Ginapixi BSN, RN

L&D, Hospice

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All Content by Ginapixi

  1. Ginapixi

    Calling all Hospice RNs...I'm teaching future DOCS!!!

    Ginapixi replied to Werblessed's topic in Hospice, Palliative

    Werblessed, i think Leslie got it if you can get in half the new docs heads what Leslie wrote you deserve a gold medal!!! i had several med students "shadow"; few are interested and leave after the...
  2. Ginapixi

    Hospice Salary Requirement?

    Ginapixi replied to EmilyLucille523's topic in Hospice, Palliative

    not sure where you are located, but around here (PA) nursing homes have the best pay, with any years of experience. I took a big pay cut working hospice, but it was worth it; just hate the overtime we...
  3. Ginapixi

    Passed CHPLN Certification Exam!!!

    Ginapixi replied to Ashera's topic in Hospice, Palliative

    Congrats!!! and hats off! and thanks for your info! our education fund was nixed, so i am thinking twice before taking a test for credentials and the satisfaction that i can do
  4. Ginapixi

    Death stories?

    Ginapixi replied to Teachchildren123's topic in Hospice, Palliative

    Heogog53; yes a kinder place! i always thought that we do get insights for ourselves not for all human kind any way; so if some one discounts all spiritual experiences because they do not fit into...
  5. Ginapixi

    Death stories?

    Ginapixi replied to Teachchildren123's topic in Hospice, Palliative

    I dare to disagree with you mostly because no one is trying to communicate with the deceased but relating experiences of the passing from the world we know to the other side; i do not know what to...
  6. Ginapixi

    Death stories?

    Ginapixi replied to Teachchildren123's topic in Hospice, Palliative

    just had the most amazing death story so far in my hospice endeavor i went to stop back at the end of my day to check on a dying pt; the family was asking "why is he still here?" "what is keeping...
  7. Ginapixi

    Feeling Guilty- Desperately Need Opinions

    Ginapixi replied to Sue Damonas's topic in Hospice, Palliative

    :yeah:some where some how there is always one pt/one family, that is for what ever reason closer to your heart. However, we are all human and have limits, physical as well as emotional ones; you can...
  8. Ginapixi

    question about BM's

    Ginapixi replied to sclpn's topic in Hospice, Palliative

    I agree totally with Leslie:-D some pts will move stool or need to move to the end, some do not; checking the rectal vault if they have not moved their bowels and it is empty and an enema does not...
  9. Ginapixi

    No, He CAN'T Wait Another 6 Hours for the Med

    Ginapixi replied to rngolfer53's topic in Hospice, Palliative

    Yes some of the inner city areas are not the best, then again way out in bumble county, far away from the next pharmacy, over 2 hrs from civilisation and things go from worse to bad, yes I would like...
  10. Ginapixi

    No, He CAN'T Wait Another 6 Hours for the Med

    Ginapixi replied to rngolfer53's topic in Hospice, Palliative

    Lucky for you who has a 24/7 pharmacy available!!!! we sink or swim on off shifts there shooudl be legislation that we are allowed to carry emergency meds for the late admissions, for the ones we run...
  11. Ginapixi

    When will there be a standard order for atropine1% drops with activily dying pts.

    Ginapixi replied to powerflash's topic in Hospice, Palliative

    We too work with standing orders out of our "emergency kit" 4 gtts q 4 hrs prn however, I prefer not to use Atropine if the pt is already tachy; are your patients really drowning or is it just...
  12. Ginapixi

    Any Hospice/Palliative APNs out there?

    Ginapixi replied to Joe NightingMale's topic in Hospice, Palliative

    better late then never reply the hospice i work for was looking to hire a NP but guess no one applied- we ended up hiring a second medical director so go for it and do what your heart desires - sort...
  13. Ginapixi

    Southern Care Hospice

    Ginapixi replied to Bumashes's topic in Hospice, Palliative

    sorry! for you - or good for you, you deserve
  14. Ginapixi

    Medicine disposal

    Ginapixi replied to JNF RN's topic in Hospice, Palliative

    i like the detergent use and then throw it in the trash - unless the trash goes into a landfill, then we end up with medications in the drinking water again at some point..... we use cat litter; cat...
  15. Ginapixi

    Dialysis 9 yrs, but terminal illness is COPD???

    Ginapixi replied to AtlantaRN's topic in Hospice, Palliative

    IMHO it is all a game! We have hospice patients on Dialysis, on tube feeds, on TPN and we have full codes! my last admission was a DNI but yes to CPR - until I explained and they changed their mind...
  16. Ginapixi

    Antibiotics for URI when on Hospice

    Ginapixi replied to Sharry RN's topic in Hospice, Palliative

    I always ask myself "what would I want if I was the patient"; I do not think I would my URI treated with antibiotics, just keep me comfortable; a UTI on the other hand might be quite painful and I...
  17. Ginapixi

    Horrible Death - What could I have done better?

    Ginapixi replied to HospiceMama's topic in Hospice, Palliative

    and we will keep having them! But the day I do not care abut those things any more I think will be hen it is time to quit my "job" with hospice; Just take it is a lesson learned and don't think you...
  18. Ginapixi

    Horrible Death - What could I have done better?

    Ginapixi replied to HospiceMama's topic in Hospice, Palliative

    unfortunately there are families out there who are "unteachable"! Thank God they are not all like that. I tell mylself that the dying family member lived with these people all his/her life and I...
  19. Ginapixi

    Loaded gun

    Ginapixi replied to indianahope's topic in Hospice, Palliative

    We had a patient who had guns in the home. He was too weak to get up and reach any of them, they were locked up; HOWEVER: Our head of SW had no one go into the home until the guns were all out of the...
  20. Ginapixi

    weekend crisis

    Ginapixi replied to ktwlpn's topic in Hospice, Palliative

    ktw... it can be draining! since you have a contract with a hospice, ask if they will do some inservices for the staff (may be some will catch up with you and you will no longer be the "lone grim...
  21. Ginapixi

    Getting certified in Hospice, what is the benefit to you?

    Ginapixi replied to ShayRN's topic in Hospice, Palliative

    sounds like getting a BSN - does it help me get a job? not really; and i do not want to "climb the ladder" to a desk job; i went into nursing to do nursing, hands on and some times knee deep in .... I...
  22. Ginapixi

    Southern Care Hospice

    Ginapixi replied to Bumashes's topic in Hospice, Palliative

    rnboysmom: you stated the obvious excellently! much better and nicer than I would have - since i used to work for the company once upon a
  23. Ginapixi

    hospice work schedule question

    Ginapixi replied to OutWest's topic in Hospice, Palliative

    ShariWN, that makes me want to move where you are! at least it gives me hope that may be our work schedules could get more "user friendly" - i feel exhausted many weekends and just catch up on my...
  24. Ginapixi

    day in the life of an admissions RN?

    Ginapixi replied to nyteshade's topic in Hospice, Palliative

    aimeee pretty much summed it up! I worked as admissions RN for a year - it was a newer hospice to the area; the company expected 6 admissions a day (which we never had! not even in a week) so there is...
  25. Ginapixi

    A Definite Over Stepping of Boundaries

    Ginapixi replied to scribblerpnp's topic in Hospice, Palliative

    first off I am sorry too for your loss and the dilemma following - then again: do we really need MORE policies? are we not taking common sense out of daily life with more and more policies? and people...