Brightonrn1

Brightonrn1 has 22 years experience and specializes in Micu,Hospice.

Latest Activity

1. Courses for palliative care/hospice nursing in Canada

   Brightonrn1 replied to frozenyogurt's topic in Hospice

   Having a extensive background in the icu, has afforded me increased confidence in the field. When you have a background in staff nursing whether micu or a medical surgical floor, you develop critical thinking skills. That is something that comes fr...

2. I need a BSN or higher to work in Critical Care or ER or any hospital area!?

   Brightonrn1 replied to Skylarslaughter's topic in ADN/BSN

   Go straight for your BSN. I too am a ADN and now at 47 with four kids, I am stuggling with going back. No time for me. only working and taking care of the kids. Go now for it! you will never regret it!

3. Hospice burnout?

   Brightonrn1 posted a topic in Hospice

   Looking for some advice: I will make this brief. I have been a nurse for 24 years. Twenty of those in the micu. I have been a certified hospice nurse for going on five years. Love my place of employment, love my manager, Drs, etc. Here is the dea...

4. CHPN Exam

   Brightonrn1 replied to DLS_PMHNP's topic in Hospice

   I took the exam two years ago and found it to be harder than the questions in the study guide. Just like boards, its all about test taking and choosing the best answer. There will always be two that will leave you guessing. Its a great certificati...

5. Fentanyl Patch

   Brightonrn1 replied to Brightonrn1's topic in Hospice

   Thanks for all the support. Things were better today. Pt is very comfortable. Eating less than two weeks ago but VS stable and caregiver seems tolerate at this point. I truly felt that roxanol would have been better but I could bet my life on it that...

6. Etrace phones

   Brightonrn1 replied to jeannepaul's topic in Hospice

   I can tell you that would will not like it either. are we not professionals? Can you even imagine giving one of these devices to an executive or an attorney? No, lets give it to the nurses? Our work is so mentally draining that it does often require...

7. Fentanyl Patch

   Brightonrn1 posted a topic in Hospice

   We ordered a 12 mcg Fentanyl patch for our bedbound end stage Parkinsons disease and Dementia pt who was taking 3gms of Tylenol daily for generalized pain. she was moaning in pain prior to this change with also increase bp and heart rate. Has anyon...

8. Feeling Frustrated with LPN on my team!

   Brightonrn1 replied to Brightonrn1's topic in Hospice

   Please everyone, it was just a question. I certainly did not want to offend anymore. Really! Yes, I am a former micu nurse who always took excellent care of the pts who had to be surrogated from vents. I spent countless hours with families helping t...

9. Feeling Frustrated with LPN on my team!

   Brightonrn1 posted a topic in Hospice

   :angryfire:bugeyes:As a Hospice nurse, I have been always educating myself on good case management, symptom relief and of course social, spritual, and psychosocial issues. I have found what I love to do. I am currently with a LPN and we share our pts...

10. Anyone have any suggestions?

    Brightonrn1 replied to RNandlovingit's topic in Hospice

    I have learned from experience recently, that we can only make recommendations for pain relief. Sometimes, we have to step back and continue to let people have control over their death. That being said, we can continue to listen. Giving them an open ...

11. Hospice Certification exam

    Brightonrn1 posted a topic in Hospice

    Going to take the exam soon. Can anyone who has recently taken this exam and passed recommend books to study from? any and all help very much appreciated Thanks in advance

12. Hospice: Knowledge and Wisdom Worth Dying For

    Brightonrn1 replied to WaynesvilleRN's topic in General Nursing

    There is a saying....Love what you do and you will never work a day in your life! As a Hospice nurse, I have found peace in my life. Never have I felt so rewarded as I am now. This is a gift to work in such a profound environment with incredible peop...

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

    Brightonrn1 replied to kstec's topic in Hospice

    I have joined this evening and was just about to post this same question. I have been in hospice for over a year working as a case manager. Recently an Lpn was assigned to case manage with me. she is very knowledgeable but we do not think the same. I...