finn11707

finn11707

ICU,HOME HEALTH, HOSPICE, HEALTH ED

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All Content by finn11707

  1. "Red Flags" of Drug Diversion

    finn11707 replied to WriteStuff's topic in General Nursing

    I know I am still adding to a very old thread. But new issues have arisen in our office. An RN let go for diverting patient meds and another suspected. Administration is being very hush about it...

  2. Pain Not Controlled With Dilaudid Pum

    finn11707 replied to waterstarjen's topic in Hospice, Palliative

    I have seen a fair dose of Decadron 4mg 3 x daily make a huge difference with uncontrolled nausea and pain. Just be prepared to increased the haldol to bigger doses too if it triggers more...

  3. Squamous cell CA of Face (graphic content)

    finn11707 replied to seasonedlpn's topic in Hospice, Palliative

    I had a younger hospice patient with a similar very large fulminating (large cantalope sized) tumor that encompassed his neck, shoulder and lower face. Also, a younger woman with a fulminating (no...

  4. Alcohol abuse, liver disease and hospice

    finn11707 replied to weavrvirgorising's topic in Hospice, Palliative

    Maggie-- There is an opportunity for lots to be addressed with this patient and ---as a team. Addressing the pain and an ending to it--perhaps a better ending can be planned than what is being played...

  5. Hospice patients living alone

    finn11707 posted a topic in Hospice, Palliative

    Our agency is with increasing frequency, admitting to the Hospice program patients who live alone. It can then become quite difficult to engage the patient, the "identified caregiver" and our team in...

  6. Hospice patients living alone

    finn11707 replied to finn11707's topic in Hospice, Palliative

    Thanks for your input Shrinky. We have the start of care guideline on must have a caregiver when we deem patient can no longer safely care for himself...My agency however frequently admits and keeps...

  7. "Red Flags" of Drug Diversion

    finn11707 replied to WriteStuff's topic in General Nursing

    This a real and current concern where I work. One of our most liked, trusted colleagues was fired for diverting from a patient home setting. It is painful for all our staff. Management has...

  8. Straight weekend call

    finn11707 replied to RNWithAHeart's topic in Hospice, Palliative

    Where I work now, we have one call RN who is 40 hour/paid 1/2 time by the hour and 1.5 time when out to visits, with benefits night call RN 9pm to 8am who has a 3 day every other weekend off---his...

  9. Grief. Mine!

    finn11707 replied to BeExcellent's topic in Hospice, Palliative

    I know what you are talking about. The pace of our work can sometimes interfere with our ability to process the deaths. It is so important to honor the work we do. Here are some self evaluation...

  10. Hospice CNA Frustrated re:caseload

    finn11707 replied to southcarolina716's topic in Hospice, Palliative

    Carolina---you were not 'spoiled' by your prior job. 5-6 patients per day is the average expectation of most Hospices truely dedicated to the Hospice work. I encourage you to seek agency where...

  11. I love hospice, but caseload is impossible, should we go to nurse advocate or CEO?

    finn11707 replied to abby2525's topic in Hospice, Palliative

    We are going through the same thing in our Hospice---The key seems to be RNs meeting regularly, confirming concerns---writing them down in such a way that states both clear objections and also...

  12. Home Health Nurse Safety

    finn11707 replied to JULESNYRN's topic in Home Health

    Rachel--We are in the same process right now at my agency. Though our managers did look into safety considerations by going to the local police to look up the crime history of the building where my...

  13. Recommended Reading for Hospice Nurses

    finn11707 replied to introspectiveRN's topic in Hospice, Palliative

    I like "Risking Everything" by Rodger Housden and Mary Oliver's vol 2 collection--both poetry, but some of the best for this work. Poetry speaks to the heart and soul! mine and theirs! And "Final...

  14. Advice for UK nurse heading to US please!

    finn11707 replied to scottishRGN's topic in International Nursing

    What about looking into the private duty home nursing options? If you work for an agency, probably need to face the red tape first. If private referrals --perhaps not--just a green card perhaps....

  15. I Dislike Nursing:

    finn11707 replied to Barlan's topic in General Nursing

    Barlan, I do hear you. There were many times in my nursing career when I wanted to do something other than nursing. I didn't grow up wanting to be a nurse. But my mom was a happy nurse (labor and...

  16. Caught stealing drugs

    finn11707 replied to vonxojn's topic in General Nursing

    Another thought---we just had a member of our case management team fired for a 2nd offense diverting. We are all stunned, saddened by the loss, the betrayal to the team and also by the rather cold...

  17. Hi, New user, Hospice nurse looking for input from other hospice nurses

    finn11707 replied to pcrn's topic in Hospice, Palliative

    The philosophy of Hospice is very differnt from the home care philosophy. I don't see how an agency can use the same nurses and change the payor source and expect the nursing care to go from home care...

  18. Caught stealing drugs

    finn11707 replied to vonxojn's topic in General Nursing

    Thanks Anne, It is just that the nursing culture doesn't support any of us out there well. "I am not I. I am this one walking beside me whom I do not see, Whom at times I manage to visit, And whom at...

  19. Hospice Nurse Transporting Patient Medications

    finn11707 replied to Mazzi's topic in Hospice, Palliative

    we return some of patient/family thank you contributions to hospice patients in the form of courier delivery service for people who can't pick up. After hours--after 9pm--the only option is for the...

  20. Hi, New user, Hospice nurse looking for input from other hospice nurses

    finn11707 replied to pcrn's topic in Hospice, Palliative

    Wow!--I am fortunate. I make 52/hr as hospice casemanager--a caseload of 10---4 visit per day expectation -paid cell and mileage reimbursement at government standard soon (58 cents per mile) We have...

  21. mistakes made during your first year...

    finn11707 replied to RNmaria's topic in First Year After Licensure

    I remember those days well...though it was 30 years ago. Yes, each new RN is rattled and feels vulnerable to making mistakes. Afraid if the feeling is shared with the other nurses, respect will be...

  22. Nurse Bashing

    finn11707 replied to hippylady7211's topic in Geriatric, LTC

    I began an inquiry along this line too. I have been a nurse for 3+decades and have noticed this consistently in almost all the agencies where I worked. Perhaps the culture of nursing needs to be...

  23. Caught stealing drugs

    finn11707 replied to vonxojn's topic in General Nursing

    What do nurses need from fellow nurses to help keep them clean? Often, it seems we only find out about a history of drug use and diversion as it happens again. I don't think lightly of reporting...

  24. Home Health Nurse Safety

    finn11707 replied to JULESNYRN's topic in Home Health

    What are our right regarding safety and refusal of visiting in an unsafe area and what it the suggested procedure...so as not to 'abandon' the patient. Are managers supporting this right of...

  25. Caught stealing drugs

    finn11707 replied to vonxojn's topic in General Nursing

    I have worked with several nurses who have stolen pain medication from their patients. To be honest, I liked and trusted all of them. Where I work currently, we have 2 rehabilitated diverters I know...