Vtachy1

Vtachy1

BNAT instructor, ICU, Hospice,triage

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All Content by Vtachy1

  1. What is your response to lay people?

    Vtachy1 posted a topic in Hospice, Palliative

    I don't know what to say as I'm new to this job. When people say "how do you do this job?" Today I just responded, well, I just think of the family and what they go through taking care of the...

  2. Extreme anxiety

    Vtachy1 posted a topic in Hospice, Palliative

    This is so hard to watch, and for the family too. Some LTC facilities are very opposed to controlling it because of the sedative effect the meds can have. I almost think I'd rather have physical...

  3. Extreme anxiety

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    She is finally more restful now. We have the xanax .5mg QID and risperdal 2mg BID. Plus the fentanyl patch for her generalized pain, and headpain, and abdominal pain. Pain is controlled at this...

  4. Extreme anxiety

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    We just upped to Risperdal today to 2mg BID. She is still frantic but she does have episodes where she will sleep now. The doctor wanted to up the Risperdal first before starting the Haldol. This...

  5. Extreme anxiety

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    The pharmacist Hospice Pharmacia recommended a different benzo. So that's why we tried the xanax, under his recommendation. Methadone is not on our standing orders but we could still give it a try....

  6. Extreme anxiety

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    I hate to say it but we are not making any headway here. She is worse today but the ativan if it is having a paradoxical effect is probably still in her system. Fentanyl patch is at 100 mcg/hr,...

  7. I'm so thankful

    Vtachy1 posted a topic in General Nursing

    That I have a healthy 11 year old and a healthy 9 year old that I can come home to and squeeze them so tight that their alveoli deflate. I love them so much! Today my 14 year old patient

  8. Hospice

    Vtachy1 replied to Blackheartednurse's topic in Hospice, Palliative

    This is precisely how I feel too, I was also an ICU nurse and did this exact thing for 15 years too long. I couldn't agree more. Now I work for Hospice and feel so much better about what I do....

  9. Extreme anxiety

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    She does have some pain, which we increased the fentanyl patch from 25 to 50mcg and she is on hydrocodone QID scheduled and the ativan is also q 4 hours scheduled along with the valium also scheduled....

  10. I HATE my GPS

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    Most of my visits are out in the middle of no where, so its just not very

  11. G tube to gravity drainage

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Normally I think we say 5-7 days if they aren't able to take in liquids. So he can absorb a small amount through his stomach? So this would be a bit longer then? This sweet dearheart has not had...

  12. G tube to gravity drainage

    Vtachy1 replied to Vtachy1's topic in General Nursing

    That is precisely what is going on with this patient. How long can one sustain life at this

  13. It stinks when you are on the other side!

    Vtachy1 posted a topic in General Nursing

    EEks!! My father-in law my precious very much loved father-in law is dying of colon cancer and is hospitalized. I worked all day today visiting him tonight and his wife is upset because his...

  14. It stinks when you are on the other side!

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Yeah, I would have actually got the supplies myself but they moved the floors around and I was not sure where they supplied them, plus, since I don't work there anymore I just didnt feel as...

  15. It stinks when you are on the other side!

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Very rural small hospital, no wound nurses available. THey are 3 hours

  16. It stinks when you are on the other side!

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Mother-in-law told her that it needed to be changed and she lifted up FIL's shirt and said "Its fine, its covered up, and besides they have already changed it today" So actually mother-in-law and I...

  17. Helping patients with migraines

    Vtachy1 posted a topic in Ob/Gyn

    Have you found any suggestions that are helpful for premarin induced migraines? Massage therapy? Anything you can think

  18. Just noticing nowdays the nurses in a lot of the homes

    Vtachy1 posted a topic in General Nursing

    Are calling the residents "Grandma". I'm so old and gray haired I remember we used to say sweetie or whateveh. But this is a trend? I guess its not as disrespectful??? Just noticed

  19. Superficial skin tear on coccyx/buttock

    Vtachy1 posted a topic in Wound, Ostomy, Continence

    I am no wound nurse by any stretch of the imagination, but our protocol says to use a "colloid dressing". And the nursing home that I visit(I'm a Hospice nurse), hates any dressings on these, and...

  20. Superficial skin tear on coccyx/buttock

    Vtachy1 replied to Vtachy1's topic in Wound, Ostomy, Continence

    Do you avoid putting a dressing on it, if they are

  21. Dr Scholl's analysis thing at Walmart

    Vtachy1 posted a topic in Scrubs, Uniforms, Gear

    Have you tried this? I think it is $50? This machine analyzes your feet, I think. I wonder if its helpful. My feet are wide. I have some difficulty finding shoes that actually fit

  22. Suicide

    Vtachy1 posted a topic in Hospice, Palliative

    Have you ever had a Hospice patient that attempted suicide? If you find a patient that attempted suicide then their DNR status is null and void from what I learned

  23. In the honeymoon stage?

    Vtachy1 posted a topic in Hospice, Palliative

    Only my second week on the job, but am I morbid because I just love dying people? I love to take care of them and their

  24. Night shift for 20 years

    Vtachy1 posted a topic in General Nursing

    I've had 2 doctors tell me I need to get off of night shift. But really has it helped you that much with your sleep or anxiety? I have done a day shift here and there but my main shift has always...

  25. Night shift for 20 years

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Are there sleep disorder specialists that I could consult? I have seen my doctor and he recommended getting off of nights and do day shift. And I agree but for nurses, its hard because day shift is...