Em1995

Em1995

Emergency, ICU, Psych, Hospice

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About Em1995

Em1995 has 21 years experience and specializes in Emergency, ICU, Psych, Hospice.


ER nurse for MANY years along with psych...now, full-time hospice

Latest Activity

  1. As a family nurse practitioner, I certify patients for medical cannabis. Those who see it as evil are not educated about it. It has greatly helped hundreds of my patients. Studies also show that THC...
  2. Nurse educator AND FNP..need advice!

    I'm also working as a Family Nurse Practitioner and as a faculty member. It's the best of both
  3. Driving time

    I put in about 3 hours driving time today and saw 6 patients. There was no time to stop for coffee and forget even 10 minutes for lunch. Had I stopped I would never have been done on time.However,when...
  4. Leaving one company for another question

    I cannot believe I found this one particular post! I resigned and gave a one month notice. The management THINKS I am going to another hospice, but they do not know for sure. They did not allow me to...
  5. average # of nursing home patients

    Are you guys serious? Our nursing home nurses are expected to see only 4 patients a day in a nursing home. I was told by someone at work that the national standard is 4 nursing home patients in one...
  6. Does anyone know the average # of nursing home hopsice patients seen in a day? I find 6-8 very
  7. REAL Pain or ADDICTION?

    I noticed you mentioned "legal", Carolyn. I chuckled. One of my 20 year old patients with stomach cancer experienced intractable nausea and vomiting. I had tried everything under the sun from diet...
  8. REAL Pain or ADDICTION?

    The word "addicted" doesn't ever enter into my vocabulary or thought process. Pain is pain and whatever the patient says it is. Our mission is to alleviate that
  9. mileage guidelines

    Does your agency specify a time for driving? For example, I heard one agency specifies 2 minutes per mile.Your
  10. Unsafe Discharge?

    I applaud him or her, too...but, why complicate matters and continue futile interventions (lopressor). With good family support, (I assume the hospice admitting nurse was at the hospital to assure...
  11. Unsafe Discharge?

    I agree with Leslie on this. But, have some comments. Lopressor will DECREASE blood pressure, if this patient is actively dying, why continue it? I question a medical director who would approve of the...
  12. Tips for New Hospice Nurse

    SweetSue...you cannot recertify a patient if they are not showing a decline. Do you find anything that indicates a decline? Any weight loss? Increased sleeping? Increased infections? UTI's? Decline in...
  13. Use of an Oxymetor

    I have some strong feelings about the use of oximeters in hospice. As a long-time ER nurse, and now a full-time hospice nurse, I have often seen these measurements to be inaccurate and over-used(and,...
  14. Feeling Frustrated with LPN on my team!

    Ktw...What I meant to say was this: if another nurse, social worker, volunteer, whomever...doesn't discuss his or her ideas with their co-worker, then no, they are not being a team player. This is all...
  15. Just wondering if anyone knows the answer. Do your full-time home care nurses carry about 12 patients? And, what about facility nurses? To me, it seems like they can handle more as in facilities the...