

    For programs I've been looking at, you need a bachelor's, but not necessarily in

  20. Ugly, Ugly People.....

    jerseyRN replied to tencat's topic in Hospice, Palliative

    Get your social worker or chaplain to stand fast with you to make it clear to the boss you're not the right nurse for this case. Suggest to boss she make a home visit to "help clear the air" ......

  21. career advice WOCN or RN to BSN

    jerseyRN replied to LivewellRN's topic in Wound, Ostomy, Continence

    I went right to your post because my situation is somewhat similar. I am also a second career nurse (bachelor's in journalism), diploma school grad, working the last 7 years in hospice. I can't get...

  22. bowel obstruction?!?!

    jerseyRN replied to leshph's topic in Hospice, Palliative

    Using levsin all the time but never heard of buscopan. Ditto for nozinan. As for the octreotide, it makes sense, but it's a pricey drug. Which makes me wonder.... are you practicing in the US? I...

  23. Getting certified in Hospice, what is the benefit to you?

    jerseyRN replied to ShayRN's topic in Hospice, Palliative

    Just got my annual $500 bonus for

  24. Question re the progression of Stage 4 NSCLC

    jerseyRN replied to pinkdolphin's topic in Hospice, Palliative

    It's different for everybody... Calm before the storm? Try to enjoy

  25. Advice on hospice social worker role

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

    My guess is your boss is not a nurse. She places both you and the sw in the uncomfortable position of exceeding/ignoring your scopes of practice. Yes, in hospice we work as a team, and there have been...