Meliss214

Does a pt automatically qualify for GIP when lopressors are discontinued?

I was terminated yesterday for calling another hospice doctor at our company for advice on how to handle a pt's unmanaged symptoms. I disclosed the pt's age and her dx of ES Parkinson's and the symptoms that were not being managed by the pt's physici...

duplicate

Yes, the doctor that I consulted with is employed with the hospice company. The other reason that they are using to justify my termination is that I called in an order for lorazepam which is part of comfort kit. However, when the doctor refused to ap...

Thank you! This was the first time in 4 yrs as a hospice nurse where the hospice doctor refused to let me send out a comfort kit. I know the company was desperate for referrals, but I didn't think they would stoop so low as to compromise the care of ...

I commend you for surviving so long in those conditions. I love hospice, but have not been impressed by the business side of it. I tried case management after starting out as the weekend oncall nurse and have found that the CMs are exploited beyond b...

I currently work that shift. Definitely prefer these hrs compared to the m-f schedule. I'm responsible for doing admissions also so I usually work Mon and Tues doing paperwork. The worst part of this shift is having your sleep interrupted to go out o...

I received orders from the Dr to give a pt with COPD and lung ca 15 L of oxygen because the pt is experiencing respiratory distress and the ativan and morphine were insufficient. The pt was previously on 5 Lof 02 until the family bumped up the oxygen...

Thanks for responding. The pt and his wife prefer increasing the oxygen instead of increasing the morphine dose.

What if the pt has lung cancer along with COPD, and prefers hi flow oxygen instead of high doses of morphine?

I had 6 mos of nursing experience when I was hired to work as a hospice RN. I spent 1 mo shadowing the case managers and assisting when possible. Fortunately I had a supervisor who was just a phone call away so I never felt like I was all alone. I've...

I'm beside myself right now because my DON won't let me call in an order for cipro to treat a UTI in a pt with bladder cancer because she considers it to be an aggressive treatment. Am I overreacting?

Yes, the patient is on hospice and since I am new to hospice and this company, I didn't no that I could order cipro without the DON's permission, although she would like me to think that I need her permission. I was informed yesterday by the on call ...

I left the hospital scene after enduring "bullying" behavior from the veteran nurses. I now have to drive all over Houston to care for hospice patients, but it's worth not having to watch your back from disingenuous co-workers.

Congratulations on making it this far! I only lasted 4 mos at my first job as a psych nurse and 2 mos as a day surgery nurse. I couldn't stand the nastiness of the other nurses. I'm 44 so I'm ready to leave the high school mentality. I'm excited abou...

I've just been hired to work the weekend on-call shift which begins at 5 pm Friday and ends 8 am Mon. I'm wondering if anyone has any tips on how to survive this type of shift. My area spans 100 miles and I'm wondering if I should get an apartment th...

Thank you Lotlie for your response. I've read that being on-call involves less paperwork than being a CM. My main challenge will be finding time to sleep. I've been told by my manager that if I get a 2-3 hr break, I'm good to go for another 12 hrs. I...

I too have quit 2 nursing jobs in my 1st year. Both places have a high turnover rate so I'm trying not to take the experiences too personally. Do I have to list both jobs on my resume?

I got hired at a hospital today by bypassing HR to meet the nurse manager on the unit. The hospital that hired me has a reputation for hiring new nurses and my friends told me that you have to meet face to face with the nurse managers in order to get...

Only if your license was suspended. A former employer is restricted from sharing any info regarding your job performance.

At least you weren't suspended like I was for failing to notify the attending. I left that toxic work environment since my supervisor believed the nursing is an autonomous job even though my charge nurse and I were equally responsible for all the pat...

I just resigned as a psych nurse after 4 mons because the NM suspended me for failing to call the attending regarding a patient's bp that was not responding to the meds that the medical dr was ordering. I had mentioned the pt's bp problem to the atte...

Some of my friends took the initiative to meet the nurse manager and ask if they could schedule an interview for the posted position. I recently resigned from my position as a psychiatric nurse, and if I don't get the job that I just interviewed for,...

I'm working at a facility that was recently purchased by UHS. So far nothing has changed except the incidence reports.

I so needed this thread. I too have been accused of being difficult to work with. So now I'm going to ask for specific examples. I would love to quit and start off fresh somewhere else since I feel that I have been labeled.