SunDazed

SunDazed BSN, RN

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All Content by SunDazed

  1. Went to a breakfast at work to honor all the 5 year, 10 year, 15 year, etc. It was an odd one. We have more than 100 employees but less than 200. It is a hospice company in a rural area. Many of the...
  2. Honors Breakfast indigestion

    I am glad to do my job. If there was another hospice company that opened up here, I would probably go check it out. I guess I should have said that they were directing thinly veiled smack at me at the...
  3. I like the idea of including staff besides RNs to take the initial calls and then only calling an RN to do a visit if needed. If those others agree, and it doesn't make them run out the door!...
  4. Hi there, I am an on-call overnight nurse for a hospice in a rural area with a census goal of 102 per day. We are fortunate that we also have a telephone triage service to take most of the calls....
  5. I am just posting because I am frustrated or irritated or both? This is a big vent or a lot of little ones. I work 16 hour shifts on-call, from 5pm to 9am. The pay is a formula that is meant to...
  6. Frustrated - irritated - something

    @FolksBtrippin Yes, you know too! I was out to replace a chronic foley last week. RNCM had been there that day. The family had ASKED her to change it. Lots of sediment. She declined. Totally...
  7. Frustrated - irritated - something

    Okay, I have sense had a good night sleep. Meet them where they are. Hospice is messy. Sure wish fewer staff were sick or on vacation at the same
  8. Medical Aid in dying

    Slippery slope is used because it is a core concept taught in most ethics classes that people take on their way to becoming a nurse or doctor in the US. There are 8 logical fallacies that are...
  9. Medical Aid in dying

    I have not encountered anyone who thought they owed it to someone to die. I think the statistics for people who get MAID meds in California ends up being something between 40-60% die naturally without...
  10. Medical Aid in dying

    Thank you for the link. When I first started reading I hoped that no one would confuse the philosophical term of liberal with liberal democrats in American politics. It is definitely more the...
  11. California LVN Scope of Practice

    I was an LVN in California before I was an RN. I definitely did things like document findings in wound care assessments, though I could not change the plan of care for the wound treatments. I did do...
  12. Been an RN for 20 years, can't take anymore

    I am about the same age, but have only been in nursing for 18 years. I left acute care for a vaccine research job for 2 years. The nurse role there was just to do chart reviews and give shots, since...
  13. I think that sounds really extreme. May I ask if this was a standard pre-employment type urine test, or are you required to test repeatedly for a previous positive urine drug test? Have you heard...
  14. Have you looked into the CSU Palliative Care online courses? I took the one for RN Certification, though it is not the same as HPNA CHPN. I liked the course. They have more courses now....
  15. Hospice agency shutting down - help!

    Vynca out of Palo Alto, CA bought the remote palliative care company started by Dr Fratkin here in Northern California. It involves a lot of remote care. I have heard that the caseloads are quite high...
  16. Normal Hospice Care/Rural Hospice "Service"

    The family you are working for is very fortunate to be able to afford private caregivers. Many families don't have that option and are surprised to find out hospice does not provide daily in home...
  17. LPN and imminent pts

    @Princess7777 Sorry you will be missing out on a thing you enjoyed. I get
  18. LPN and imminent pts

    It is a medicare thing. The hospice company receives more money for RN and SW visits in the last 7(?) days of life? At some hospices if daily visit by SW and RN are coordinated to continue to qualify...
  19. Medical Aid in dying

    We have MAID in California. Information dissemination is the biggest issue. People might want it, but don't realize there is a process that takes about 4 weeks. Two doctors, psych eval, then med...
  20. On-call hospice nurse

    I am not sure what it means to have a caseload if you are an on call nurse? A caseload is held by Case Managers in the hospices I have worked at. Sometimes when the census was high, they would have me...
  21. 7 on - 7 off shift schedule

    I returned to hospice this past Spring into a 7 on-7 off on call night shift. The hours and the role I play are great for me right now. The problem is that in 6 months we have worked the 7 on - 7 off...
  22. 7 on - 7 off shift schedule

    Good point. Since @vampiregirl posted the options I have been thinking about how important it is to have the days in a row? For instance, in the hospital when doing 12s I usually worked 2-4 shifts in...
  23. 7 on - 7 off shift schedule

    Thanks for this example. Do you work something like this now? I was drawn toward working more consecutive night shifts because of my experience in acute care. Maybe in this on call roll, breaking up...
  24. 7 on - 7 off shift schedule

    She won't quit. I don't want her to quit. I would really hope there is more interjection by management since she clearly expects to do whatever she wants when she wants. They have the power to say no...
  25. 7 on - 7 off shift schedule

    She had the schedule for only a portion of the 21 years. It was not me who requested her to change it up. It was HR and her supervisor that asked her to change as the were having trouble hiring anyone...