debblynn13

debblynn13

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All Content by debblynn13

  1. Moving to Iowa

    Most of the nursing jobs in Des Moines are covered by the three major hospital systems in the area. Iowa Health Systems ( made of two hospitals Iowa Methodist and Lutheran hospitals), Mercy Hospital,...
  2. Not enough attention to BMs in nursing today!

    I always tell my hospice patients that nothing makes a nurse happier than proper responses to the 3 p's. Poop, pee and pain.
  3. How many females are "peeking" in this forum?

    That question drug me in. LOL.
  4. In reality, what is the average starting pay?

    I am not sure what the salaries are in your area of Iowa but here in the Des Moines area that is a decent estimate. I made around 40,000 last year as a new grad. I was working nights occassionally so...
  5. Any Admission nurses out there??

    We have a fairly small hospice. At this time we have 3 case managers and one admission/referral nurse. My suggestion is that the admission/referral nurse be a flexible position. I have noticed that...
  6. "The Jesus Factor"

    So I've read all 43 pages. It has been interesting and as a hospice nurse at times unnerving. I do agree with the person who said you have to be careful even with christian denominations. We all...
  7. 75- does this mean you got them all right??

    And don't worry if you feel like you flunked the test. The majority of us felt that way. Just take some deep breaths and remember most of us pass the first time. Take care...{{hugs}}
  8. epidurals

    We admitted a new patient today with an epidural. The anesthesiologist says he has to change the catheter every 3 days. Has anyone had an epidural before in a hospice patient and how long did you...
  9. epidurals

    Thanks for the reply. As an update. We didn't think the little lady would last 3 days but she has. Her family told the anesthesiologist not to take it out and they would sign anything he wanted if...
  10. nursing morale going down the tubes

    I just left the onc floor 2 months ago. At that time during the days we had 4-5 pts per nurse, evenings 5-6, nights 7-8. Those were the ideal but there were occassional times where we might have one...
  11. Flying Solo - Week 2 orientation

    Ask them for training on the port. Ports are wonderful creations and you want to keep them working properly. You will need to use the SASH Method when you administer medication. {saline flush,...
  12. Flying Solo - Week 2 orientation

    aimee, how does your orientation work? I started at my current job 7 weeks ago and am now officially off orientation. I had no previous experience in hospice. I was on the oncology floor for 18...
  13. Silvadene-HELP

    One little old lady we admitted to hospice stated she was allergic to codiene. Then she stated she really wasn't. She always told people she was because her mom had it once and had hallucenations and...
  14. How often are you on-call; scheduled weekend visits?

    We have a approx 20 pts. Right now we have 2 full time nurses, one parttime nurse and a referral nurse. We all take call. So we have call one night a week and one weekend every 4. Call starts at...
  15. Should we consider hospice?

    I agree with RNKittyKat. Go ahead and get a referal and talk to several hospice places. Let them assess where your grandfather is and whether he qualifies. Some doctors are not aware of the...
  16. What does it mean...

    To me hospice nursing is helping a person and their family live the rest of that person's life as fully as possible. Helping and guiding them through that time with the least amount of discomfort, be...
  17. home hospice interview

    I am currently an inpatient oncology nurse and I will be interviewing for a home hospice position next week. Can anyone give me some ideas of questions to ask that pertain exclusively to home...
  18. home hospice interview

    Thanks everyone for your replies. I had my interviews today and I felt they went well. They have another person to interview on thursday then they will make a decision. So we will see.... Thanks...
  19. I had a patient the other day who had been taking lactulose during the day and still hadn't had a bm. So I called the doctor and got an order for a fleets enema. It was 30 minutes before shift...
  20. Pretty Sure i failed today :(

    Take a big breath and try to relax. Find something fun to do to keep yourself occupied. The way the test is set up, everyone misses 1/2 of the questions. So the majority of people taking that...
  21. How busy is your unit this Christmas?

    We were under half full. Ended up being nice for me, I got to stay home...yeahhhhhhhhhh!!!!!!
  22. What's your RN to pt ratio for nights?

    We have 7-8 pt/rn occassionally as high as 9. We also have 2-3 aides for 26-30 pts. I work 12 hour day / night rotation and both shifts can be busy. I work on an oncology floor, so at night we have...
  23. double dosing

    We use the med reconciliation sheets too. But that doesn't always help. I had a d/c last week that the doctor went through the sheets and circled all the current meds that he wanted to continue,...
  24. What is your dress code?

    In our hospital, nurses wear white or dark blue and any scrub top that has those colors in it. The aides wear maroon and any scrub tops that have maroon in it. Housekeepers green and yellow. RT...
  25. Hepatitis B Vaccination for infants

    One risk factor babies have is the fact that EVERYTHING goes in their mouth. They are not very discriminating in what they will play with. According to the CDC:...