rngolfer53

rngolfer53

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All Content by rngolfer53

  1. blame the morphine

    rngolfer53 replied to pnhopeful's topic in Hospice, Palliative

    Well, I suppose if the Fentanyl patches were all 12s, 7 of em might make sense. I started to work for my current agency about 9 months out of nursing school, and I had no hospice experience, other...

  2. blame the morphine

    rngolfer53 replied to pnhopeful's topic in Hospice, Palliative

    Generally, there is no requirement to be hospice certified to work in hospice. It depends on the particular organization. Personally, I would leave, as quickly as I could given the realities of...

  3. Sandy Storm whom do I serve?

    rngolfer53 replied to echoRNC711's topic in Patient Safety Issues

    Certainly, one's family is going to take priority over work. However, as some have pointed out, this storm came with a lot of warning....and nursing is a profession that requires someone to care for...

  4. Allergic to Morphine Sulfate but on Hospice Care

    rngolfer53 replied to payang0722's topic in Hospice, Palliative

    I would just ask for an order for oxyfast, as tewdles suggests. Even if it isn't a true allergy, the patient/family may still not be comfortable with giving Roxanol in this case. Why add any more...

  5. Expiratory vocalizations at the end of life

    rngolfer53 replied to bargainsmarts's topic in Hospice, Palliative

    Have run across this a few times. If, after my assessment, it does not seem like pain, I explain to the family why I think that: face is relaxed, body language not restless or tense, etc. If the...

  6. Confused and scared...I need advice...

    rngolfer53 replied to lssrd7's topic in Hospice, Palliative

    I worked night call for a couple years...now do GIP for the same agency. With a usual home Pt census of about 300, we had 2 nurses for the midnight to 0830 shift. Sometimes one of those nurses would...

  7. how many calories do you think nursing burns up?

    rngolfer53 replied to SNB1014's topic in Health, Stress Management

    How many calories does nursing burn? Not as many as I can

  8. What to do in family emergency situations?

    rngolfer53 replied to treeye's topic in General Nursing

    I think it can and should be helped, especially with larger facilities. Staff members are going to have true family and personal emergencies from time to time. We aren't exempt from life because of...

  9. White Board Credentials

    rngolfer53 replied to jadelpn's topic in General Nursing

    I work inpatient hospice, and we just put names on the appropriate nurse and care partner lines. Our IDs have official title--CNA, LPN, RN--and hospice certification (if any). Only one person has...

  10. Hoyer Lift

    rngolfer53 replied to mvm2's topic in General Nursing

    Check the IQ of the Pt. As you gain experience, you'll realize the dummy training fully prepared you for dealing with some Pts.

  11. Forced to stay and work under mandatory evacuation?

    rngolfer53 replied to squatmunkie_RN's topic in Patient Safety Issues

    Patients have to be cared for, no matter the circumstances. They are more vulnerable than us. It's a perfectly legitimate condition of employment. If you can't fulfill it, you most likely should look...

  12. Dietary policy- vent

    rngolfer53 replied to trauma_lama's topic in Patient, Colleague Relations

    The old saying: Don't let the perfect get in the way of the good. For someone who is not eating to the point of risk, any food is better than none. The OP describes a very different

  13. Dietary policy- vent

    rngolfer53 replied to trauma_lama's topic in Patient, Colleague Relations

    I think you're the opposite of naive. As a society, we're not willing to allow consequences for counter-productive behavior. We just keep on rewarding the Pt with unlimited (often free-to-them)...

  14. Dietary policy- vent

    rngolfer53 replied to trauma_lama's topic in Patient, Colleague Relations

    I didn't see anything in the OP that suggested this Pt had not eaten or been restricted in diet for any amount of time. Let me ask, if the Pt was in for problems r/t ETOH abuse, would you condone...

  15. Mandating to work on days off

    rngolfer53 replied to amk7223's topic in General Nursing

    Management is responsible for hiring adequate staff to run the business. It's not the employees' responsibility to cover for inept managers. Absenteeism and high turnover are a red flag that an...

  16. Can a registered nurse live comfortably with their salary?

    rngolfer53 replied to Heath9672's topic in Diploma, ADN, BSN

    Debt can be a lot like C-diff. Pretty easy to contract, hard to eradicate, painful and debilitating while you have it. Obviously, many young people who get out of school today have piles of debt. (The...

  17. Is turning dying patients comfort care or not?

    rngolfer53 replied to C0252786's topic in Hospice, Palliative

    Yes, a few Pts die immediately or shortly after we turn them. But many others are turned often and do not expire then. I think it's more random than not. At least so it seems to

  18. Athletes Visiting Sick Children & HIPAA

    rngolfer53 replied to Unknown member's topic in HIPAA Challenges

    LOL, just because admin approved it and just because nurses weren't informed about it or just because nurses weren't even aware of the visit, doesn't mean that nurses won't be blamed if something goes...

  19. "I DEMAND an antibiotic. I am the customer and I am paying your salary"

    rngolfer53 replied to Nascar nurse's topic in General Nursing

    In theory, roughly 50% of people are below average intelligence. In practice the number seems to approach

  20. Do they not want the truth in exit interviews?

    rngolfer53 replied to Marshall1's topic in General Nursing

    Better managed organizations will pay attention to exit interviews. They're not going to give you feedback about what they do. First, it's a personnel matter, and second, you are no longer part of the...

  21. write-up for insubordination because I turned my back to cry...

    rngolfer53 replied to farmernurse26's topic in Patient, Colleague Relations

    It's ok to leave a six day job off your resume, but if an employment application asks you to list all previous employers, I would put it on there. Nursing is a small world, and simply not mentioning...

  22. Religion

    rngolfer53 replied to x4livin's topic in Spirituality, Religion

    I wouldn't say this to a Pt or family, but I have to persistent bible thumpers who stop one on the street. When they tell me I'm going to hell, I smile and enthuse, "Well, we'll meet again." So far,...

  23. Religion

    rngolfer53 replied to x4livin's topic in Spirituality, Religion

    But, be warned, if you sic her on me, be prepared to find out firsthand, and soon, if her beliefs of any afterlife are

  24. My clinical instructor gives me anxiety - advice?

    rngolfer53 replied to Hellostudentnurssee's topic in General Students

    I don't mean this to sound harsh, but---get used to it. You'll encounter Pts, families, bosses, colleagues and just about everyone else in the world who will rub you the wrong way on occasion. Figure...

  25. As a nurse, do you ever......

    rngolfer53 replied to Queen2u's topic in General Nursing

    I've found that it decreases with time and experience, but doesn't go away entirely. When you find yourself faced with a train wreck of a Pt and/or family--what charge nurses like to call "challenging...