rnboysmom

rnboysmom

HOSPICE,MED-SURG, ONCOLOGY,ORTHOPAEDICS

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All Content by rnboysmom

  1. Needs a Hospice Nurse's help!!

    rnboysmom replied to JRS75's topic in Hospice, Palliative

    The general public is so misinformed about hospice care as it exists today. Start by praising him for all of his hard work. Acknowledge his efforts and his wish to keep her home. Tell him that you...

  2. Long Acting Morphine for Resp Distress in Hospice Pt

    rnboysmom replied to jsdrn's topic in Hospice, Palliative

    We are not worried about diversion of lasix (although I have seen some pretty strange happenings in homes with severe diversion issues). Lasix is an alternate option to consider as an alternate to...

  3. Long Acting Morphine for Resp Distress in Hospice Pt

    rnboysmom replied to jsdrn's topic in Hospice, Palliative

    There are a lot of short studies on nebulized lasis, some favorable some inconclusive. Lasix, like morphine works to selectively vasodilate capillaries in the lungs (same as morphine). Some of the...

  4. Reciprocity

    rnboysmom posted a topic in General Nursing

    I am an Indiana registered nurse considering moving to the Fort Campbell, KY area with family. I have researched the possibilities but am lacking the answers to the following questions: 1. What is...

  5. New to Hospice Nursing... a bit overwhelmed! Need advice

    rnboysmom replied to makua girl's topic in Hospice, Palliative

    Even after 10 years in hospice nursing, I keep a sing up in my office that says... "Being a hospice nurse is....waking up each day knowing your schedule is going to change!" Versitility and...

  6. Antibiotics for URI when on Hospice

    rnboysmom replied to Sharry RN's topic in Hospice, Palliative

    WooHoo, what a touchy topic. Responses are interesting here, even in this column. Interesting response by leslie "infections hurt and need to be treated(as long as it's not related to the adm....

  7. Medicine disposal

    rnboysmom replied to JNF RN's topic in Hospice, Palliative

    My only concern with returning meds to pharmacies are your local and state laws regarding transportation of medications. In some states, the only time a nurse or other entity can transport medications...

  8. Southern Care Hospice

    rnboysmom replied to Bumashes's topic in Hospice, Palliative

    ABSOLUTELY!!! You deserve

  9. Advice for a new nurse about hospice

    rnboysmom replied to kaybay529's topic in Hospice, Palliative

    Went into home based hospice 6 months after graduation but had worked on a busy med surg floor as a student nurse for a year then 6 months as a graduate nurse. Would I do it again----probably not. I...

  10. I Passed!!!-Ever felt down about NCLEX You Must ReadThis!!!!!!!!!!!

    rnboysmom replied to determinedgal1's topic in NCLEX Exam, Programs

    What it takes to be a good nurse is not the same as what it takes to be a good test taker. I know some co-students I went to school with that passed with 75 questions and 8 years later still have...

  11. Does anyone know why the Nurse Licensure Compact is on hold in Indiana ?

    rnboysmom replied to lislog's topic in Indiana Nursing

    just read an article on www.advocatefornurses.typepad.com if you click on the link and read the article it states that the reason for the hold is that reporting infractions of nurses in the state of...

  12. Obtaining CII meds at local pharmacies questions

    rnboysmom replied to AtlantaRN's topic in Hospice, Palliative

    Jimminy, the pitfalls of being a hospice nurse and getting what we need in a timely manner for our patients. I think the pharm laws vary state by state. In our state, the pharmacy has to have a...

  13. Revocations- how many is too many?

    rnboysmom replied to nursebitback's topic in Hospice, Palliative

    Google the terms "southerncare" and "24.7 million" and "whistleblower" as mentioned in another post on another topic. Is this the company you work for? If not, the reading is interesting and if you...

  14. tachypnea symptom.

    rnboysmom replied to oncalllorraine's topic in Hospice, Palliative

    Agree with the others although morphine is usually our first chice. Dyspnea, tachypnea, even mild is distressing to any patient, and should be considered a priority. We utilize roxanol 0.25 to 0.5ml...

  15. New to Hospice - Continuous Care

    rnboysmom replied to kat7ap's topic in Hospice, Palliative

    at, My intent was not to gain an argument, but rather to explain the benefit. My apology is sincere. I left a better message on your profile

  16. New to Hospice - Continuous Care

    rnboysmom replied to kat7ap's topic in Hospice, Palliative

    What I am saying is that "billable" continuous care has specific guidelines under regional and federal guidelines. NHPCO lists an excellent set of examples in their Hospice Operations Manual that are...

  17. New to Hospice - Continuous Care

    rnboysmom replied to kat7ap's topic in Hospice, Palliative

    Very scary that you are describing continuous care hours for "hardly any symtoms or symptoms that are very easily controlled". CMS is very clear in the regs that continuous care is for short periods...

  18. Motrin PR?????

    rnboysmom replied to RNintheER's topic in Emergency

    Ibuprofen suppositories or Ibuprofen gel has to be formulated by a compounding pharmacy or apothecary but we have had success with both. We tend to use the transderm gel more in hospice to avoid...

  19. Southern Care Hospice

    rnboysmom replied to Bumashes's topic in Hospice, Palliative

    Have worked for this corporation and won't comment on a public level. I can tell you that even huge corporate companies all function a little differently at local levels, so be sure that the local...

  20. Hospice charting (Neg- Charting) ?

    rnboysmom replied to Joebrown's topic in Hospice, Palliative

    Never have liked the term "negative charting". I prefer the term "charting toward decline". As a new grad in hospice, this may acctually be easier for you than if you were in some type of previous...

  21. Nurses, physicians weigh in on new doctoral nurse degree

    rnboysmom replied to Brian's topic in Doctoral Nursing Degrees

    "Your patients probably don't ask you because they're embarassed. I'm guessing that you're not horrible and mean to your patients, and who wants to ask their provider what the heck her position is...

  22. How would you feel and what would you do?

    rnboysmom replied to jeannepaul's topic in Hospice, Palliative

    HaHa, I totally agree with making the grass more digestible! As a hiring manager, this is a difficult area to deal with. I would ask your company for thier pay scales, they should have a published...

  23. Life after RN school dismissal

    rnboysmom replied to Milehighchick's topic in General Nursing

    Our local college has a fresh start program as well. If you are out of school for so many years and make a formal written request, they will wipe your record clean of any grade less than a C and any...

  24. Motrin PR?????

    rnboysmom replied to RNintheER's topic in Emergency

    Just as an FYI, I am a hospice nurse and our pharmacies formulate ibuprofen gel for us to use transdermally. Hope this info

  25. Hospice and Fund Raising

    rnboysmom replied to Spidey's mom's topic in Hospice, Palliative

    We do not practice this concept in our hospice even though we do have a foundation and several of our past patients have contributed (we have used these funds for everything from paying for utility...