RN4ustat

RN4ustat BSN, RN

Hospice, ER, Telemetry

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All Content by RN4ustat

  1. How do you use the FAST Scale?

    RN4ustat replied to NurseAlwaysNForever's topic in Hospice, Palliative

    Wow!! Thanks for the links.......looks like some really good info!! I was very fascinated by the dementia prognostication info, specifically the mention of the Mortality Risk Index as the company I...

  2. Atropine 1% Eye Drops SL

    RN4ustat replied to Lexxie's topic in Hospice, Palliative

    Actually, you don't want to initiate atropine eye gtts too early...if the patient is actively dying then it is appropriate to use to manage congestion and secretions. However, if it is started too...

  3. number of visits per day

    RN4ustat replied to Passion for the Job's topic in Hospice, Palliative

    I do 20-22 visits per week and I try to always give myself a day in the office for recerts and other paperwork. I usually see about 5 pts per day but that depends on how much windshield time is...

  4. HELP! Hospice Nurses! How Many Patients Do You Have?

    RN4ustat replied to tencat's topic in Hospice, Palliative

    I currently have 15 and have had as many as 25 but my company utilizes LPNs to assist with the visits. We set our frequencies of course to meet our pt needs and we only have to see our pts q 14 days...

  5. Going Down With The Ship...Advice?

    RN4ustat replied to tencat's topic in Hospice, Palliative

    No, not all hospices are like the one you're working for. I worked for a large, nationally known hospice last year and can truly feel your pain because it sounds like a carbon copy of the scenario I...

  6. No ativan for hospice patients

    RN4ustat replied to Blackcat99's topic in Hospice, Palliative

    I recently attended a teleconference regarding terminal restlessness/agitation and was a little surprised to learn that often times, ativan is to blame for increased restlessness/agitation. The...

  7. HELP! Nosy pt family member driving me crazy

    RN4ustat posted a topic in Hospice, Palliative

    Bear with me while I try to explain this.....never encountered anything like this before and not sure how to deal with it. My hospice covers several very small rural towns that are all about 8 - 10...

  8. HELP! Nosy pt family member driving me crazy

    RN4ustat replied to RN4ustat's topic in Hospice, Palliative

    LOL!!! That just might work.......but may get me fired!! I have tried telling her that I can't discuss any other patients with her........she knows that. I think she just wants to test her...

  9. HELP! Nosy pt family member driving me crazy

    RN4ustat replied to RN4ustat's topic in Hospice, Palliative

    That's exactly what I say but she persists. Any other

  10. DME question

    RN4ustat replied to AtlantaRN's topic in Hospice, Palliative

    Yes, we tend to order things like O2 concentrators/portable tanks, nebulizers, etc if there is a potential that the patient will need it. Its better to have it on hand and not use it than need it in...

  11. Managing my time :-(

    RN4ustat replied to weetziebat's topic in Hospice, Palliative

    I just resigned from a hospice that informed me I was not "organized" because I never got finished on time. On a daily basis, I would have 5 or 6 patients with at least 30 mintues drive time in...

  12. Anyone received CHPN Exan results from September 2006 exam?

    RN4ustat replied to jessica's topic in Hospice, Palliative

    Wahoo!! I passed

  13. Hospice certification exam

    RN4ustat replied to hcan's topic in Hospice, Palliative

    I feel the exact same way!! I concentrated on studying the core curriculum/study guide as well as a couple of symptom management books that I have and I felt very ill-prepared. i took the exam with...

  14. Using LPNs for visits

    RN4ustat replied to tahijajan's topic in Hospice, Palliative

    I have been taught that the admission must be done by an RN, but the RN only has to see the patient every 14 days. My hospice uses LPN's and it allows me to have a higher case load than the other...

  15. Hospice certification exam

    RN4ustat replied to hcan's topic in Hospice, Palliative

    Have you found any online resources?? If so, where did you find them?? I have the core curriculum and study guide but I am struggling with the core curriculum as I find it very dry. I am very...

  16. Are all hospices like this??

    RN4ustat posted a topic in Hospice, Palliative

    Last year I worked for a very small rural hospital based hospice. I loved the work I did but never had enough work to keep me busy. I was seeing 1 or 2 patients daily and using my PTO time to make...

  17. Ever started a hospice from scratch??

    RN4ustat posted a topic in Hospice, Palliative

    I am curious if any of you nurses have ever helped start a hospice from the ground up. If so, what exactly does that involve. I currently work for a VERY large, well-known hospice company but I was...

  18. Can a patient do chemo or radiation?

    RN4ustat replied to nosonew's topic in Hospice, Palliative

    The hospice I previously worked for would not allow this under any circumstances. My current employer allows chemo or radiation for palliative purposes such as pain

  19. Hospice in LTC

    RN4ustat replied to suebird3's topic in Hospice, Palliative

    What's funny about the for-profit vs not-for-profit hospice debate is that all hospices, regardles of their profit status, are paid the same reimbursement rate by medicare; therefore, it stands to...

  20. Hospice in LTC

    RN4ustat replied to suebird3's topic in Hospice, Palliative

    Actually, only 3% of ALL patients (including those in LTCF) that are hospice eligible, ever utilize hospice services!! Sad statistic huh?? Sounds like we need more education all the way

  21. Pain management vs religion dilema

    RN4ustat posted a topic in Hospice, Palliative

    I have a sweet little patient with prostate cancer that has more than likely metastasized to the bone. He c/o frequently of severe pain in the hip, thigh and pelvis region. We have lortab 7.5mg...

  22. Pain management vs religion dilema

    RN4ustat replied to RN4ustat's topic in Hospice, Palliative

    The patient's church's position on medicine "is based primarily on a Bible verse from James 5:12-16. The citation reads in part: 'Is any sick among you? Let him call for the elders of the church; and...

  23. Can they do this??

    RN4ustat posted a topic in Hospice, Palliative

    I work for a small rural hospital based hospice. We are trying very hard to grow our census but recently we've run into some problems. We were given a handful of referrals at the local nursing home...

  24. Lasix in Nebs for Air Hunger?

    RN4ustat replied to rosemadder's topic in Hospice, Palliative

    I am interested in any and all information I can get about this subject. We recently admitted a patient with advanced idiopathic pulmonary fibrosis. We've tried nebulized morphine solution on her...

  25. Problems with Rn's in clinicals

    RN4ustat replied to bonnieL123's topic in General Nursing

    I can sympathize. When I was a student, there was a seasoned nurse who complained to our instructor that we asked too many questions. And my very own preceptor had the same attitude. We sat down to...