wonderbee

wonderbee BSN, RN

critical care; community health; psych

Member

All Content by wonderbee

  1. Been in home health for nearly 2 months now

    wonderbee replied to TazziRN's topic in Home Health

    How wonderful for you Taz, and encouraging for me as I have just completed my first week of HH. I haven't completed an open yet so OASIS is still something I have yet to tackle. Congrats to you

  2. Having a hard time with boundaries

    wonderbee posted a topic in Hospice, Palliative

    I keep hearing that I'm not to worry about making patients GIP because "somebody" will go out there. That they will always find the resources. We are down an LPN and between illness and vacation, the...

  3. Having a hard time with boundaries

    wonderbee replied to wonderbee's topic in Hospice, Palliative

    As a post script, it's been a while since I put in the initial post on this thread. Not a quiet or shy kind of individual, I did make known my need for boundaries to my DOCS and my PCC. I flat out...

  4. HELP! Hospice Nurses! How Many Patients Do You Have?

    wonderbee replied to tencat's topic in Hospice, Palliative

    I started off with a case load of 5. It got as high as 13. Just recently it dropped down to 4 due to deaths and live discharges. Obviously it's not a stagnant thing. When I got to 13, things started...

  5. Starting HH on Monday 8/13.

    wonderbee posted a topic in Home Health

    So here I am again, at yet another cross road in my nursing journey loooking for my niche. Hospice got it close but it was just too sad. I also had a problem with patient education. Families just...

  6. Interview questions and Red Flags for Hospice

    wonderbee replied to Fiesta Red's topic in Hospice, Palliative

    Average case load, how many. It is difficult to case manage more than 12. Call. How often? If it's more than what you want, that's a red flag. "hospice is a lifestyle". Translation: you will have an...

  7. Insightful answers please. . . . .

    wonderbee replied to kcalohagirl's topic in Hospice, Palliative

    As a nurse on her way out of hospice, I can draw from my experience of what I have learned about the successful hospice nurses I've worked with. They learned to adopt care of the dying as a lifestyle....

  8. Leaving Hospice. Possibly for HH. Please comment.

    wonderbee posted a topic in Home Health

    After 7 months of hospice, I am disappointed that it turns out I'm not a hospice nurse after all. I've lost my compassion, seeing the same patients over and over again for months, waiting for the...

  9. Home pt. with glioblastoma. Could use some tips.

    wonderbee replied to wonderbee's topic in Hospice, Palliative

    Thanks for the advice. HP didn't tell me that decadron came in suppositories although they did tell me it comes in a gel which isn't very easy to accurately dose. I'll check into the suppositories....

  10. Calling yourself a "nurse"

    wonderbee replied to Jamie2887's topic in General Nursing

    I don't think the public has a clue. If they take can take a pulse and wear scrubs, they're a nurse. Oh and the female part goes a long way

  11. what to know @ scene of accident

    wonderbee replied to NurseNature's topic in General Nursing

    Funny you should bring this up. Just such an incident occurred a couple of months ago. As fate would have it, I was on my way home when I passed a large billboard that said "Nurses, every day heroes"....

  12. "The Jesus Factor"

    wonderbee replied to FireStarterRN's topic in General Nursing

    A little sensitivity is in order at the bedside. Sometmes it requires intuition. What might be appropriate in one case isn't in another. What we know about our patient, the family and the relationship...

  13. Witnessed a terrible death last night--pls help me...

    wonderbee replied to Annebug's topic in General Nursing

    I do hope you can find peace in the knowledge that you did what you could. That you used all of your knowledge and skill available to you and really put your heart into making your patient as...

  14. "The Jesus Factor"

    wonderbee replied to FireStarterRN's topic in General Nursing

    Speaking as a hospice nurse, spirituality is a cornerstone of hospice work. It's one of the factors that sets us apart from simple palliative care. Palliative care can be offered at any institution....

  15. Weeping legs and wounds

    wonderbee replied to rnkalee's topic in Hospice, Palliative

    A difficult quandry. With hepatic involvement, there won't be enough nutrition available for wound healing. The best you can hope for is to keep her as dry and comfortable as possible. Keeping them...

  16. Weeping legs and wounds

    wonderbee replied to rnkalee's topic in Hospice, Palliative

    Can you get a wound care

  17. Burning out fast

    wonderbee replied to CaringRN1234's topic in Hospice, Palliative

    Sit in the office till 5pm? What's the purpose of that? Other than required meeting attendance, we have no such mandate.That's childish... unless they're keeping you guys in the bull pen kind of like...

  18. Having a hard time with boundaries

    wonderbee replied to wonderbee's topic in Hospice, Palliative

    GIP = general inpatient. Translates to daily visits to a symptomatic

  19. Problem facility giving poor care

    wonderbee replied to wonderbee's topic in Hospice, Palliative

    Many useful ideas and support here. The son is aware of the problems. We have a policy of calling after each visit. At least we try to. I have come to trust my DON's judgment. I am however just a...

  20. Problem facility giving poor care

    wonderbee posted a topic in Hospice, Palliative

    At one of the facilities assigned to me, I have a patient (only one thank God) who has been getting substandard care. He is currently general inpatient for wound care. Every day someone finds him with...

  21. LVNs in hospice

    wonderbee replied to river1951's topic in Hospice, Palliative

    In our facility, if necessary the RNs make HHA visits. Let's face it. The red carpet isn't rolled out for us. It's the HHAs that would be missed. I do tell my facilities and families that I am not...

  22. Evaluation question

    wonderbee replied to Rnmomajmj's topic in Hospice, Palliative

    That is a significant weight loss. Is she still feeding herself? Comoribidities? Based solely on the info you posted, I wouldn't have evaluated her for ES dementia either. Have you brought up her case...

  23. Trying SoooHard...

    wonderbee replied to dmn1012's topic in First Year After Licensure

    New nurses sure have it rough. That sounds like an unsafe assignment and continued assignments like that are going to have you running for another career door. Vented patients are ICU material. As a...

  24. When off, do you listen to report?

    wonderbee posted a topic in Hospice, Palliative

    Many of the hospice nurses I work with cannot resist the temptation to listen to report when they're off. As much as I care for my patients, when I am off so is the cell phone. I believe it's enough...

  25. Anyone else Salaried here?

    wonderbee replied to AtlantaRN's topic in Hospice, Palliative

    There is definitely a give and take to salaried positions. It works for me because I work with a great team. I think that makes all the difference. We allow each other down time and just do what needs...