Vtachy1

Vtachy1

BNAT instructor, ICU, Hospice,triage

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All Content by Vtachy1

  1. Attention PRN nurses

    That is a fact, but not for the reason you are stating. I am thankful for the truthful good hearted nurses that share things with me. And the one that did tell me that they all don't want me working...
  2. Did you write a letter of resignation? Inform you boss face to face? email? Phone
  3. Attention PRN nurses

    I do wish it were that way for me. Unfortunately they work me a lot of hours and I rarely ever take a weekend off. I have worked 22 days in a row. I feel like I go way way way above and beyond for...
  4. Attention PRN nurses

    If I didn't work all those hours, it would be a lot harder on them. Its hard enough right now. Everyone is burned out and just way way way over worked. I feel like they should be thankful to have...
  5. Attention PRN nurses

    Thats the thing, they did not see all those years my dh and I went without air conditioning when it was way over 100 degrees outside. We went without TV for 5 years. We lived in an old beat up...
  6. Attention PRN nurses

    Not a chance!!! I am PRN because I like PRN and don't give a rats behind about benefits. I want to take off when my Grandma needs help or has a doctor appt. When my kids have an evening ballgame...
  7. "Starving to death"

    I think I made a daughter of a patient we have for "sepsis" mad yesterday. How do you eloquently explain to them that it is not starving them to death? I think I said that it is not starving them to...
  8. ABHR topical

    Our hospice has not used this until now. Are you using this? We have always had the suppositories in our standing orders but not the topical. Does it work as well as the
  9. If a COPDer does not like his oxygen, and justifably asks "can you get too much oxygen". One night wife called in complaining that he was extremely short of breath, and the triage nurse said to...
  10. oxygen orders vs nursing perceptions

    I would increase the morphine instead of the oxygen. Have you read the Hospice and Palliative care guide books? Morphine will be more effective in controling respiratory distress and air
  11. How fussy are you about O2?

    Absolutely if its what the PATIENT wants. For sure! Just make sure its not what the NURSE wants. Good thing about Hospice is that the patient can to an extent sort of be treated the way he or she...
  12. ABHR topical

    Where do you put it? How often can you give
  13. New Director

    Our new director screams and yells at people like a psycho. She yelled at our very sweet secretary for telling someone that we hired a new CNA. So now our very much loved and treasured secretary is...
  14. My company just hired an RN that works for our competing hospital part time and for us she is PRN. Her plans are to ditch the other job, but she is worried about giving up the benefits. She's kind...
  15. When you talk to the nurse taking care of your patient in a facility and she says "I skipped patient's last dose of scheduled morphine and lorazepam because they didn't need it". This is they patient...
  16. What is your typical response?

    Not the lady I had on Saturday. Her resps were 8 and in extreme
  17. What is your typical response?

    If they are writhing in pain,squirming all over the bed, moaning and crying, I would hate to have them hold it for resps of 8 for a Hospice patient
  18. What is your typical response?

    This was actually a scheduled dose that the nurse held. I feel like I have educated her about the reason for scheduling it, and why the patient needs it, till I'm blue in the face, but maybe I should...
  19. When you call to get advise with meds, do you have good luck with Hospice
  20. Its a chronic problem for me. Yesterday a guy that works for the DME company that our Hospice has a contract with complained about me. He said that I order stuff when the patient is too sick to use...
  21. I am a new Hospice nurse, and I REALLY wish I had experience in LTC. What I need to know is what can I do to make you LTC nurses' lives easier and better. What can I do to be loved by you and...
  22. Good or Bad Luck with Hospice Pharmacia?

    I had one, when I asked for advise for a cream to rub on aching joints ( I was thinking along the lines of ketoprofen or something Voltaren) and he insisted on ibuprofen or naproxen when the terminal...
  23. I learned today that there is one bad characteristic of hospice nursing! And that would be ICE STORMS. I about busted my rear end trying to get from my car to my patients' homes. Its a miracle I...
  24. Wound care puzzle

    I'm just learning this. Had a patient last week that I learned it was not related to his terminal diagnosis. What are some examples that it would be related to terminal diagnosis? Thanks
  25. If you had to do it over again would you?

    Its really not that way for my husband though, and he is a cop. He is not worked to death like we are and the stress is just not nearly the same. I've been a nurse for 22 years, husband has been a...