aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    Hi! Nice to meet you all.

    aimeee replied to harusea's topic in Michigan Nursing

    Harusea, when you are in school, please don't be shy about asking questions in class, especially if you don't completely understand what the teacher means. I believe I have heard that in the Japanese...
  2. aimeee

    Hi! Nice to meet you all.

    aimeee replied to harusea's topic in Michigan Nursing

    Pleased to meet you, Harusea! :) Good luck with your
  3. aimeee

    bladder flush???

    aimeee replied to tlmhospice's topic in Oncology

    Perhaps this will shed some light on the association between smoking and bladder cancer for you: "Women who smoked 40 or more cigarettes a day for 40 years or more, for example, faced more than twice...
  4. aimeee

    Dolcontin (oral) capsel given rectalt!

    aimeee replied to florry's topic in Pain Management

    Is Dolcontin sustained release Morphine? It can be given rectally if you really need to, but its far better to try for another long acting med through a different route for just the reason you...
  5. aimeee

    Fentanyl placement?

    aimeee replied to ohbet's topic in Pain Management

    Every now and then I hear this from patients...they tell me their doctor or pharmacist told them it was okay to cut their 25 mcg duragesic patch in half, tape the open side shut and apply. Wish I...
  6. aimeee

    First Job in Hospice?

    aimeee replied to Melly1022's topic in Hospice, Palliative

    Melly, while some organizations may hire new grads, I think you will find the lion's share require at least a year in some type of acute or skilled care. Without it you just don't have the knowledge...
  7. aimeee

    What is a reasonable salary to expect?

    aimeee replied to Briar's topic in Hospice, Palliative

    Congratulations! Best wishes for success. 12 is an okay patient load. 15 is about the max, but much depends on where they are located and how stable they
  8. aimeee

    Great books you'd recommend

    aimeee replied to Mandee's topic in Hospice, Palliative

    Final Gifts is by Maggie Callanan and Patricia Kelley. Final
  9. aimeee

    special offer...

    aimeee replied to aimeee's topic in Hospice, Palliative

    I'm glad you are enjoying them. I had that link earlier in the month but had not gotten around to checking it out. Now I wish I had done it
  10. aimeee

    need advise Hospice in Michigan

    aimeee replied to minette's topic in Michigan Nursing

    I'm so sorry to hear that you are having extra conflicts in this difficult time. If you feel that this supervisor has gone out of her way to be rude and condescending to you and has hassled you in...
  11. aimeee

    Just a Question

    aimeee replied to sunshineclarity's topic in Hospice, Palliative

    Bless your heart, Sunshine, for taking the time to feed and to truly be concerned about the needs of this woman. What has been said is absolutely right. Hospice is about comfort and quality of life,...
  12. aimeee

    Too young for Hospice?

    aimeee replied to MelRN13's topic in Hospice, Palliative

    I think that far more important than age in actual years is maturity; ability to listen, ability to empathize, ability to perceive the client's needs, ability to make good decisions. And when I say...
  13. aimeee

    Something different

    aimeee replied to Ned the Red's topic in Hospice, Palliative

    Being as you are in Texas, I suppose you won't be needing a "blizzard" kit. :chuckle One ordinary thing that helped me out was my little mini cooler. Its tough to be in the right place at the right...
  14. aimeee

    Query re Palliative Medication

    aimeee replied to niamh's topic in Hospice, Palliative

    Jemb said it all beautifully. You need to express your concerns to the medical team for your father. They should be happy to explain the rationale for the regimen and explain how each applies to...
  15. aimeee

    Week-end on call

    aimeee replied to Mazzi's topic in Hospice, Palliative

    Historically we have had all of our staff, both full-time and part-time rotate night and weekend on call. That really left us short handed though during periods when we would have someone resign and...
  16. aimeee

    Change in mental status

    aimeee replied to essarge's topic in General Nursing

    I once had a resident who just looked "different" to me. She did not speak at all so she couldn't tell me anything about her condition, but her respiratory rate was up to 44 and she was restless....
  17. aimeee

    Should I be mad at Hospice? My mother...

    aimeee replied to Roland's topic in Hospice, Palliative

    Haldol is sometimes used as part of a whole cocktail of meds which is used to tone down an over reactive system to bring nausea under control...we sometimes use suppositories in our home hospice which...
  18. aimeee

    Constipation Remedy

    aimeee replied to obeyacts2's topic in Hospice, Palliative

    Pear juice, huh? Interesting. Probably a lot more acceptable for a lot of patients too. I'll have to look into
  19. aimeee

    Great books you'd recommend

    aimeee replied to Mandee's topic in Hospice, Palliative

    Dying Well by Dr. Ira Byock is a good one and my personal favorite is Kitchen Table Wisdom by Dr. Rachel Remen. Kitchen Table Wisdom is about what we learn from each other and about ourselves via the...
  20. aimeee

    DMD Suppositories

    aimeee replied to Today-God'sGift's topic in Hospice, Palliative

    That sounds like an excellent combo. I had just heard of ibuprofen suppositories a couple months
  21. aimeee

    DMD Suppositories

    aimeee replied to Today-God'sGift's topic in Hospice, Palliative

    DMD SUPPOSITORIES FOR NAUSEA 5 mg dexamethasone 10 mg metoclopramide 10 mg diphenhydramine I haven't seen these either...other than this list of ingredients I just found at an Iowa City hospice...
  22. aimeee

    How many pts do you care for?

    aimeee replied to FrankieJane's topic in Hospice, Palliative

    We do encourage face-to-face contacts between nurses and MD's as much as possible. But to promote overall good relations than rather actively solicit patients. I would think that if you were already...
  23. aimeee

    How many pts do you care for?

    aimeee replied to FrankieJane's topic in Hospice, Palliative

    Sounds like you may have some difficult decisions ahead. Look out for your own needs and be firm about it...if you don't, nobody else will. Don't wait until you are at the breakdown point before you...
  24. aimeee

    How many pts do you care for?

    aimeee replied to FrankieJane's topic in Hospice, Palliative

    16 patients is a very full load. Our case managers are carrying loads like that right now and we are working to hire more nurses to make the load more manageable and spread the on-call burden. You...
  25. aimeee

    The most pee ever.....

    aimeee replied to KC CHICK's topic in General Nursing

    1600 cc. Dementia patient in nursing home. Extreme agitation and c/o flank pain. I remember yelling for somebody to come help as the little plastic pan kept filling and filling and filling... After...