I only work part-time but have my own pts. If they need a nurse on the days I have off then another nurse goes. Therefore I do all the case management. If something is going on with my pt. the...
I'm in Indiana making $25/hr. Been a RN for 7yrs. My sister in W.Va makes $18/hr and has been a RN for 30yrs. I quit telling her how much I made about 2 years ago because it made her feel so bad....
I am an ADN that got this degree after my LPN. I did not have to take anybodys place on the list or push past them. I took what is called a MOBILITY course. Basically you study and test out of your...
We too usually just give meds rectally. But there are times the family just cannot bring themselves to give it rectally or the patient has closed rectum/tumors. This is an alternate route. Thanks, I...
Boy, does God has a way of keeping us humble. Yesterday at work a fellow nurse told a pt to put the wrong amount of morphine into a nebulizer. I was upset for it was my pt. Then I post the wrong...
In our hospice we use Levbid (tablet under the tongue) because it is cheeper. We used to use Scope patches all the time and they work well/better. and easier for the family. Meds only HELP, I always...
I have been a hospice nurse for seven years and whole heartedly believe from what I have seen, that force feeding a dying pt. is very uncomfortable. When the body is ready to die, it tells itself to...
The full time nurses have 10-12 pts. I only work 3 days a week and carry 6-8 pts. At times this is very difficult when I have more than 5 that need 2Xweek visits or more. I use one day for paper...
I did not see that much difference in the pain level at time of labor but I did learn to watch mom very carefully after delivery if she was a red head because of bleed-out. I know it sound silly but...
This is a tough one. I have recently been in the same. At first we all kept quiet, going to the "bad apple" one on one. Then it went to a mediator because management could not do anything with out...
Thanks for your post. It has helped me put things into persective with my working conditions. We have a boss that is not management material. We all have complained. We even had a mediator come and...
I'm a CLNC also and do Home Care too. I am thinking about Life Care Planning to expand so as to be able to quit Home Care. What is CCM you are talking about? and what time frame of study are you...
Mazzi replied to FutureRNMichael's topic in MICU, SICU
I agree with Shoelace. If high stress job is what you think you would like then get all the low stree benefits by doing CNA work. I started out CNA in Med/Surg floor then progressed to ICU. The...
Do yourself a favor a get some hospital experience first. The hospice I work for employed a nurse with ECF management experience only. She did not know/remember from school how to do IV's, pumps,...
O2 use for an actively dying pt could be more distressing if a COPD. emphysema, ect, pt. The old adage "If your not going to be able to change the outcome with a test, why do the test?" applies to O2...
Why didn't I think of that-icuabbie... Yes, Yes, contacting your local hospice would be a great assess. Does this patient have family that you could explain hospice to, then you could contact the MD...
A pt with ascites, if up and about can go for quite a long time. It is when the pt. becomes bedbound that you will see a change. Death is not a science. Some pt's can last, some go quick. You have to...
I have been a hospice nurse for 7 yrs. I have seen nursed come and go. I have worked with 25yr up to 65 yr olds and see/saw no difference. Try another hospice. Good
I have two pt. right now that have ascites and both are on Ativan 0.5-1mg prn. Also one is taking Oxycontin 10mg q12 hr and the other is on a Duragesic 25 mcg patch q72 hr. This combination has helped...
Depakote is Valproic Acid. But Tagamet can alter the metabolism. Is this pt. on Tagamet? Also it can cause a false + on Ketones. In the elderly meds can have a slow metabolism so it would not be...
I would like some info on how other hospices do the week-end on call. We are a two county office, covering approximately 50-60 pts. There are a total of 10 RN. So we have week-end on call about 2x in...
I am the "Move Poop Queen" at our hospice. Warm Prune juice helps but the best I use (when hard stool) is Vaseline Balls. Yes!!! Just roll vaseline into balls, roll into powdered sugar and freeze...