finn11707

finn11707

ICU,HOME HEALTH, HOSPICE, HEALTH ED

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All Content by finn11707

  1. Any Admission nurses out there??

    finn11707 replied to Rnmomajmj's topic in Hospice, Palliative

    We love our admission nurses!---we used to have 4 oncall nurses who wanted up to 3 days work per week and were somewhat flexable so it worked great! They do one admission visit and 1-2 re visits. Now,...

  2. Nurse manhandled by doctor

    finn11707 replied to Scrubby's topic in General Nursing

    This falls under workplace safety/violence---there are definitely regulatory bodies, laws and guidelines for healthcare organizations---OSHA might direct, Board of Registered Nursing, American Nurses...

  3. RNs...how did you handle your first death ?

    finn11707 replied to KdnRN2B's topic in General Nursing

    My first death was my sister who died at age 17 following a car accident. I was 16 and in a haze for many months after that. My first few months as a new nurse, I cared for a woman with cancer who...

  4. Starting as a hospice case manager...

    finn11707 replied to TNlearner1's topic in Hospice, Palliative

    I have never heard of seeing Hospice patients only every other week--unless they are quite stable and have been with Hospice for a while. Do you mean other RNs are making visits for your patient too?...

  5. Is home health really better than working in a hospital??

    finn11707 replied to LadyAries0021's topic in Home Health

    LadyAries, It takes some getting used to, for sure, since you are out there on your own a lot...but the pleasure!--- actually being outside 4 walls every day, having some autonomy, knowing the patient...

  6. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    thanks leslie, i'll give your thoughts consideration. though i feel i've forgiven myself, i know i am still feeling quite a lot of stress about the lack of support and committment from my management...

  7. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    ok- I will come clean about a couple of things. I have been off work for almost 2 months with what we know now is a stress related physical ailment...all starting from difficulty accepting the...

  8. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    yes michael! that is exactly what i love so much about you! you are already splashing alot of awe and wonder around here! we might have known you were hewn from trials of fire. i wept for you as i...

  9. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    Michael- My heart is with you. It does hurt deeper when it is your own loved one, for sure. It is a hospice nurses biggest learning perhaps...and (hospice) work feels different after a loss of our...

  10. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    Eee-gad! The reality of where we are at in healthcare is sobering, though I had a good belly laugh from your 'approach of the future hospice nurse... "Okay pal, here’s the morphine and chux. Lotsa...

  11. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    Michael--By forums, do you mean tele conferencing? Or meetings of hospice workers within an area as affiliated with medical centers? Or, what we are doing now? I agree, this is an excellent way to...

  12. Do you attend funerals?

    finn11707 replied to Rnmomajmj's topic in Hospice, Palliative

    Just curious--what do your management teams support about attending funerals/memorials? I have worked 2 different hospices--one almost insisted no contact after death--except a call. The other...

  13. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    Michael, I beg to differ with you about your feeling that you have been focusing on the wrong crowd. Nurses drawn to Hospice work ARE ripe for this learning. Most I know believe this work is a...

  14. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    I would like to further stretch this thread to ask for thoughts about what limits us in our work? Michael developed a practical, but rather topical subject of "managing symptoms for a good death"...

  15. Hospice Interview in the Morning.

    finn11707 replied to dietcokeweasel's topic in Hospice, Palliative

    I don't know where you are but I certainly understand the plight of a single mom...Kaiser Permanente facilities pay quite well and the benefits are less costly than others. I know it is sometimes...

  16. Permanent Paracentisis Sites

    finn11707 replied to Valorie D's topic in Hospice, Palliative

    I have had a woman with end of life cardiac disease with significant acites---she was going to out patient interventional radiology 2 x monthly for 4-5 liter draw off and not tolerating it very...

  17. Hospice Interview in the Morning.

    finn11707 replied to dietcokeweasel's topic in Hospice, Palliative

    Sandra- I just read your new question, but realize you have had your interview for the Hospice position by now and am wondering how it went. Yes, I think it is quite a change from Maternity! But you...

  18. How did you know hospice was right for you?

    finn11707 replied to wannabenursetx's topic in Hospice, Palliative

    I was given the gift of working Hospice. I had been hired into an agency to do Home Care day visits, night advice call and 'occasionally fill in at Hospice. The agency had quite a large team of Home...

  19. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    "dying is a process that forces us to see who we really are… and it forces us to resolve our relationships (which is a huge part of who we really are.) dying process forces us to see that we are not...

  20. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    Again, Thank you for your well stated wisdom Michael. You have helped me see more clearly. I have always felt an added concern when a caregiver/spouse expresses that they feel they are dying too, in...

  21. "Red Flags" of Drug Diversion

    finn11707 replied to WriteStuff's topic in General Nursing

    Yes, quite sad. It is why it has gone on a such a long time probably even though patients and staff have voiced concerns related to some of the more overt signs...appearance of being loaded, frequent...

  22. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    I am so sorry Michael. You, your wife and her aunt deserved so much more. Yes, I think many Hospice agencies have scaled back supportive services so much that it is not recognizable as Hospice work....

  23. "Red Flags" of Drug Diversion

    finn11707 replied to WriteStuff's topic in General Nursing

    I am sure prescription meds were in use. Does it change the intervention guidelines if prescription meds are being used? Is'nt it still practicing while

  24. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    Personal stories of gentle crossings are always the best. They really test our metal. Let's face it - being there for one of our own as they die feels very different from that journey with a...

  25. Managing symptoms for a �good death�

    finn11707 replied to NRSKarenRN's topic in Hospice, Palliative

    I wish this was still an active thread as I have read the entire 24 pages today...feeling somewhat at a low point in my Hospice career over the past couple months.- Believing my employer's...