Ginapixi BSN, RN

L&D, Hospice

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All Content by Ginapixi

  1. Ginapixi

    Best tips for blood draw on elderly

    Ginapixi replied to Kitty Hawk's topic in Hospice, Palliative

    yes! it is done with gloves and i have done plenty of blood draws in the hospital setting as well as in the home (though MUCH less!), port access etc, always with gloves - However, i have started...
  2. Ginapixi

    End Of Life Care

    Ginapixi replied to staciyac4's topic in General Students

    nicely
  3. Ginapixi

    Hospice Contract RN Salary

    Ginapixi replied to leniz's topic in Hospice, Palliative

    I hear a lot of agencies will pay per visit, especially off hours; a case load of 15 should be manageable if there is back up if needed; who covers nights/on call? and how large is the area you cover?...
  4. Ginapixi

    Hospice failure

    Ginapixi replied to sr2121's topic in Hospice, Palliative

    seriously, the med dir should have talked to the case manager as well as at least one of the family doctors where i worked patients always kept their family physician or other doc as attending, the...
  5. Ginapixi

    Patient Right to Know

    Ginapixi replied to SuperRN_1's topic in Hospice, Palliative

    I have seen similar cases quite a few times. Some times it was denial on the side of the family, some times over-protectiveness, some times selfishness... the reasons are many and for those working...
  6. Ginapixi

    So disgusted

    Ginapixi replied to MomRN0913's topic in Hospice, Palliative

    yes it is - or it seems so to you - and me, and many others a regard for people, alive or dead not every one has it laws, regulations and the understanding of death do not make the scenario any easier...
  7. Ginapixi

    considering hospice on call position

    Ginapixi replied to srleslie's topic in Hospice, Palliative

    over the years i have come to the conclusion that yes, the company needs to treat you right, but they are about all the same; the difference ? The colleagues you work with! they are the ones that...
  8. Ginapixi

    Going from cardiac floor nursing to hospice

    Ginapixi replied to heartnurse2012's topic in Hospice, Palliative

    remember why you changed job
  9. Ginapixi

    Hospice nurse and bullying manager

    Ginapixi replied to hospicern030363's topic in Hospice, Palliative

    seriously what ever happened to nursing care? does an enema in the case you state not fall under basic nursing care? what in the enema is medication? I got out of hospice care because we could never...
  10. Ginapixi

    "Don't tell her why she's here"

    Ginapixi replied to anashenwrath's topic in Hospice, Palliative

    we live in such a fake world! most patients know very well that they are dying! some may deny that fact, but they know once hospice is involved. Some families try to spare the patient, some patients...
  11. Ginapixi

    Using PPS Palliative Performance Scale

    Ginapixi replied to military spouse's topic in Hospice, Palliative

    yes, I was not implying they are no good, they can be helpful, I just think we put too much emphasis on them; I am so sorry to hear about the shortage of beds, but we used to have to pick and chose...
  12. Ginapixi

    Using PPS Palliative Performance Scale

    Ginapixi replied to military spouse's topic in Hospice, Palliative

    I can see that some may take offense at my comment, but it has bothered me for quite some time that nursing, even hospice nursing, has become such a business. We need to fit people into categories in...
  13. Ginapixi

    Death stories?

    Ginapixi replied to Teachchildren123's topic in Hospice, Palliative

    stories like yours "by Marties" just make me wonder! thanks for
  14. Ginapixi

    Hospice and GIP admissions

    Ginapixi replied to NC29mom's topic in Hospice, Palliative

    we used to have some when i still worked, usually they were in such a state that transport was not feasable or not wanted and death was most often within 24 hrs - we basically made sure the symptoms...
  15. Ginapixi

    My first death

    Ginapixi replied to dialysisnurseLC's topic in Hospice, Palliative

    back in the seventies when i was in nursing school, we had a pt who declined over the weeks and was actually exhibiting all the text books signs of dying; the floor nurse took us newbies in and did a...
  16. Ginapixi

    funny story...

    Ginapixi replied to smurfynursey's topic in Hospice, Palliative

    Thanks for sharing! I enjoyed
  17. Ginapixi

    Expiratory vocalizations at the end of life

    Ginapixi replied to bargainsmarts's topic in Hospice, Palliative

    I too have encountered this vocalization a few times; in one case it was more an expiratory "hummmmmm"; with enough pain meds on board and no signs of pain at rest as well as with care and talking...
  18. Ginapixi

    Computer charting in hospice

    Ginapixi replied to coogabooga's topic in Hospice, Palliative

    Suncoast can be what the company makes it! initially ours was dreadful! later on, once we got an IT person who knew the stuff, it kept getting much easier! entries carried over from one page to...
  19. Ginapixi

    Nursing bag for hospice RN?

    Ginapixi replied to crossingfingers10's topic in Hospice, Palliative

    too funny... FYI some banks still give out free pens!! and never mind the free bag! my company ordered bags for the field staff: they are way too small, tip over when you set them down and NEVER hold...
  20. Ginapixi

    Nursing bag for hospice RN?

    Ginapixi replied to crossingfingers10's topic in Hospice, Palliative

    I don't know about other people, but don't ever come to my house and put news paper on my couch to put your bag down! especially if it is a rainy day..... We are supposed to use news paper as well, i...
  21. Ginapixi

    this is do-able, right?

    Ginapixi replied to goldberryRN's topic in Hospice, Palliative

    don't feel bad, most nurses are "suckers" i know first hand! at least you tried and it is not your fault the "project" failed! if the expectations are humanly impossible... i know, it always looks...
  22. Ginapixi

    this is do-able, right?

    Ginapixi replied to goldberryRN's topic in Hospice, Palliative

    good for you! set boundaries! yes! i am still learning to do that myself - if the job eats you alive it is not right, no matter how much you want to do the job! and if you are ON CALL you should not...
  23. Ginapixi

    Agitated terminal agitation or a hospice nurse's worst nightmare

    Ginapixi replied to laynicrn's topic in Hospice, Palliative

    there is the saying "we die as we lived" - in some cases may be if we did not finish our clean up jobs we cannot die in peace? and all the pain is partly emotional in origin.... i had one patient who...
  24. Ginapixi

    frequency of RN visits

    Ginapixi replied to mschelee's topic in Hospice, Palliative

    yup, once in 14 days --some times we have new pts who still do well and they only get a visit q14 days (however they usually decline fast and go on a every week schedule with in a month or
  25. Ginapixi

    this is do-able, right?

    Ginapixi replied to goldberryRN's topic in Hospice, Palliative

    our census is around 150 and we have changed our evening on call nurse hours to 12 - the 16 hr on call can be quiet but can be nonstop and exhausting! we used to have one evening RN on overlapping...