Caffeine_IV

Caffeine_IV

LTC, med/surg, hospice

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All Content by Caffeine_IV

  1. Is it normal to be nervous about "re-learning" skills?

    I think it is normal and healthy to be nervous. That is better than being too confident and then being afraid to ask for assistance. I would just study up on the steps of certain skills so you have a...
  2. Morphine and comfort care.

    Weeks, months, years. Morphine is common in hospice for respiratory distress and pain. The rate at which someone dies depends on much more than the meds they receive. We do give higher doses and...
  3. They have authority over the medical plan of care in regards to the patient. They do not dictate our assignments, lunch, time management etc. The doctor is not the direct supervisor of nurses in the...
  4. Being directed to get a patients son a ride home

    The clinical coordinator should have taken on the task herself and made some phone calls. If that role is similar to what we have in our facility, they do not have a patient assignment and are...
  5. A lot of times you will get a canned rejection response even if it doesn't make sense. I have gotten insufficient experience and insufficient education on jobs I am qualified for but I do not take it...
  6. Part-Time Hospice Nurse?

    You can work PT in an inpatient setting. I work in a free standing hospice house. Each shift you are assigned patients and provide care with symptom management as the
  7. No. I wear a $10 watch to work. Many nurses where their engagement rings (some do just the band) to work and those costs thousands. I don't wear anything valuable at work, my
  8. Everything is our responsibility. Rant.

    It was some sort of policy where I worked though I never read it. Nursing would clean up the bulk of whatever it was and housekeeping basically just sanitized the floor or
  9. Most Challenging Aspect in Your Nursing Career?

    Unrealistic expectations. Staffing..expecting 2 people to do the work of
  10. Newer RN looking for a change

    I doubt your resume is the problem if you are getting interviews and even still you may be good at interviewing but someone is better or knows someone there. Is there an option to transfer within your...
  11. Low Census

    For lack of better word hospice tends to be feast or famine and there is a lot of competition with new companies sprouting up. Most nurses that do PRN (anywhere) have at least 2 places to work. Don't...
  12. Am I the only one who hates 12 hour shifts?

    My dream schedule would be 2 12s and one 8hr shift each week and a PRN if I need to some extra
  13. "I don't want an admit..."

    I have had some crazy nights with multiple admits coming to the floor at nearly the same time. It isn't that we don't want an admit but more like we don't know how we are going to handle it on top of...
  14. Burned out already

    I've been working in a hospice house facility for 6 months and I am feeling burned out. Is it common for hospice nurses to feel like this so early? I feel like I'm loosing all the nursing skills I...
  15. Mom's Working 12's?

    12 hour nights work best for our family right now. OP I would do part time to see if I liked it before
  16. Am I the only one who hates 12 hour shifts?

    I love/hate them but mostly love. I don't want to do 5 days a week at the bedside...just
  17. Burned out already

    None that are nearby to me and I don't want to do home
  18. Burned out already

    Maybe I should not say hospice appropriate but not appropriate as GIP admission the way I understood it to be. So when we have patients that require no symptom management and are just confused (not...
  19. Burned out already

    I'm not using hospice to build skills. The point was I didn't think I would miss those aspects of med surg after 4 years and that many patients here are not appropriate GIP admissions and don't...
  20. Burned out already

    I'm well aware what hospice is about or supposed to be about and I am doing very well in my current position. You don't decide if I get out or not. I wasn't aware that one couldn't be a hospice nurse...
  21. Not out of your scope. Doctors I've worked with appreciate the recommendations as long as you have valid reasoning behind it. As stated, they have the final say in whether they wish to order it or...
  22. Step down would be a great choice if you want to do critical care or ER later. What is your long term
  23. Foley Catheter Lubrication

    I don't have any fact based evidence but I have been told that squirting lube into the meatus for males can make insertion a little easier/less
  24. Registered Nurses: Do you like your jobs?

    No I do not like my current job. I'm hoping to transfer within the system to find my niche. It is very hard to get a job without knowing someone. I do like most of my coworkers. I have compassion but...
  25. Working Mon-Fri

    I think that makes no sense. A nurse is not defined by their work schedule/hours of