shrinky

shrinky

Hospice, Palliative Care, OB/GYN, Peds,

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All Content by shrinky

  1. Older RN Student considering Hospice Nursing

    shrinky replied to Queen yaya's topic in Hospice, Palliative

    Normally they like you to have one year of experience before going into Hospice because it is such and independent work environment. However you do have the life experience and feel the calling so if...

  2. How many would consider leaving nursing if they had a similar or slightly higher pay.

    shrinky replied to jean36's topic in General Nursing

    Absolutely not, I am near retirement and have been a nurse for a very long time. For me it was a calling and I am quite happy doing what I do now. My jobs have not always been easy nor fun and some...

  3. Should the H1N1 Vaccine be mandatory for Healthcare Professionals?

    shrinky replied to Brian's topic in Disaster Preparation

    No I do not get yearly TB tests, I am allergic to them after all these years in nursing. If they promise me, which they can't, that I won't have an allergic reaction then maybe. But to make it...

  4. Palliative Care Specialty Questions

    shrinky replied to skinnedknees's topic in Hospice, Palliative

    That pretty much says it. I am a Hospice nurse turned Palliative Care nurse, but I am on the Inpatient team. We also do Outpatient Palliative Care in the homes. We get most of our OP referrals from...

  5. Any advice / direction for a new Hospice DON

    shrinky replied to Camarillo's topic in Hospice, Palliative

    I agree, having been on both sides of the team. I would not want to be a manager again, but I respect those who do want that job. Our team is like a family mostly, but you'll always have one or two...

  6. Discussing End of Life Issues Part 2 - Living to a Ripe Old Age

    shrinky replied to tnbutterfly - Mary's topic in Spirituality, Religion

    Amazing responses and it could not be answered better. I find the greatest barrier to referrals to our Palliative Care program are surgeons and cardiologists. Surprisingly the Nephrologists and...

  7. A few questions for hospice nurses..........

    shrinky replied to Itshamrtym's topic in Hospice, Palliative

    It is a very rewarding job for those who love itand as said can be emotionally difficult. Some nurses burn out quickly when they become too close to a patient and give so much of themselves. I wear...

  8. Passed CHPLN Certification Exam!!!

    shrinky replied to Ashera's topic in Hospice, Palliative

    Congratulations on passing the exam. I have not taken it yet because of the cost, at present we do get some compensation once a year in the NERD program but next year it will help on the ladder...

  9. Long Acting Morphine for Resp Distress in Hospice Pt

    shrinky replied to jsdrn's topic in Hospice, Palliative

    Definitely agree with the other replies. If she is taking that much Roxanol she needs the MS Contin now in addition to Nebulized Morphine which will not be absorbed as much as oral. We have also...

  10. Feeling Guilty- Desperately Need Opinions

    shrinky replied to Sue Damonas's topic in Hospice, Palliative

    Sorry for your loss, you did an excellent job caring for her. Some of our nurses give out their cell and home phone numbers to patients which is not my practice. There was one patient I gave my...

  11. NEEDING Some HELP??

    shrinky replied to spoiled28's topic in Hospice, Palliative

    First of all I need to know what she is on for pain medication already. There are a multitude of pain meds, some specific for bone pain, nerve pain, etc. Sha may need a combination of meds. Have...

  12. Let me be clear there is NO nursing shortage!!!!!!!!! and now THIS????

    shrinky replied to JoblessRN's topic in General Nursing

    You may have to be wiiiling to relocate to find that first job.. I just looked at ouy RN job openings and found at least one in every department and we hire new grads. We are located in SC and there...

  13. Narcotic management in the home

    shrinky replied to gsstover's topic in Hospice, Palliative

    We are also a hospital based Hospice but we get our meds from our Cancer Center where we have our outpatient pharmacy for Hospice. We also count all meds each visit as we have to reorder their meds...

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

    shrinky replied to RachelRN25's topic in Hospice, Palliative

    Usually people will praise me for doing what I do and tell me that it takes a special person to do the job that I do.. I simply tell them that it is a calling that I am honored to be a part of. I...

  15. Death stories?

    shrinky replied to Teachchildren123's topic in Hospice, Palliative

    My stories are too numerous to count but I will say that as people are getting ready to leace this world they become closer to the spiritual world and do see what we cannot see. Most of them see...

  16. Family wants Diagnosis on Death Certificate changed

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    I've had this happen once for the same diagnosis. We have to call the coroner when a patient dies and give them the diagnosis and the patient died of Liver Cancer with Hepatitis and HIV as co...

  17. Taking a leap of FAITH

    shrinky replied to HappyJaxRN's topic in Hospice, Palliative

    I had that same feeling while I was out on medical FMLA for 3 weeks after lap chole and R-CTR and was writing evals and reports with my left hand, I am R handed. I didn't want to go back to my job as...

  18. I dont care what part of the United States you live in!!!

    shrinky replied to SDA3694's topic in General Nursing

    Here in Orangeburg, SC our hospital recently hired 30+ new grads in all areas of care. It is a good place to get experience and we are not far from the beach and mountains. Go to www.trmchealth.org...

  19. Is this bullying?

    shrinky replied to SMT_RN's topic in General Nursing

    It is amazing that in all my years of nursing the one thing that has not changed is that we are our own worst enemies, meaning nurses. We should support each other and be professional enough to...

  20. Trouble finding RN job

    shrinky replied to TinaWright's topic in General Nursing

    In all of my 40+ years in Nursing I have seen shortages, then an over abundance of nurses so many times. There are jobs out there, we just hired 30+ new grads at our hospital. You may have to be...

  21. How do you handle bad odors in a clinic setting?

    shrinky replied to Black Jade's topic in General Nursing

    Oil of peppermint is very effective for bad odors, cancer and gangrene are the worst. When I change cancer wounds I use Vicks under the nose and it helps. A bottle of the oil with a diffuser or...

  22. do you think docs know what they're doing with your patients?

    shrinky replied to Ginger's Person's topic in Geriatric, LTC

    Geriatrics has been a specialty that requires 2 more years of residency but he may get some in the next years. The founder of the Palliative Care Service at New York Mt. Sinai did a residency in...

  23. Entirely off topic, short, vent!

    shrinky replied to markuskristian's topic in General Nursing

    I can relate, my grands threw a book ,one at another, and guess what? It hit the screen of my laptop and fractured it. I do have insurance that covers it but I have to drive 40+ miles to take it to...

  24. I am a nurse. Venting about how I feel.

    shrinky replied to MistyDawnRN06's topic in General Nursing

    I am the comforter and help your pain by giving meds, holding your hand, singing to you or just listening when you are anxious. I am your family member when you have no one who visits you. I am...

  25. do you think docs know what they're doing with your patients?

    shrinky replied to Ginger's Person's topic in Geriatric, LTC

    Some do and some don't and most fail to utilize services available to help them manage their patients. Most have never had a lecture let alone a course in pain and symptom management yet they think...