aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    Inpatient for Symptom Management

    If its just caregiver breakdown and there are symptoms to manage/actively dying we usually utilize continuous care. If its strictly a caregiver being temporarily unavailable we would utilize the...
  2. aimeee

    IVs and catheters

    Hospitals are often in the habit of removing catheters before discharge. I often have to remember to specifically ask to have it left in if I feel it is appropriate. As far as lines, well, I've...
  3. aimeee

    Rx for comfort measures?

    Sounds like you did a great job of making the patient, family, and other staff comfortable. Good work! For terminal secretions we generally rely on Levsin (hyoscyamine) 0.125 tabs SL. It takes...
  4. aimeee

    Hospice Care Experience

    I would suggest you contact the hospice nearest to you and ask to interview a couple nurses there. If you go to google and type in hospice and the nearest city you will get "local results for hospice...
  5. aimeee

    Angry patient

    What about your bereavement counselor or spiritual counselor? Have they visited with him yet? His refusal to take medications might indicate he is angry with himself and punishing himself. Or he...
  6. aimeee

    Possible career change to hospice

    Some of the others who have worked on both sides may be better able to answer this but I have heard that home health nurses tend to have more visits per day and more paperwork. Hospice has a...
  7. aimeee

    Returning to Nursing after 6 years

    You have some good experience behind you so if you show evidence of having the heart and the organizational and critical thinking skills needed I don't think you will have too much trouble finding a...
  8. aimeee

    Hospice in LTC

    While we have quite a few patients in the area's long term care facilities, this continues to be an underserved population. There are many barriers, ranging from misconceptions about duplication of...
  9. aimeee

    6 weeks and going strong

    Bored! Hah! No, I think you can rule out that as a
  10. aimeee

    6 weeks and going strong

    Glad to hear that you are loving it. Its normal to feel overwhelmed at times. Thanks for letting us know how you are doing.
  11. aimeee

    another way in the door?

    While BSN is preferred, there are few nurses with a BSN in our area, and many of those are in management positions. We have 2 community colleges in our area with excellent nursing programs so a good...
  12. aimeee

    Day in the life of a hospice nurse

    The post above only address the STRUCTURE of a day. I will leave it to the others to tell you what it is really LIKE...the heart and soul of
  13. aimeee

    Day in the life of a hospice nurse

    I'm cutting and pasting a post from long ago. Pretty much the same except we now have computerized charting and address care plans with each visit. (It did not result in any time savings really in...
  14. aimeee

    iso hospice/pc audio tapes

    I have seen tapes sets...there is one that makes it way around the office but I'm not having much luck finding a link for one online either. Can any of the rest of you provide a
  15. aimeee

    heartache of a hospice nurse...

    You went to prn for both in order to control your hours more and to be able to devote yourself to your family when needed? It is tough to balance family responsibilities with case management, that's...
  16. aimeee

    Hospice and Palliative Nurse Cert. Exam

    Yes, I have. It was challenging because there were some questions where I didn't like any of their answers! Yes, there was a slight raise for certification. I think I had 3 years experience. Yes,...
  17. aimeee

    Patients in Nursing Facility

    We have a very limited staff for continuous care so we don't initiate it in a nursing facility if the patient's symptoms are under control and the family is coping well. We are most likely to...
  18. :chuckle In LTC I did have residents who would call out "waitress...oh
  19. aimeee

    Marinol/marijuana use

    I've only had a few patients who had Marinol. None of them had found it made an appreciable difference for
  20. aimeee

    HI! I'm new! Couple questions/Nurses

    Holidays are time and a half for everyone. Differential for others depends on your role. I think you will find just about every compensation plan under the sun amongst all the different places out...
  21. aimeee

    Nursing shortage

    Are you offering your nurses a recruitment bonus? Your own satisfied staff are your best resources. As a long term strategy, having nursing students from the nearby colleges do a rotation day helps...
  22. aimeee

    A changing mind

    Jenny, there might be opportunities in your area for a hospital based hospice unit, or a large hospice house that could provide the necessary support and training for a "fresh" nurse but for home...
  23. aimeee

    in home emergency packs

    Absolutely not! Families are instructed NOT to open the comfort pak without instruction. They are told to put it in the back of the fridge and just to remember it is there for the day the hospice...
  24. Hospices have their own training programs for staff they hire. It helps to have solid experience in geriatric care and of cancer
  25. aimeee

    I accepted hospice position.

    Wow, they got your feet wet right away didn't they? Glad to hear things are going well for