angieRN

angieRN

hospice, pediatrics

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All Content by angieRN

  1. POOP! What do I put on my nursing notes for poop?

    angieRN replied to xxiangel's topic in Nursing Student Assistance

    I prefer nutty and corny to describe

  2. pt. load for case managers

    angieRN replied to holiday2525's topic in Hospice, Palliative

    I can't decrease them because of company policy saying that we must provide 2 visits/week to facility patients to help communication and coordination of care. I think it's a bunch of bull if you ask...

  3. Paediatric - Palliative Care - Hospice

    angieRN replied to Stargirl1980's topic in Hospice, Palliative

    I was a pediatric nurse for 18 months before starting in hospice (almost 6 yrs. now) Because of my background, I am usually selected to care for any pediatric patients. It is VERY taxing on the...

  4. pt. load for case managers

    angieRN replied to holiday2525's topic in Hospice, Palliative

    My question is with a caseload of 12-18 does your agency require a minimum of 2 visits per patient per week? I have this requirement, so with a caseload of only 14, my weekly visits are at 34! There...

  5. Hospice RNs- How would you interpret this?

    angieRN replied to DLS_PMHNP's topic in Hospice, Palliative

    It could just be fluid collecting there from her CHF. Depending on the level of dementia...we've told patients with edema in areas that question why, that the fluid is being kept there like "money at...

  6. Getting Calls When Not On Call?

    angieRN replied to missninaRN's topic in Hospice, Palliative

    I think what you did was the right thing and totally acceptable. If that particular employee questions your actions, you can explain to them that in order to be your best for all of your patients,...

  7. Average Nurse Manager Salaries?

    angieRN posted a topic in Nurse Management

    Hello! I have unexpectedly (but very thankfully) been asked to interview for a nurse manager position. It is a 27 bed pediatric unit in a magnet hospital. Because I did not seek this out on my own,...

  8. Average Nurse Manager Salaries?

    angieRN replied to angieRN's topic in Nurse Management

    Thank you so much! I was thinking on the low end of that and salary.com was a great help even though it didn't have a peds specialty listed

  9. Scalp IV's

    angieRN replied to justcurious99's topic in Pediatric

    The first time I had to put a scalp IV in myself, I was horrified. I quickly came to favor that site if it looked to be the most favorable option. I also had good luck with them holding out longer....

  10. When will there be a standard order for atropine1% drops with activily dying pts.

    angieRN replied to powerflash's topic in Hospice, Palliative

    We also do 4 drops every 2-4 hours

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

    angieRN replied to RachelRN25's topic in Hospice, Palliative

    I usually say, "Yes, it can be a hard job at times, but very rewarding." That pretty much covers it!

  12. frequency on RN visits

    angieRN replied to americanTrain's topic in Hospice, Palliative

    Hmmm..we're having caseload/visit issues as well. I don't think it's unreasonable to see your stable patients once weekly, and for a while, we did that as well. Now we're back to the same as your...

  13. Discipline Frequencies

    angieRN replied to shrinky's topic in Hospice, Palliative

    In the home setting we do the same as above, usually 2-3x/wk and prn for the nurses. We're usually pretty specific on the # of days for CNAs. In the facility, we have to be very specific down to...

  14. HELP! Nosy pt family member driving me crazy

    angieRN replied to RN4ustat's topic in Hospice, Palliative

    I ususally add in besides the normal "I can't discuss this information with you....blah, blah, blah" "I don't discuss my other patients just as I don't discuss [Name] and all of the private details...

  15. Fairmont State graduate?

    angieRN replied to Student_Nurse_WV's topic in General Nursing

    I graduated in 2001 from the ADN program. I really enjoyed and was very glad that I ended up attending at Fairmont rather than WVU. I felt like the instructors gave a lot of personal attention. I...

  16. Smiles for patients

    angieRN replied to nurscee's topic in Hospice, Palliative

    There are definitely some patients who would appreciate a gesture like this and some who would not. I say with the ones who will, go for it. It will probably brighten their day. Just make sure that...

  17. Artificial feeding-Terri Schiavo

    angieRN replied to ktwlpn's topic in General Nursing

    Fuzzy, If you would have read my earlier post that had this link in it, http://www.aahpm.org/education/arthy.pdf you would see that I was not making a specific statement about Terri, just trying to...

  18. Artificial feeding-Terri Schiavo

    angieRN replied to ktwlpn's topic in General Nursing

    I realize that she is not currently dying. I only wanted to point out that it is not a painful death to die from dehydration as some people believe.

  19. Artificial feeding-Terri Schiavo

    angieRN replied to ktwlpn's topic in General Nursing

    I am amazed at the comments with seeminly no concrete evidence to back them up. I am a hospice nurse and realize that this is a complex case and emotional for all parties involved. It seems a lot of...

  20. Time of death in hospice

    angieRN replied to Blackcat99's topic in Hospice, Palliative

    I have been in about 3 situations in the past year since I started as a hospice nurse that a patient has died only minutes after being turned, ususally for a bath. I don't think that this is an...

  21. Funny Names for Nurses

    angieRN replied to randomnamees's topic in Nursing Humor

    Not really a doctor name, but I went to elementary school with a girl named Billy Jo Dick and her nickname was B.J. At the time I didn't understand that B.J. Dick was something funny.

  22. Need info on ABHR supps

    angieRN posted a topic in Hospice, Palliative

    I am curious to know more about the ativan-benadryl-haldol-reglan suppositories. Do you have certain pharmacists who will compound? How would we get someone in your area to do this if they are...

  23. Mouth Care Protocols

    angieRN replied to Patience911's topic in Hospice, Palliative

    I have always been told that it is because primarily vaseline-based products are potentially flammable. If I am wrong someone please correct me. I don't want to be giving out incorrect info.

  24. Comfort kits

    angieRN replied to Mandee's topic in Hospice, Palliative

    We have an "ER" kit which includes: 3 cc Roxanol 3 cc Haldol phenergan tabs levsin tabs ativan tabs compazine supp tylenol supp When the patient dies, all meds are destroyed in home and witnessed by...

  25. Permanent Paracentisis Sites

    angieRN replied to Valorie D's topic in Hospice, Palliative

    Have seen two instances of this just in the 1 year I have been doing hospice. One person who had it done, it was referred to as a TIPS procedure (Transjugular Intrahepatic Portosystemic Shunt). He...