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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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
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...
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,...
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...
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...
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...
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...
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...