kimprn
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Empathetic to your situation, Little Mouse. After recently transitioning to hospice nursing from a career in critical care, I'm beginning to see more of both sides of the spectrum. What I have heard and seen from patients, lcsw's, spiritual counselors, nurses, families and physicians is a lack of eol education usually due to one or all of a few situations: fear of the unknown, legal system, failure or unfinished business. Education is the key. Finding out who is the ultimate decision maker is the first step;make attempts to find out if the decision maker (if it is not the patient, which is true for your case) really has the patient's best interest at heart. Once you have educated the decision maker, an approach to the M.D. may be more successful. Some physicians are adamantly against hospice...even oncologists...that goes back to my 4 fears, but being the advocate that you are, the decision maker will find the M.D. to recommend hospice when appropriate.
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Ooooh, ErinS, so precious! Your story is what I hope to see, often, as I embark on my new calling. Thank you for sharing!
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Our facility's practice is to do compressions lateral to the sternotomy site utilizing two people
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The pediatric ICU is a completely different discipline than the adult ICU, requiring specialized nursing of the child (not little adults) and should be staffed as such. A nurse who allows him/herself to practice both PICU/MICU, should be knowledgeable, competent and oriented appropriately. Not doing so, is dangerous (to the patient and your license) and a hospital that allows otherwise, warrants monitoring. As a new nurse, it would be advisable to choose one or the other specialty until you are comfortable enough to learn a new specialty. Welcome to critical care!
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Just hired on, less than a week ago, in N. CA prison, as a registry RN earning 50.00 an hour all shifts/no differential/no OT. I have both ER and ICU experience. Have found my ER exp. to be the most useful. Ran into a fellow RN working same registry/same prison with no ER/ICU background; doing fine.