Ginapixi BSN, RN

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 nursing back in the day when gloves were for the OR, m...

nicely done!

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? I used to work for a company who paid salary to ...

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 hospice med dir was only a back up and support; othe...

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 with death and dying on a regular basis often hard t...

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 at least here the police and ambulance called out...

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 either support you or... burden you (no one has stabbe...

remember why you changed job fields!

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 care properly for patients after hours (had orders...

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 try to spare the family, but the longer one works i...

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 (unfortunately many times the choice fell to the one...

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 order to get the needed support for them; some pat...

stories like yours "by Marties" just make me wonder! thanks for sharing!

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 remained controlled (nothing the hospital staff cou...

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 wonderful job in caring for the patient as well t...

Thanks for sharing! I enjoyed it!

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 with the family to put them at ease, we just let it c...

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 another, and we actually saved time! if you switch from ...

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 my stuff; they knew the bags were not user friendl...

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 cannot stand it! however i have plenty of plastic ...

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 good on paper, until reality hits...

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 have visits planned for you already, be it routine ...

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 was alert and did not want pain medication, becam...

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 2)

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 with on call nights until 2300; now we have 2 full ti...