soapynurse@adel

Latest Activity

1. Calling the coroner when hospice patients die?

   soapynurse@adel replied to Blackcat99's topic in Hospice, Palliative

   In Virginia, RN's out in the field do the pronouncing. We also made all other necessary calls and disposed of drugs. If the patient is in the hospital, a house physician can do it. The facility...

2. Brainstorming, End of life and Morphine use.

   soapynurse@adel replied to Antikigirl's topic in Hospice, Palliative

   I can't for the life of me think of the name of this scale, but it is often used in patients with dementia/or who are unresponsive. You gauge it by moaning, grimacing, restlessness, etc. I'll try to...

3. Brainstorming, End of life and Morphine use.

   soapynurse@adel replied to Antikigirl's topic in Hospice, Palliative

   We used morphine or oxyfast on a regular and frequent basis. We always got titrate to comfort oders, so the sky was the limit. We used usually lorazepam in conjunction because as pain increases, so...

4. On-line education in informatics

   soapynurse@adel replied to soapynurse@adel's topic in Nursing Informatics

   From all the researching I have done, it seems that you need to be proficient in Microsoft office....access, excel, etc. You will be doing a lot of database work, spreadsheets, etc. You also need to...

5. SINI - Summer Institute in Nursing Informatics

   soapynurse@adel replied to rninformatics's topic in Nursing Informatics

   Hi Angela, I had actually read about this and it sounds very interesting. It sounds so valuable and could be a great source for networking. Guess I'll have to come up with some money for the...

6. On-line education in informatics

   soapynurse@adel posted a topic in Nursing Informatics

   I was wondering if anyone has had experience with either Excelsior or Canyon College. Canyon's program seems very brief compared to Excelsior. Any suggestions, support, etc. would be greatly...

7. Palliative Care and Euthanasia

   soapynurse@adel replied to bracken's topic in Hospice, Palliative

   I absolutely believe it is better to stay ahead of the pain than letting it rear it's ugly head. And it can happen so quickly. I tried very hard to keep my patients comfortable for them and for...

8. any medics in excelsior?

   soapynurse@adel replied to tamzah14's topic in Online Distance Learning

   Was just wondering if anyone else has had trouble getting info from Excelsior? I sent a request for info, director of admissions responded, but apparently dropped the ball. Got a response from a...

9. Assisted living- what happens when patients need more care?

   soapynurse@adel replied to lexilou's topic in Hospice, Palliative

   We had several ALF's who used our services. We did not provide continuous care unless symptoms were out of control. Luckily, over time, the staff became very well educated and appreciated our help....

10. IDT meetings

    soapynurse@adel replied to saribeth's topic in Hospice, Palliative

    Our team meetings would often get out of control until we went to having a nurse scribe. This person documents all pertinent discussion and then the appropriate people sign the document and all is...

11. Mouth care for dying patient

    soapynurse@adel replied to nettie01's topic in Hospice, Palliative

    "I've had the experience a few times of starting my shift and finding the dying patient with a mouth thickly coated with dried secretions. " Of course in hospice, this is a very common problem. We...

12. pain relief in pancreatic cancer

    soapynurse@adel replied to Limegreen's topic in Hospice, Palliative

    Sounds like you're on the right track. Yes, I think he'll get over the side effects, but he probably doesn't realize that. Duragesic can make some people very fuzzy. He'll decide when it's...

13. pain relief in pancreatic cancer

    soapynurse@adel replied to Limegreen's topic in Hospice, Palliative

    Before I would even begin to offer any suggestions, I would want to know if the person is on any long acting narcotics and what do they have for breakthrough pain. Maybe it could be time for a...

14. Palliative Care and Euthanasia

    soapynurse@adel replied to bracken's topic in Hospice, Palliative

    Sadly, I'm retiring from hospice where I had really found my niche. But that's another story entirely. I absolutely agree that the patient should be given whatever it takes to make them comfortable...

15. Qualities of a Good Nurse?

    soapynurse@adel replied to cn2007rn's topic in Patient, Colleague Relations

    Yes, your patient is your number one concern, and I absolutely advocate that. I always tried to treat my patients as if they were my own family. They appreciate it and their families do also. I...