Passion for the Job

Passion for the Job has 14 years experience and specializes in med-surg, home care, hospice.

Latest Activity

1. Help Me Make Peace With Myself

   Passion for the Job replied to handyrn's topic in Hospice

   i don;t have the exact book it came from but i can find out from one of my managers. she just went to a hospice district meeting. it is from a "therapeutic considerations" book on hospice. i will type you the written documentation now then will le...

2. Pace of hospice care?

   Passion for the Job replied to nurturer's topic in Hospice

   to clarify, the thick skin and wide shoulders aren't for the patients, it is to take the "crap" from management, dr., and other staff. i never show that to pt, i always give respect, and as i said before, i am a patient advocate. if i disagree with...

3. Help Me Make Peace With Myself

   Passion for the Job replied to handyrn's topic in Hospice

   I also understand where you are coming from. If the family is in the home caring for the patient (family member) I instruct them on the meds and use then trust their judgement. I cared for a patient in a facility and the family wanted to give the m...

4. hospice nurse wanting to leave hospice care

   Passion for the Job replied to lovely42's topic in Hospice

   There isn't a right answer there. I have been a nurse for 14 years, and 7 of the years in hospice. I worked med/surg before also. I would never go back to the floors, and I would not want to a nursing home. If I had to leave, I would probably wor...

5. How long are your visits in the home?

   Passion for the Job replied to NurseFeelGood2005's topic in Hospice

   I'd say a total of 45 minutes (average). that doesn't include the follow up or phone calls.

6. md visits in inpatient

   Passion for the Job replied to hospicemom's topic in Hospice

   I believe if the pt comes to the hospital for acute care (symptom management), they need to be seen daily and within the 1st 24 hours of being brought in. If the pt. is in respite care, they don't have to be seen by a Dr., but are followed by the ho...

7. LPN doesn't want dying patient to go to hospice.

   Passion for the Job replied to Jo Dirt's topic in Hospice

   Unfortunately, we are selfish (human) and think we know what is best for the pt. and only we can do it. A hospice nurse can provide the same service but also get meds at home and administer them, educate the family on the dying process, provide a c...

8. hospice burn out

   Passion for the Job replied to bewell2's topic in Hospice

   I have been doing hospice for 7 years, part time. We all go thru the burn out of thinking, "no one else can take care of my pt like me." You truly try to do what is best for every pt while you are working. Try to think ahead of what the pt needs, ...

9. Help Me Make Peace With Myself

   Passion for the Job replied to handyrn's topic in Hospice

   I didn't agree with some of the replies you received. Morphine liquid is typically used when a pt. can't swallow anymore. We use the nonverbal pain scale 1-10 to rate the pt pain and document why the morphine was given. If the pt appears comfortab...

10. Wondering if I should continue

    Passion for the Job replied to Ms Kylee's topic in Hospice

    There are many managers that seem to be like that. It just depends on what you can put up with. I think you did the right thing because if this is what happens to you when you work 1 day a month, I'd hate to see how they would treat you working fu...

11. number of visits per day

    Passion for the Job posted a topic in Hospice

    Just curious the number of visits per day is required. Where I work, we are required to do 6 visits a day. If I do an admit, the it's an admit and 3 visits. I am a case manager also and we don't have admit nurses. We dont' have LPN's or others to...

12. Some questions about Hospice Case Mananagement

    Passion for the Job replied to shewalke's topic in Hospice

    Congrats, sounds good. Keep in mind, ti takes about a year to get the hang of it so don't quit or get overly frustrated @ first. It will be overwhelming.

13. Pace of hospice care?

    Passion for the Job replied to nurturer's topic in Hospice

    Politics is 1/2 of nursing. Standing up for yourself and being a patient advocate, you will be faced with daily drama. I do and have in several work settings as a nurse, and it isn't easy. Remember, we are here for the patient~sometimes that takes...

14. Amount of paperwork and hours for paperwork

    Passion for the Job replied to NurseFeelGood2005's topic in Hospice

    Everyday it changes, now we are going to computer. I have 7 on my caseload. Some take a lot longer than others to average out the day. We do 6 visits a day, to really do your paperwork appropriately (I mean crossing your T's and dotting the I's, u...

15. Use of gloves

    Passion for the Job replied to CaPsychLVN's topic in Hospice

    We wear gloves for labs and wound care or if dealing with copious amounts of secretions. I agree it's not necessary to wear gloves for vitals or bedside assmt, it's de-humanizing. Also, if everyone is doing good hand washing before and after assmt,...