lantanaRN

lantanaRN

geriatrics and hospice palliative nursin

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All Content by lantanaRN

  1. anxiety vs. agitation; Ativan vs. Haldol

    1) we provide a comfort kit with Ativan tablet form, Haldol concentrate..for severe agitation and nausea/vomiting, oral MSIR solution, robinul (secretions) Tylenol suppositories. That being said...
  2. Was my "initial" reaction wrong?

    Welcome to the "new" hospice model Been doing this for 10years for a top 11 in the country large not for profit All was good until 2 years ago when they started transitioning with another hospice and...
  3. CHPN Certification

    Capt Kris, I do not want management but want to be the best in my field, therefore I take it. The ABC's behind my name tell my patients I am an expert in my
  4. CHPN Certification

    Do the online review. How long have you been a hospice nurse? The exam is tough, almost tougher than boards, do not focus on what YOUR hospice does remember that others do it differently Know the...
  5. First day of clinicals, having a hard time emotionally =(

    Jazziepants: you get it and you have it, paperwork and other tasks are a necessity, but showing love and compassion are what help these
  6. blame the morphine

    I'm having trouble understanding how non hospice trained personnel are even providing hospice care As a certified hospice palliative nurse I educate frequently on the myths of morphine and the actual...
  7. The question you need to ask yourself is do you have the "hospice heart" Hospice nursing is a calling, either you have it or you
  8. Dear Son: My heart goes out to you in this very difficult time. Your mom is beginning to show signs of shuuting down, which is usually the norm in a life limiting disease. However, your mother has...
  9. Wow, you'd think there would be more replies to this one. I feel that experiencing the EOL journey with my patients has enhanced my beliefs in life after death tremendously. I have always had a...
  10. You Know the patient is going bad when...

    when they get that unmistakable look in their
  11. MORPHINE and Dying Patients

    You are correct on withholding a prn dose, however I am referring to a routine dose, and as many of the other posters have stated, that routine dose that you choose to withhold could cause my patient...
  12. MORPHINE and Dying Patients

    BTW, if the order is for every 3 hours and YOU decide to withhold a routine dose you are making a medication error. A patient may be on routine morphine for many reasons, and to withold just because...
  13. Help! Moving to Palm Beach County!

    Heather welcome to Palm Beah County..I work for Hospice of Palm Beach County and love my job. Good benefits, and the pay, for me ,. is better than I made in Missouri 4 years ago. However the cost of...
  14. Hello to all and I have a very serious question...

    Hi fellow hospice nurse: in answer to your question, I am a case manager RN,CHPN in Florida, I believe the other posters are correct..only RN's are allowed to do the initial assessment, implement or...
  15. Incompetent nurses

    Pretty insulting to the nursing profession I think. Met a few paramedics like yourself too along the way who look down on the nurses. Wondering why in the workd you became one if we are so...
  16. Being Belittled at Work

    Having worked in LTC for several years, and having worked in a state where med techs were the norm, I do know that it is not in their scope of practise to pass narcotics. As of at least 5 years ago,...
  17. Well said my
  18. Gay Boomers and nursing attitudes

    Unfortunately I Have already encountered ignorance in treatment of our gay population. It's 2007 for goodness sake, and I have had cases where nurses have walked off the job when they learn that the...
  19. :welcome:I work for one of the largest not-for-profit hospices in the country and love it. Pay rate is good, I'm a case mgr, salaried, 30.00/hr with plenty of overtime if I want it. Am seeing a...
  20. understandable english

    I live and practice in S. Florida as well, also in geriatrics as well as Hospice..and I have to agree with the original poster..we are a melting pot down here BUT I find it unprofessional for people...