shrinky

shrinky

Hospice, Palliative Care, OB/GYN, Peds,

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All Content by shrinky

  1. HELP! Is it just me?

    shrinky replied to BmichelleRN's topic in General Nursing

    I agree that you should have a preceptor at this stage. We lose a lot of nurses because we do not mentor and support them as we should for a lot of reasons. I realize that the charge nurse was busy...

  2. How much experience should I get before getting into Hospice?

    shrinky replied to AddieRN's topic in Hospice, Palliative

    I agree that you should have at least 1 year of experience, but life experience and you age and ability to prioritize and organize are also important. You have to be flexible and compassionate. The...

  3. When will there be a standard order for atropine1% drops with activily dying pts.

    shrinky replied to powerflash's topic in Hospice, Palliative

    We have what we refer to as Comfort Orders which the primary MD signs on admission to Hospice and we add meds as needed but have to fax a memo to the doc notifying him/her that we have started this...

  4. Recruiter or no recruiter?

    shrinky replied to wellred's topic in General Nursing

    If you have been approached by a recruiter who is working for a hospital and being paid by the hospital that is great. I was recruited by one for my previous job at no cost to me, and it went well....

  5. Rant About On Call

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

    I recall those days and am glad I very rarely take call. The one that killed me was a week-end call I did, 40 hours during the week and had call from 5p Fri til Mon at 8:30 am the back to work Mon at...

  6. How do you decide to change jobs/specialties?

    shrinky replied to sicushells's topic in General Nursing

    That's difficult to tell someone. If you feel moved to change it may be a good time to do it, however you are also moving to a new area of the country which will be a stressor and changing jobs, and...

  7. Nurse managers-what are the advantages of being a manager over patient care?

    shrinky replied to pawsomepooch47's topic in General Nursing

    I guess as was said, it depends on your personality and goals. I was a manager for too long, but wanted to be a nurse all of my life. I love my job in palliative care because I get to spend a lot of...

  8. new grad emplyed into hospice

    shrinky replied to april2009's topic in Hospice, Palliative

    Where do you live and work? I have been a nurse for 42 years and do not make that much $$$$ an hour. The salary sounds good to me but I guess it depends on where you live, especially for a new...

  9. Hospice IDG

    shrinky replied to nightingale305's topic in Hospice, Palliative

    I just lost my comment to you in cyberspace. Anyway, I will have to research this although I cannot comprhend how this will be done and maintain confidentiality as well as being safe. I mean that if...

  10. Who is Responsible for Discussing End-of-Life Treatment Options?

    shrinky replied to tnbutterfly - Mary's topic in General Nursing

    This happened recently in a case here, like 2 days ago. I was asked by the Hospitalist to speak to the patient and family about Hospice at home, he was in the hospital at the time. All was going well...

  11. Your favorite nursing gadget?

    shrinky replied to AOx1's topic in General Nursing

    Pens, and I am not really particular except a medium point ballpoint will do. I love the free ones that drug reps give

  12. 3 year contract?

    shrinky replied to RNMariposa's topic in General Nursing

    I understand their reason for wanting you to sign a contract, but I have never heard of such and I have been around a long time. The only time we have nurses commit to any years is when we pay their...

  13. PCA pump error

    shrinky replied to BeckysMom1952's topic in General Nursing

    It is amazing that the patient was not harmed. There was an incident at the hospital I work for just before I was hired that involved a peds patient and a PCA and he did not make it. The dose was...

  14. Any ideas on how to detach from your work?

    shrinky replied to grbrico's topic in Hospice, Palliative

    As I said before, if you love it and feel drawn to it you need to be a Hospice nurse but maybe not in that agency. And not all agencies are alike, you have to ask questions not only of management but...

  15. Average patient load

    shrinky replied to yogakim1023's topic in Hospice, Palliative

    We are required to see 4-5 patients a day if there are that many visits available. The admission nurse does 2 a day because of all of the paper work and follow up required. 6-7 is a lot if you are...

  16. Greetings... Hospice Nurse Falling Apart

    shrinky replied to grbrico's topic in Hospice, Palliative

    Your case load is too high and no one should do that many visits a day and then be on call to boot. What you are expected to do is physically impossible and too demanding. You all also need...

  17. Home hospice care ?

    shrinky replied to Rascal1's topic in Hospice, Palliative

    Reply to rascal1, I did not think that you came across as trivial or anything else. You are

  18. Home hospice care ?

    shrinky replied to Rascal1's topic in Hospice, Palliative

    The dangers? We live in a rural area but this area has a high crime rate and drug rate so some areas we go into we have to be alert to this. We know to go into these areas in the morning while...

  19. "butter bullets"--narcotics mixed with butter for rectal administration

    shrinky replied to pammyf's topic in Hospice, Palliative

    We have used them when patients are in pain and unable to swallow, we can't wait on SL meds when we are standing there watching a patient in pain. I don't know of any literature but will look around...

  20. Medicine disposal

    shrinky replied to JNF RN's topic in Hospice, Palliative

    We used to flush but there have been traces of meds found in the water supply because the filtering methods don't necessarily filter drugs. We no longer flush and teach our families to use cat...

  21. Advice on hospice social worker role

    shrinky replied to Spidey's mom's topic in Hospice, Palliative

    While the MSW may be a part of the team, she/he is not that part. Our MSWs would never think of giving personal care such as a bath. Honestly I don't believe thay learn how to do that in school or...

  22. Trensfering patients to floor

    shrinky replied to UKPedsRN's topic in PACU

    Our PACU RNs transfer all patients to the floors, sometimes 2 nurses if there is enough staff. I have never seen a floor nurse go to get a patient. May I ask here, do you ever have to hold patients...

  23. Share Your Funniest Patient Stories...

    shrinky replied to Trvln Nurse's topic in Nursing Humor

    This is a story told to me by one of my OB residents, and yes it did happen. He was called to the ER one night to see if he could help them with this male patient that had come in that night. Well...

  24. Do you think you are adequately compensated in your job as a nurse?

    shrinky replied to *TK8's topic in General Nursing

    Don't even get me started on this. I have been a nurse for over 40 years and though I make much more than when I first started, my son made more than me when he first graduated college. Now I have a...

  25. PR in front of nursing license number

    shrinky replied to moomoo111's topic in General Nursing

    Usually there is an e or r in front of your number in SC, e means by exam and r is by reciprocity 9hope I spelled that right). I have an R in front of my RN license because I was originally licensed...