SunDazed BSN, RN

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 generally taught/learned. https://owl.excelsior.edu/...

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 using them? Most get to the point where they cann...

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 libertarian ideology in American politics today, than demo...

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 some acute care full assessments, but they had to b...

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 all the participants had been recruited before I ar...

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 about people bringing in clean urine where you are? So...

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. https://csupalliativecare.org The book that is availa...

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 for nurse case managers, so it is likely more pal...

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 care. Where I live there is a shortage of home health ...

@Princess7777 Sorry you will be missing out on a thing you enjoyed. I get it.

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 for the extra $$ and support the family. So no mor...

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 processing. Most here use an online pharmacy once scrip...

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 "hold" a small caseload of 3-5 patients that were...

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 schedule less than half the time. I have my review...

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 a row, but would never want just one night off... ...

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 the days is less of a thing. What does the 4 d...

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 to some stuff. And I am prepared to say more often...

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 (again) who would work a relatively low paying nu...

We had our first in person meeting yesterday since I was hired (Covid remote meetings before). I was able to ask her if she has always been on that schedule. She has not been. She also left for a job at the hospital in that 20 years time and came bac...

@JKL33 I buy some of these same arguments you pose when the place of work is acute care and the 'them' is hospital administration. I don't think you can distill the essence of this situation in the same precise way due to the small size of organ...

I started my first shifts on call at the beginning of March this year. This past weekend was the first time I had a night with so many calls I could not get to them, and it would have been nice to have back-up. I had two pain crisis calls I could not...

Word. Truth. Still have to advocate for change!

And add the ANA to that list of organizations sending emails for every type of self-care class delivery method they can think of... webinar anyone? Ack! NOOOOO! If even the folks at the ANA are buying into the whole self-care is what needs to ha...

I only lasted one year at Stanford as a permanent hire. In 2014 they reassessed nurse to patient ratios in every unit every 4 hours except at 3am. Wherever you ended up by 11pm, you would be there until morning shift change. The day shift nurses on m...

the main thing in hospice is comfort. you do have to know your providers' preferences for medications. even if there is EBP, there can be variations. if pain is a problem... pain meds. if breathing is a problem opioids and benzos. if constipation is ...