jerseyRN

jerseyRN

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All Content by jerseyRN

  1. tachypnea symptom.

    jerseyRN replied to oncalllorraine's topic in Hospice, Palliative

    Poor Oncall Lorraine! Ouch! I would have given Roxanol, and possibly Ativan also. But please, hospice colleagues, let's remember Lorraine has six years experience, obviously cares, and unlike the rest...

  2. How Hard Is It To Get In TO Hospice Nursing?

    jerseyRN replied to bonnie west's topic in Hospice, Palliative

    I started in hospice with a year of subacute/LTC, and have been at the same hospice 7 years now. My year's experience helped me and so did my first year working a per-diem at hospice (I got to see and...

  3. New CoPs....

    jerseyRN replied to andre's topic in Hospice, Palliative

    Thanks, maranache, my thoughts exactly. We got the new edicts less than a week before we were expected to gather all the newly required info and have it on the charts. (But somehow "last arm...

  4. New CoPs....

    jerseyRN replied to andre's topic in Hospice, Palliative

    What's a LAST

  5. Fentanyl Patch

    jerseyRN replied to Brightonrn1's topic in Hospice, Palliative

    I suspect her reduced appetite and increased lethargy is also due to decline more than the patch. But next time you could try low-dose Roxanol for a few days and see how the pt does prior to starting...

  6. What does it mean...

    jerseyRN posted a topic in Hospice, Palliative

    ... to be a hospice nurse? Heeeeeelllllllpp!!!!! My supervisor asked me to write something on this topic and present it as part of our Nurses' Day breakfast. What a big topic... I don't know where to...

  7. What does it mean...

    jerseyRN replied to jerseyRN's topic in Hospice, Palliative

    Yes, they are great responses. Thank you all and please, keep the ideas coming! My first reaction on being asked to present on this topic was .... FORGET IT... it's so hard to put into coherent words...

  8. Doing an admission with the social worker

    jerseyRN replied to RNSUEIA's topic in Hospice, Palliative

    You can spend your time on nursing assessment if you allow the social worker to do the consents and paperwork. Depending on the skill and personality of the social worker, it often works well to let...

  9. HELP! Nosy pt family member driving me crazy

    jerseyRN replied to RN4ustat's topic in Hospice, Palliative

    Get a social worker or some other member of the team to go with you and repeat the same mantra. Maybe it will sink in better if it's repeated by someone

  10. Contacted Oprah Show About Nursing Issues

    jerseyRN replied to jollyjenny's topic in General Nursing

    I know how frustrating it is to not feel appreciated, but I have to disagree with your last line - "if you can't say anything nice, do not say anything at all." I don't think this approach benefits...

  11. Contacted Oprah Show About Nursing Issues

    jerseyRN replied to jollyjenny's topic in General Nursing

    I wrote her an impassioned letter suggesting she do a show about hospice care. I think that letter landed in her circular file

  12. I Never Remember....

    jerseyRN replied to UM Review RN's topic in General Nursing

    to ask the patient's height and weight on

  13. Pancreatic Ca and Nausea

    jerseyRN replied to SCgirl1962's topic in Hospice, Palliative

    Right now we are using ativan 0.5 mg, benadryl 25 mg, haldol 1 mg, reglan 10 mg, dexameth 4 mg TD on a pt with intractable vomiting due to widely metastasized ovarian CA. She is using the gel every...

  14. Something I've never seen!

    jerseyRN replied to doodlemom's topic in Hospice, Palliative

    Jessica, charcoal under the bed? What kind of

  15. Pancreatic Ca and Nausea

    jerseyRN replied to SCgirl1962's topic in Hospice, Palliative

    I would try a TD gel.... ativan 0.5mg, benadryl 12.5 mg, haldol 0.5 mg reglan 10 mg (unless completely obstructed), dexamethasone 2 mg.... and give it every 4-6 hours around the clock for 24 hours to...

  16. Will this handicap keep me out of hospice nursing>

    jerseyRN replied to wonderbee's topic in Hospice, Palliative

    have you considered Intake? Our intake nurses are mostly on the phone in the office. They do get out at times to meet with families prior to admission. You would have the patient/ family contact with...

  17. Managing my time :-(

    jerseyRN replied to weetziebat's topic in Hospice, Palliative

    Don't bring the laptop in the home. We're always being told to do that, but I think it's intrusive. Plus, the thing is heavy! (nursing bag, notebook, folder, bags of chux... laptop... ? no) Take good...

  18. Managing symptoms for a �good death�

    jerseyRN replied to NRSKarenRN's topic in Hospice, Palliative

    Hey Katillac Wow. What a mean comment! Even first-year nursing students know that if a patient's in pain, vomiting, SOB, or anxious, they're not going to even be able to think about "the real goal."...

  19. Uncontrolled Seizures

    jerseyRN replied to SCgirl1962's topic in Hospice, Palliative

    Versed and Valium drip at home? That would be a hard sell where I work. We generally only do morphine, dilaudid, maybe methadone drips at

  20. Recommended Reading for Hospice Nurses

    jerseyRN replied to introspectiveRN's topic in Hospice, Palliative

    I'm With You Now I'm Here to Help by M. Catherine Ray and I keep my med-surg textbook in the trunk of the car for quick

  21. Your Worst Mistake

    jerseyRN replied to aurora_borealis's topic in General Nursing

    truly a comfort measure. that story cracked me

  22. Any ideas for unrelieved N/V

    jerseyRN replied to spoiled28's topic in Hospice, Palliative

    wrist bands? what are

  23. Defibrillators...

    jerseyRN replied to CANRN's topic in Hospice, Palliative

    I'm realizing how much I don't know about this topic... does the magnet deactivate the pacer AND the defib? We generally want to leave the pacer alone, but eliminate the possibility of the patient...

  24. Defibrillators...

    jerseyRN replied to CANRN's topic in Hospice, Palliative

    You do it yourself? Really? We call the cardiologist who sends a tech to the bedside with a machine to deactivate. They always want the nurse present at that time.... they ask the nurse to "push the...

  25. Any ideas for unrelieved N/V

    jerseyRN replied to spoiled28's topic in Hospice, Palliative

    Just had a ovarian CA patient with obstruction and intractable vomiting.... tried her on ABHR gels, with partial relief, then upped the concentration of the ABH with still no complete relief. Finally...