Em1995

Em1995

Emergency, ICU, Psych, Hospice

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All Content by Em1995

  1. Delta 8 THC now federally legal, what does this mean for nurses?

    Em1995 replied to RNMN667's topic in General Nursing

    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!

    Em1995 replied to prettyRN4's topic in Nursing Educators, Faculty

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

  3. National average for pt caseload

    Em1995 posted a topic in Hospice, Palliative

    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...

  4. Any Misys users?

    Em1995 posted a topic in Hospice, Palliative

    Just wondering if you have any pearls of wisdom. I have been on the laptop for a year and am now finding it's getting easier! We use the 4.0 version as it is shorter and can be tailored to what you...

  5. Looking for articles on nebulized lasix

    Em1995 posted a topic in Hospice, Palliative

    Does anyone know of any links where I can find journal articles about nebulized lasix? I've noticed some who have mentioned this and it sounds like it is very effective. Any inforamtion would be very...

  6. Driving time

    Em1995 posted a topic in Hospice, Palliative

    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...

  7. average # of nursing home patients

    Em1995 posted a topic in Hospice, Palliative

    Does anyone know the average # of nursing home hopsice patients seen in a day? I find 6-8 very

  8. Leaving one company for another question

    Em1995 replied to AtlantaRN's topic in Hospice, Palliative

    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...

  9. average # of nursing home patients

    Em1995 replied to Em1995's topic in Hospice, Palliative

    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...

  10. mileage guidelines

    Em1995 posted a topic in Home Health

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

  11. REAL Pain or ADDICTION?

    Em1995 replied to captain morgan's topic in Hospice, Palliative

    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...

  12. REAL Pain or ADDICTION?

    Em1995 replied to captain morgan's topic in Hospice, Palliative

    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

  13. Unsafe Discharge?

    Em1995 replied to cincopup's topic in Hospice, Palliative

    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...

  14. Unsafe Discharge?

    Em1995 replied to cincopup's topic in Hospice, Palliative

    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...

  15. Tips for New Hospice Nurse

    Em1995 replied to RNandlovingit's topic in Hospice, Palliative

    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...

  16. Use of an Oxymetor

    Em1995 replied to Mazzi's topic in Hospice, Palliative

    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,...

  17. pt's husband and sublte threats

    Em1995 posted a topic in Hospice, Palliative

    Can I please have your input?During an informational today, one of our nurses related the following. The patient was passive and quite weak and wanted her husband to do all the talking. He was...

  18. Feeling Frustrated with LPN on my team!

    Em1995 replied to Brightonrn1's topic in Hospice, Palliative

    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...

  19. pt's husband and sublte threats

    Em1995 replied to Em1995's topic in Hospice, Palliative

    Thanks...I will proceed with extreme caution. The patient is still hospitalized, so I have asked this nurse to bring this to the attention of the powers-that-be and to have security available. I think...

  20. Tips for New Hospice Nurse

    Em1995 replied to RNandlovingit's topic in Hospice, Palliative

    Nursegirl...I sent you an

  21. Parents both died in hospice care...should I switch to hospice??

    Em1995 replied to newtelenurse's topic in Hospice, Palliative

    I agree with everyone. Take your time and read and think a lot. I became a hospice nurse 3 months after my mom died of breast cancer. My dad had also died a bit earlier before my mom, along with my...

  22. Feeling Frustrated with LPN on my team!

    Em1995 replied to Brightonrn1's topic in Hospice, Palliative

    Hi Moe...I know what you mean as many times an e-mail can sound much different than what you really mean in the spoken word. But, I also understand the point you are making as I know many RN's who...

  23. Looking for articles on nebulized lasix

    Em1995 replied to Em1995's topic in Hospice, Palliative

    Lasix. Nebulized lido isn't so cool as it can really potentiate aspiration(I'm a former ER nurse).But, I have read some old studies re: nebulized LASIX (furosemide)which state it is very effective in...

  24. Tips for New Hospice Nurse

    Em1995 replied to RNandlovingit's topic in Hospice, Palliative

    If you send me your snail mail address, I'll send you a copy of ours! All of our patients benefit when ALL of us share our pearls of wisdom with one another! Just send it as a privatge

  25. Tips for New Hospice Nurse

    Em1995 replied to RNandlovingit's topic in Hospice, Palliative

    Nursegirl...welcome to Hospice Nursing! I've found a lot of sharing amongst fellow hospice nurses on the internet. This is a great forum in which to learn and to share. Does your agency have a...