Em1995

Em1995

Emergency, ICU, Psych, Hospice

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All Content by Em1995

  1. Feeling Frustrated with LPN on my team!

    Em1995 replied to Brightonrn1's topic in Hospice, Palliative

    HospiceNurse LPN...I hear you. I came from psych and the ER into hospice...and the death of my daughter, my mom, dad and aunt(all within a very short time of one another...not to mention 5 close...

  2. Feeling Frustrated with LPN on my team!

    Em1995 replied to Brightonrn1's topic in Hospice, Palliative

    I didn't get the flavor that you were questioning her because she's an LPN. What I understand (and please correct me if I'm wrong) is that she's not being a team player. It sounds like the last nurse...

  3. Anyone have any suggestions?

    Em1995 replied to RNandlovingit's topic in Hospice, Palliative

    Diana...hospice nursing is very much about "thinking outside of the box". Your suggestions are excellent and are those that all hospice nurses utilize amongst a myriad of other creative interventions....

  4. Anyone have any suggestions?

    Em1995 replied to RNandlovingit's topic in Hospice, Palliative

    I don't think nursegirl is making a judgment. She is assisting this patient in comfort and I thought it was wise that she brought this question to us. She offered him options and allowed him to make...

  5. Looking for articles on nebulized lasix

    Em1995 replied to Em1995's topic in Hospice, Palliative

    ...an addendum, I have found some journal articles, but what I'm hoping to find are articles specific to hospice and palliative nursing. Also, would appreciate your thoughts from those of you who have...

  6. Managing symptoms for a �good death�

    Em1995 replied to NRSKarenRN's topic in Hospice, Palliative

    Michael and all..yes, I'll share the experience with one of the people who had a "conscious death". She was 92, as sharp as a tack and just a love! She lived with her daughter who was a devoted...

  7. Hospice volunteer interested in nursing (longish post)

    Em1995 replied to Procrastinatrix's topic in Hospice, Palliative

    It definitely is a calling...and, education and experience in music history?Wow, how beautiful and to me, a real plus as a hospice nurse! I was a fine arts major and continue to do watercolors....

  8. What to do??????????secretions.....

    Em1995 replied to AtlantaRN's topic in Hospice, Palliative

    Can you tell us more about nebulized lasix? What mg of lasix and in what vehicle? Are there any articles about this? It sounds interesting....and, effective!

  9. Hospice Certification exam

    Em1995 replied to Brightonrn1's topic in Hospice, Palliative

    I took it and passed with only using the Core Curriculum. I had no time to study and did this a week before the exam...last September. I wish you the

  10. Managing symptoms for a �good death�

    Em1995 replied to NRSKarenRN's topic in Hospice, Palliative

    Micheal...I hear what you're saying and that's why I am very verbal about reaching out into the community with educational offerings re: hospice. It provides a vehicle to open the lines of...

  11. Hospice volunteer interested in nursing (longish post)

    Em1995 replied to Procrastinatrix's topic in Hospice, Palliative

    I just noticed you're from Boston! I was just in Boston last week! Love

  12. Hospice volunteer interested in nursing (longish post)

    Em1995 replied to Procrastinatrix's topic in Hospice, Palliative

    Hello! You didn't say what your educational background was, but life is the best experience for a hospice nurse! I'm quite certain that many of your college credits can be applied, as well as your...

  13. Managing symptoms for a �good death�

    Em1995 replied to NRSKarenRN's topic in Hospice, Palliative

    Let's clarify this...we do, in fact, "do what the patient wants" when we work with the patient and family in facing the unresolved issues, unhealed relationships, whatever it is specific to our...

  14. Managing symptoms for a �good death�

    Em1995 replied to NRSKarenRN's topic in Hospice, Palliative

    I agree with "what the patient wants", but I also know what Michael means and he does NOT condone physical suffering. I have had patients go "consciously", but they also had their pain very...

  15. Any Misys users?

    Em1995 replied to Em1995's topic in Hospice, Palliative

    Could you do me a favor and check on the expectation for a 12 hour admission nurse. It's very possible to do 2 a day and 3 if stretched. But, there must be a standard expectations somewhere.

  16. Any Misys users?

    Em1995 replied to Em1995's topic in Hospice, Palliative

    mc3....are you saying they limit the amount of time you charge for charting? Our agency doesn't. Curious...do your 12 hour nurses do only one admission per 12

  17. Any Misys users?

    Em1995 replied to Em1995's topic in Hospice, Palliative

    Mc3....how long does charting for one patient take you? With the 4.0 (the custom list) I find it is easier and

  18. Managing symptoms for a �good death�

    Em1995 replied to NRSKarenRN's topic in Hospice, Palliative

    I continue to read all the old posts and this discussion reminded me of a patient who "died consciously". I know what Micheal means and it doesn't mean tossing symptom control out the window. He...

  19. Do you ever feel like you can't deal emotionally?

    Em1995 replied to Jo Dirt's topic in Hospice, Palliative

    I've never felt like I couldn't deal with my job emotionally.I will admit that , at times, I have felt emotionally drained. I do feel and feel deeply, but I also have a well-developed personal...

  20. Help with Sarcoma Wound - Warning, graphic description!

    Em1995 replied to Wildbriar's topic in Hospice, Palliative

    I had a patient with a similar wound and close to the same scenario.She was insistent on staying home. She did bleed out from this wound, but it was peaceful and painless for she and the family. I...

  21. Bone Pain

    Em1995 replied to RNSUEIA's topic in Hospice, Palliative

    Leslie and all....that's what I thought! I've found methadone to be very effective in neuropathic pain, but NEVER with bone pain. I thought maybe I had missed some new study! Whew!

  22. Any Misys users?

    Em1995 replied to Em1995's topic in Hospice, Palliative

    Hi! The 4.0 has a list of custom problems that you addressed at a particular visit...instead of having to go through EVERY single thing on the list. For instance, if I addressed pain and diet, I...

  23. Impaction Question...

    Em1995 replied to AtlantaRN's topic in Hospice, Palliative

    I agree! Whenever I get a home patient who has just been discharged from the hospital, NEVER fail, they are ALWAYS constipated! Some have told me it's been 5-6 days without a BM! They received...

  24. Bone Pain

    Em1995 replied to RNSUEIA's topic in Hospice, Palliative

    I've found ultram useless. All of my patients who used it complained that it didn't help them. And, Naprosyn has caused more stomach upset than Motrin. I still think that an anti-inflammatory combined...

  25. Impaction Question...

    Em1995 replied to AtlantaRN's topic in Hospice, Palliative

    You've probably already done this..is he on Senna-S 2 tabs bid? I always put all of my patients on this as soon as they start with any narcotic. Some need more, some less. But, I have never had to...