RyanSofie

RyanSofie

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All Content by RyanSofie

  1. The Patient I Failed

    RyanSofie replied to nerdtonurse?'s topic in Patient, Colleague Relations

    Your reply was well worth quoting! "As an Oncology NURSE and Hospice NURSE" Thank you! My question was " if this were your loved one what would you suggest". As nurses we are patient advocates. It is...

  2. The Patient I Failed

    RyanSofie replied to nerdtonurse?'s topic in Patient, Colleague Relations

    My friend's patient has a tumor large enough in his neck that he has dysphagia, a PET scan has shown several "spots" on his lungs.He has end stage COPD. He is anemic and severely underweight. He is 76...

  3. First day as a licensed nurse

    RyanSofie replied to BRANDNEWLVN's topic in General Nursing

    You will develop a method to pass medications more efficently. Each nurse tends to do this so don't worry. I suggest you start as early as possible setting up your cart ( right after report if...

  4. Fired By Patient Family

    RyanSofie replied to SolaireSolstice's topic in General Nursing

    I have had this happen and it can make you question yourself. I now see it as the family looking for a better outcome of a situation they cannot control or change. You were correct in requesting...

  5. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    The "TOTAL" work hours are as long as it takes to complete visits, open cases,recert cases,discharge cases ( assessments) and make routine visits or prn visits. Then...complete Oasis, med sheets,...

  6. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    Ask if clinicians are allowed contact with physicians if orders are needed. Do physicians see patients if change of status occurs? Commuting/road warrior is the norm for home health. Expect alot of...

  7. How do you sign?

    RyanSofie replied to Mashira's topic in General Nursing

    R.N. B.S.N PHD Phooey....I sign my name 20000000000000000000000000000000000000000000000000000000000000000000000 times a month...D.S. R.N is enuf

  8. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    Sept/Virgo: HH is a 24/7 commitment without the compensation to reflect the amount of time consumed from your life. The companies know the time required and the managers,adminstration are...

  9. Starting Nursing at 52 and Nervous

    RyanSofie replied to eyeball's topic in First Year After Licensure

    Age has many benefits in nursing as the response above indicates. Life experience and having learned the skill of prioritizing and the ability to accept and utilize constructive criticism are key to...

  10. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    :nurse::nurse::nurse: We are advocates for our patients. We will use our critical thinking skills at solve issues with intelligent, experience based knowledge that we have diligently worked to aquire...

  11. First Nursing job, and I drowned!

    RyanSofie replied to galenanurse's topic in First Year After Licensure

    Who has even heard of a weekly meeting running THREE HOURS late? If my med pass/shift started at 2:30 I would have gotten up, excused myself, and got out on the floor. That place sounds insane. If...

  12. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    The company I work with rotates call between clinicians. One week on usually a month which includes a weekend ( Friday to Friday). We have no "shifts". If you work in the field you work until you...

  13. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    if it were a perfect world a hh nurse could work an eight hour shift and see one patient every hour. unfortunatley that is never the situation..a start of care oasis..requires an hour just in...

  14. Comatose patient can't close his eyes and has no curtain for sun protection

    RyanSofie replied to Alnitak7's topic in General Nursing

    If I thought it not worth my time or attention...I would not comment on

  15. Comatose patient can't close his eyes and has no curtain for sun protection

    RyanSofie replied to Alnitak7's topic in General Nursing

    Ridiculous

  16. Comatose patient can't close his eyes and has no curtain for sun protection

    RyanSofie replied to Alnitak7's topic in General Nursing

    Logical deduction! That is what is called "critical thinking" , a nurse/CNA or the dog catcher can surmise this solution. The original contributor to this post is lacking simple common

  17. The Patient I Failed

    RyanSofie replied to nerdtonurse?'s topic in Patient, Colleague Relations

    I agree about engaging patients and families in conversation regarding advanced directives when we are admitting them. Making a decision as important as DNR or specific wishes in the event of a...

  18. Munchausen Syndrome by Proxy

    RyanSofie replied to Saoudishabiba's topic in General Nursing

    I have a patient whom I believe is a victim of Munhausen by proxy. The patient is not a child but an elder. The patient is ventilator dependent at home, is on tube feedings and is cared for by a...

  19. What do you do when you can't do it all?

    RyanSofie replied to JenniferSews's topic in Geriatric, LTC

    You will get "better" with time. Nursing is a monumental profession...we step into the midst of suffering..willingly. We must be the advocate for our patients in a competitive society whose goal is...

  20. What do you do when you can't do it all?

    RyanSofie replied to JenniferSews's topic in Geriatric, LTC

    At the suggestion of my mentor, I spoke with my unit manager (again) today and told her straight out I was leaving a lot of things not completed. There just isn't time in the day for it all! She...

  21. The Patient I Failed

    RyanSofie replied to nerdtonurse?'s topic in Patient, Colleague Relations

    My beloved husband was diagnosed with a terminal illness at age 41. As difficult as it was for me as a nurse , he chose Hospice soon after his diagnosis. Hospice allowed him to "live" the remaining...

  22. Bleach baths for MRSA wounds

    RyanSofie replied to StNeotser's topic in Wound, Ostomy, Continence

    Can Dankins be used on a diabetic heel ulcer with an eshcar over it? The eschar is split and the heel smells necrotic. The patient cannot afford the Santyl ordered by the podiatrist for her foot. We...

  23. Effectively Managing Your Case Load

    RyanSofie replied to Jasminecol17's topic in Home Health

    In my humble opinion the greatest satisfaction in nursing is empowering our patients in a time of health care crisis and need. Illness and/or caregiving is a major change in the lives of the patient...

  24. 4/09 UPDATE: OASIS hints and websites; Version C start 1/2010

    RyanSofie replied to NRSKarenRN's topic in Home Health

    A "mold"...you have too much

  25. Typical Day For A Home Health Nurse | Life of a Nurse

    RyanSofie replied to hoolahan's topic in Home Health

    Take a deeeep breath and blow it out slowly....You have passed the "honey-moon phase of those 1st 2 weeks". Now comes the challenges. First, organize visits before going out to see patients....