Vtachy1

Vtachy1

BNAT instructor, ICU, Hospice,triage

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All Content by Vtachy1

  1. Evidence based article

    Vtachy1 posted a topic in Hospice, Palliative

    Do you have any links to good articles that show how dehydration is NOT AT ALL painful? In fact patients receive a euphoria type feeling. Any good advice or articles to help educate facility and...

  2. Anxious

    Vtachy1 posted a topic in General Nursing

    I got myself in a predicament. I visit a facility and the nurse was venting to me that she disagrees with the way the family is treating the patient. Says that the patient is "loaded" and the family...

  3. I really wish I had LTC experience

    Vtachy1 posted a topic in Geriatric, LTC

    It would help me so much! Can you at least tell me some things like, what type of things get flagged for inspections? What do you get reimbursed (example if the patient improves, do you get more...

  4. I really wish I had LTC experience

    Vtachy1 replied to Vtachy1's topic in Geriatric, LTC

    I am sooo much trying to understand their point of view. I want to see things through their eyes. I want to understand why they think the way they do, which is so opposed to the way I think. And not...

  5. Anxious

    Vtachy1 replied to Vtachy1's topic in General Nursing

    This nursing home also believes that the daughter is trying to hurry things along by holding patient's meals if she pushes the food away. And also the fact that the daughter would prefer her not to...

  6. Anxious

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Cannot trust the facility because they are not truthful because they say they gave the med but didn't. How do we know how to treat the patient if we don't know what the patient is getting? And the...

  7. Evidence based article

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    This is exactly what I was looking for. If the patient is pushing away the food, I think its wrong for them to force them to eat and shove food down them. Its so simple, if eating made them feel more...

  8. Anxious

    Vtachy1 replied to Vtachy1's topic in General Nursing

    No worries! I figured that, and changed my present place of work to Hospice. I have been a Hospice nurse for about 8 months now. Still have a lot to

  9. Anxious

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Well, my director met with the DON today. Contract has not been cancelled, but I imagine we won't be getting any more referrals. We are keeping the patient. I dread going back into that

  10. Anxious

    Vtachy1 replied to Vtachy1's topic in General Nursing

    The reason that she didn't chart that she held the medication was that the patient's daughter and MPOA began asking to see the MAR so that she could see when the nurses held the risperdal and then if...

  11. Evidence based article

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    I did search and found a few. I have a very difficult facility that is very hard to deal with. the nurse stated "That family needs to be educated that not eating causes the patient severe abdominal...

  12. Anxious

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Well she sure did. I think she was venting and got carried away. Will she loose her license or get suspended or something? Oh man, why am I a magnet for this type of thing??? Its making me so...

  13. Fecal collection systems

    Vtachy1 posted a topic in General Nursing

    Like Zassi or now days I believe it is by Hollister? Educate me on what all I need to know, this is new to me. This is a Hospice patient, how long can they stay in? Patient has a raging C-diff...

  14. Am I wrong here?

    Vtachy1 posted a topic in Home Health

    Elderly 95 year olds don't regenerate cells! So therefore its not a great idea to drag someone who is 95 out all over the country for a dumb social event. Patient broke her hip, and has history of...

  15. On-call nurses...how do you pay your bills?

    Vtachy1 replied to Lucky724's topic in Hospice, Palliative

    Live in a tent. Seriously though, its not worth it to me to have a big mortgage and bills out the ying yang. I have always driven an old car, never paid for anything except with cash. If you can't...

  16. On-call nurses...how do you pay your bills?

    Vtachy1 replied to Lucky724's topic in Hospice, Palliative

    Live in a tent. Seriously though, its not worth it to me to have a big mortgage and bills out the ying yang. I have always driven an old car, never paid for anything except with cash. If you can't...

  17. Nursing wife..cop husband..does it work?

    Vtachy1 replied to RKRobbins's topic in General Nursing

    I think that there are a lot of good things, because you will both be understanding of what its like to work shift work. And its nice you can have your own weekends together during the week when the...

  18. Nursing wife..cop husband..does it work?

    Vtachy1 replied to RKRobbins's topic in General Nursing

    I'm a nurse. Hubby is a cop. Married for 18 years now. I Worked 7years on med-surg on the 7p-7a shift. Then transferred to ICU worked 11 years there, 7p-7a until we had kids. Our marriage was...

  19. Tell me your experiences with pulmonary fibrosis

    Vtachy1 replied to Vtachy1's topic in Pulmonary

    Wow thank you so much for sharing all that! 15 years ago, it must have made an impression. Thank

  20. I HATE my GPS

    Vtachy1 posted a topic in Hospice, Palliative

    Its a Garmin, only a couple of months old. What a waste of money! All it does is put you on a wild goose chase. I shouldn't have bought

  21. Things that nobody tells you - what was your first

    Vtachy1 replied to starsgirl78's topic in Hospice, Palliative

    I've been a Hospice nurse just for a few months and the whole dying process has always fascinated me. I worked ICU for 15 years and always have been drawn to these patients. My husband is a police...

  22. LTCF

    Vtachy1 posted a topic in Hospice, Palliative

    Its so hard in some facilities and others are wonderful, caring, and love us (and others not so much). I know that LTCF have opposing goals and get reimbursed for conflicting interventions. Part of...

  23. COPD and no BM for 40 days!

    Vtachy1 posted a topic in Hospice, Palliative

    Miralax then lactulose, fleets enema and no impaction felt with digital exam. Patient is not uncomfortable. Its bothering us more than it is the patient! She did refuse any treatment for quite some...

  24. COPD and no BM for 40 days!

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    Thank you so very much for all your responses!! We did not intervene anymore, I had notified her doc quite a while ago. Patient did not want us to intervene, and she did pass last night. It was...

  25. COPD and no BM for 40 days!

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    She is passing gas, has good bowel sounds. PO intake is very little (mostly liquids) she weighs 68 lbs. No opoids until last night. We just started morphine. She has not been on anything except...