sandygator BSN, RN

The fact that there was SO much fraud in Hospice has prompted CMS to take a closer look at and beef up regulations concerning Hospice care. Unfortunately, they have gone overboard with their regulations (as per usual when the government is involved)....

I was CN in a large University Hospital PICU for 20 years. I am now a CHPN in an 18 bed inpatient Hospice Facility for nearly 5 years. Talk about 180 degrees! I was ready for this change, but even so, it took some adjustment. As one responder said, l...

I am a relatively new (3 years) Hospice nurse but have nearly 40 yrs nursing under my belt. Enough to know how to research meds. It is my understanding that Octreotide reduces both bowel motility and production of secretions and we use it to decrease...

I work in an 18 bed house. 2 LPNs And 1 RN mostly, depending on census. Sometimes just 2 nurses, usually 2 cnas.

I have been a nurse for 37 years. The first 10 as an LPN. Most of my positions have been in the field of pediatrics, mostly ICU in large University Medical centers. I retied complete "burned out" When I wanted to return to work I started with an agen...

Today I remembered a 4 yr old... lifeless, so pale, except for the bruises which covered his body. I remember so vividly the parent who angrily confessed that "the boy just refused to walk right"...so he beat him to death. I thought about the terror ...

heelgal, Thank you so much for sharing. I hope it lightened your burden. My prayers are with you.

clayah, The problem of substance abuse among nurses is, I am sure, much more prevalent that most people realize. I would think it's largely self-medication of undiagnosed depressive states as was my case. The rehab center at which I was an inpatient ...

Allimariee, I read your post celebrating 2 years of sobriety..that's wonderful!! People tole me that if I could give up alcohol I could certainly give up smoking...boy are they clueless. I did, however, use an AA slogan to finally quit after trying e...

Alli et al, Welcome, congrats, and talk anytime you need to! Sandy

Dear RN, I am struggling now with so many effects from my not working...money, guilt..mainly. I started out with a counselor thru work (EAP) but did not find her helpful, then went to a Psychiatrist who only wanted to give me pills, with no counselin...

I'm pretty sure my first post here was maybe in 1997...as a newly recovering addict. After 34 years in this profession, mostly in PICU and nearly 98% pediatrics, I realized today that I am indeed traumatized by my past. I came online looking to see i...

In the early 80's I was working in a Miami Hosp in CCU. I was taking care of an intubated young black male who had the most forceful productive cough I've ever seen..when I would disconnect the ett to suction him he would cough huge luggies all over ...

Originally Posted by burn out This is why I do not like to work with nor do I think rehabiliated drug users need to be floor nurses. I am a recovering addict/alcoholic, and a 33 year veteran of nursing. Celebrating 10 years of sobriety, thank God fo...

htp://www.townhall.com

You know you're a nurse if you've ever tossed your taco salad in a bedpan...clean, of course. *LOL* Sure have!

I have recently returned to the PICU after 7 years away. To my surprise our unit is also now the pediatric CICU. We currently have one 9 yr old who is day 49 on the berlin heart. He is doing very well with usually bid electrolyte replacements, q we...

I purchased "Unlimited CEU's" from this website...my bank shows payment...but the site still asks for payment for certificates. E-mail inquiry begat auto-response about how busy they are. Any one else having this problem?

I have been asked by the manager of our 24 chair chronic unit to formulate some hard data criteria to use as indicators for use of the crit lines as we only have two to use. What specifics (if any) do you all use? Some ideas are % of deviation from ...

Well after nearly 30 years, I don't wanna be a nurse any more! I am burned out, tired and still 15 years short of full retirement because it took me nearly 15 to find my "niche". But just to put my 2 cents worth in...I certainly agree that getting p...

Well something's happening to them young ones, 'cause they're sure not in nursing. Just us old ones left *grin* Don't you all know that?

Well....I'm wondering after reading all these posts...whom are we concerned about here?? Co-workers? Patients? Ourselves? No wonder subatance abuse is so rampant in our profession. I think the clinic you work for should be shut down and the office ...

One glaring truth here...not much reward for longevity in the field, is there?

RN (ADN) 25 years Currently Ped staff (I was charge nurse in PICU for 10 yeras) 24.32/hr (does not include shift diff, etc) North Central Florida I would like to see level of education listed as well!

It's funny this has recently started at my hospital as well, Matt...not exactly the same way...but the lab calls with an H&H result and voices concern over an increased crit...um....we gave the patient packed cells, ok? *LOL*