NurseAlwaysNForever

NurseAlwaysNForever

Hospice, LTC

Member

All Content by NurseAlwaysNForever

  1. Hospice charting...

    NurseAlwaysNForever posted a topic in Hospice, Palliative

    Just wanted some input from all of ya'll as to how you chart. Also would be interested in seeing examples. This is a sample of how I chart. Any pointers are welcomed. Pt is an 83 y/o female with ES...

  2. What makes you love hospice?

    NurseAlwaysNForever replied to Jo Dirt's topic in Hospice, Palliative

    I am an LPN in Texas. We are not allowed to pronounce in the same way that an RN can. We pronounce via proxy. Which means we call the MD with our assessment findings and receive the time of death...

  3. Driving time

    NurseAlwaysNForever replied to Em1995's topic in Hospice, Palliative

    I only get 38 cents a mile. We are salaried 40 hr's per week. My team has 21 patients right now, which is low for us. We get reimbursed 100 dollars a night for call. I over all am happy, and I...

  4. Fentanyl Patch

    NurseAlwaysNForever replied to Brightonrn1's topic in Hospice, Palliative

    We use MS gel, 20 mg/ml alot. It can be applied routinely as well as PRN. The pt is only absorbing about 1/2 of that and it is easy to titrate up and down. I am wondering if this pt has had a...

  5. how to talk to patients

    NurseAlwaysNForever replied to Training2bRN's topic in General Students

    The thing with being a nurse is that you have to learn to be a chameleon of sorts. You have to be able to adapt to any situation. With time and experience you will learn what will benefit each...

  6. Roxanol Dosage Error?

    NurseAlwaysNForever replied to stdntograd06's topic in General Nursing

    Normal order for Roxanol at the Hospice I work for is. Roxanol 20mg/ml 0.25-1 ml po, sl q1h prn pain/discomfort (as well as) Roxanol 20mg/ml 0.25-1 ml nebulized Q1h PRN SOB/dyspnea/resp. discomfort...

  7. 4 months and already "burned out' any ideas?

    NurseAlwaysNForever replied to kk2000's topic in Hospice, Palliative

    Hospice is my passion. I don't want to do anything else, so I would either find another hospice or make the best of what I had to work

  8. thoughts of end of life

    NurseAlwaysNForever replied to destiney's topic in Activism, Healthcare

    I am a hospice nurse, I believe in assisting pts to die with comfort, dignity, and peace. I could not ethically work somewhere and assist with euthanasia. There is a big difference there. I think...

  9. Hourly rate for RN's, LPN's, CNA's in Your State

    NurseAlwaysNForever replied to pirituba's topic in Geriatric, LTC

    Central Texas LTCF - LVN - 16-17 start out. Really no increase for experience around here. They start you all out the

  10. Thanksgiving Humor

    NurseAlwaysNForever posted a topic in General Nursing

    I look forward to the holiday season all year long. The day came and I went to work a little less than enthusiastically. I didn't want to be there, but I realized that my patients needed me...

  11. Do You Hate Being A Nurse?

    NurseAlwaysNForever replied to ButterPeacanRican's topic in General Nursing

    No matter who you are or what job you have, you complain. People don't like to work. I complain at times, but of all things I could be doing, whether they paid twice what I am making now, I would...

  12. Whoever invented scrubs, standup!

    NurseAlwaysNForever replied to OldMareLPN's topic in General Nursing

    I love scrubs and would wear them every day if I could. I miss picking mine out. We wear ceil blue ones with the company logo. I miss my patients commenting on them, often a nice scrub top will...

  13. how much comfort is comfort?

    NurseAlwaysNForever replied to rokidog's topic in Hospice, Palliative

    For me, if I see symptoms of discomfort, restlessness, pain, anxiety, SOB, etc. I medicate as little as possible to reach the desired effect. Most meds are titrated according to need at my facility....

  14. Chocolate Anyone???

    NurseAlwaysNForever posted a topic in General Nursing

    Maybe she would win the contest at the nursing home. I smiled when I saw her, she had chocolate smeared all over her face and hands. I was pleased that she had enjoyed herself so much. I asked her "Is...

  15. NANDA- workup

    NurseAlwaysNForever replied to oKeto's topic in General Nursing

    Risk for infection? is she post

  16. Chocolate Anyone???

    NurseAlwaysNForever replied to NurseAlwaysNForever's topic in General Nursing

    I don't do long term care any more. I'm into hospice, but it might be beneficial in any nursing

  17. Case Mangement asignment!

    NurseAlwaysNForever replied to purple882's topic in General Nursing

    I think you have done a wonderful job. What about: Risk for falls Impaired transfer ability Risk for loneliness Impaired comfort Imbalanced nutrition: Less than body requirements Risk for deficient...

  18. Just diagnosed with MRSA to nares and R foot.....

    NurseAlwaysNForever posted a topic in General Nursing

    I just received dx of MRSA to nares and to a wound on my R foot. I am taking Bactrim DS 2 tabs PO BID. (3200 mg Bactrim Qd), Bactroban ointment for my foot, and now a nasal spray is being called in....

  19. Nurse in trouble for complete nonsense.

    NurseAlwaysNForever replied to sicushells's topic in General Nursing

    At the facilities I have worked at a person who has had a complaint filed against them must be temporarily suspended immediately until the complaint is investigated, then they are allowed to return to...

  20. Male Chest Hair and Scrub Tops

    NurseAlwaysNForever replied to Thunderwolf's topic in General Nursing

    Why should some chest hair matter? I've seen plenty of male nurses with facial hair. It is personal choice. Only hair issue I have is that long hair should be pulled back, so as not to get in to...

  21. Should medication aides exist?

    NurseAlwaysNForever replied to BradleyRN's topic in Patient Safety Issues

    Basically, I don't want anyone giving my patients meds other than myself while I am their nurse and in charge of them. Med aide, other nurse, etc. Stay away from my meds!!!! I had a med aide at one...

  22. Hospice Nurses The Good the Bad and the Ugly

    NurseAlwaysNForever replied to hissteps4u's topic in General Nursing

    I became a hospice nurse with only 1 year of LTC experience and have been a hospice nurse for 2 years now. I had been an aide for several years before that, and had worked in the hospital as an aide....

  23. discharges

    NurseAlwaysNForever replied to rnboysmom's topic in Hospice, Palliative

    In a situation like this we first talk with the family about the situation and that if the behavior persists we will have to discharge, then we go in pairs. We get chaplain and social worker involved...

  24. A Frustrated Nurse Writes About Poor Conditions in Evacuee Shelters

    NurseAlwaysNForever replied to cpkRN's topic in General Nursing

    I have not worked in the shelters, but I have taken care of evacuees at local nursing homes from Rita and Ike. It wasn't a pleasant experience either time, however we were over crowded and...

  25. Funny Nursing Related Stories

    NurseAlwaysNForever replied to nursejanefw's topic in Nursing Humor

    I freaked out the first time I saw a prolapsed uterus