NurseAlwaysNForever

NurseAlwaysNForever

Hospice, LTC

Member

All Content by NurseAlwaysNForever

  1. How do you address your patients?

    NurseAlwaysNForever replied to anonymurse's topic in General Nursing

    Mr. or Mrs. and their first name. Also, alot of my elderly pts families tell me to call the pt granny so and so or papa so and so, even had a Mamaw and a papaw once. Just depends on what they like....

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

    NurseAlwaysNForever replied to NurseAlwaysNForever's topic in General Nursing

    He first suspected that it was MRSA. He put me on the Bactrim and did cultures of my nares at that time. He did not culture the lesion, as it is not draining. He is now saying that it is not MRSA,...

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

    NurseAlwaysNForever replied to NurseAlwaysNForever's topic in General Nursing

    Doc called me in to office to say he was sorry, was not MRSA, was garden staff. How nice of him to let me

  4. Do you attend funerals?

    NurseAlwaysNForever replied to Rnmomajmj's topic in Hospice, Palliative

    I go to the patients I am very close to. I usually hang out in the back. There was a family once that told the funeral home that if a lady came in with blue scrubs on and the logo of my company on...

  5. IS this truE???

    NurseAlwaysNForever replied to Michelle Davis's topic in LPN, LVN Corner

    I just kept checking my BON, like every 30 minutes for 3-4 days until I showed up. I remember being so sick and just not being able to wait until my name showed up. Good

  6. ? Why are people saying that nursing is tough? i dont understand whats so hard about

    NurseAlwaysNForever replied to Jelet's topic in General Nursing

    What makes you consider being a nurse Jelet? Normally, people have a good general idea of what a career does before they start thinking about doing it. It does not seem that you know what nurses...

  7. Nursing School Bloopers

    NurseAlwaysNForever replied to Jabber964's topic in Nursing Humor

    I was having to insert a cath into the male mannequin. When I grabbed his member I started laughing and got really embarrased, but I wouldn't let go because you can't once you grab it. I ended up...

  8. Funny things you have said but wish you didn't

    NurseAlwaysNForever replied to FranEMTnurse's topic in Nursing Humor

    you know you are a nurse when you read the F/U post and don't get it at first because you actually read follow

  9. Each job title wears it's own color.

    NurseAlwaysNForever replied to borzoilady's topic in General Nursing

    At the hospice I work for nurses, RN and LVN's wear ceil blue, aides wear Royal blue. Continuous care team wears Khaki. It does no good, except when we have a conference with the other offices that...

  10. Results of 5th Nursing Article Contest

    NurseAlwaysNForever replied to Brian's topic in News, Announcements

    :up:These were all wonderful articles. I enjoyed them all. Thank you so much for posting and congratulations to all of

  11. Does a belief in a "Life after Life" help you in Hospice?

    NurseAlwaysNForever replied to seasonedlpn's topic in Hospice, Palliative

    I have become much stronger in my faith since becoming a hospice nurse. I don't know if all hospice's do it, but ours has a daily devotional led by the chaplain every morning when we first get to...

  12. Some questions about Hospice

    NurseAlwaysNForever replied to mickeymouse1205's topic in Hospice, Palliative

    I think the CPR would be a per facility/company thing. The company I work for does not require it. As far as supplies, etc. Medicare only reimburses the hospice for all palliative...

  13. Pain Not Controlled With Dilaudid Pum

    NurseAlwaysNForever replied to waterstarjen's topic in Hospice, Palliative

    We use methadone as well. Also, does she have any renal failure? With renal failure the Duragesic does work best for pain control. I generally don't like Duragesic d/t poor absorption but have...

  14. Charting Bloopers

    NurseAlwaysNForever replied to AHarri66's topic in Nursing Humor

    One of my goof ups that I caught was: Pt found sitting up in electric chair, no s/sx of distress or anxiety

  15. roxanol in neb treatments

    NurseAlwaysNForever replied to lesrn2005's topic in Hospice, Palliative

    all pts metabolize meds differently. Anyway, Roxanol is a very effective neb treatment as long as not sugar based. It has no effect on pain management at all, merely relaxes the lungs and decreases...

  16. roxanol

    NurseAlwaysNForever replied to calliesue's topic in Hospice, Palliative

    Roxanol, non sugar based can also be used as a neb to relax the lining of the lungs and decrease respiratory discomfort. It can be mixed with Albuterol, Atrovent, combination of the two, Xopenex, or...

  17. What Diagnosis would you say this patient is?

    NurseAlwaysNForever replied to CANRN's topic in Hospice, Palliative

    Why not just use ES Alzheimer's. If the resp distress is secondary to

  18. How soon to specialize?

    NurseAlwaysNForever replied to RiverNurse's topic in Hospice, Palliative

    I have been a nurse for 3 years. I worked at a nursing home for the first year and a half and have been in hospice since. I love where I am at, my boss tells me I'm good at what I do. I feel that...

  19. LPN doesn't want dying patient to go to hospice.

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

    Maybe you should switch over to hospice

  20. Use of an Oxymetor

    NurseAlwaysNForever replied to Mazzi's topic in Hospice, Palliative

    It is mandatory with the copany I work for to take all Vitals, including SPO2 and weights or MAC with every visit unless it will cause the pt discomfort to do so. It can show a decline if a pt is...

  21. What to do??????????secretions.....

    NurseAlwaysNForever replied to AtlantaRN's topic in Hospice, Palliative

    Water based Morphine is the best opiod to use for resp discomfort, does not help with secretions and basically is a placebo type effect. Does not increase resp status, only allows pt to "feel" as if...

  22. Help for N/Vomitting with Renal Failure

    NurseAlwaysNForever replied to Never2L84Peace's topic in Hospice, Palliative

    Haldol given in 2-5mg doses QHS decrease nausea by supressing vagal nerve. Very

  23. What to do??????????secretions.....

    NurseAlwaysNForever replied to AtlantaRN's topic in Hospice, Palliative

    Oxyfast as well as MSO4 liquid can be nebulized for respiratory discomfort, they don't work systemically when used via neb and don't interact with the other pain meds. Never heard of the nebulized...

  24. How does your hospice facility utilize LPN's or don't they?

    NurseAlwaysNForever replied to kstec's topic in Hospice, Palliative

    1 RN-1LVN on each team, we have 3 teams to manage 69 patients. LVN duties are the same as the RN at the company I work for with the exception that LVN's have to coordinate all care with the RN and...

  25. Bone Pain

    NurseAlwaysNForever replied to RNSUEIA's topic in Hospice, Palliative

    Oxycodone, morphine, and hydrocodone could all be given in staggering amounts and they would not touch bone pain. They are for visceral pain. Prednisone works great for bone pain related to mets,...