NC29mom

NC29mom ASN, LPN, RN

Hospice, Geriatrics, Wounds

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All Content by NC29mom

  1. Pain medicine and bone mets

    NC29mom replied to esrun00's topic in Hospice, Palliative

    I'm pretty sure the poster meant morphine sulfate IMMEDIATE RELEASE Q4H PRN. ....bc we certainly wouldn't be dosing an extended release morphine tablet

  2. seeking sources for education in pain mgmt

    NC29mom replied to NC29mom's topic in Pain Management

    yeah, i did that before posting the question. just wondering if anyone knew any awsome resources, without me having to plunder through the search pages.

  3. employer education

    NC29mom posted a topic in Hospice, Palliative

    I'm so beyond frustrated with my employer and the lack of education. Hospice is a PHILOSOPHY OF CARE including an extensive need for knowledge regarding symptom management. Its not something someone...

  4. employer education

    NC29mom replied to NC29mom's topic in Hospice, Palliative

  5. employer education

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    BTW, Does anyone know where to find education, seminars, resources on pain

  6. employer education

    NC29mom replied to NC29mom's topic in Hospice, Palliative

  7. Pain medicine and bone mets

    NC29mom replied to esrun00's topic in Hospice, Palliative

    Evidently you aren't familiar with hospice. No, our doctors, or the pts attending doctors, see the pt. Yep. That's right. And, its the patients decision and right. These are terminally ill pts, who...

  8. Uncontrolled pain- how to approach the Doc?

    NC29mom replied to Sam J.'s topic in Pain Management

    To add.....Medicare makes a BIG deal out of pain. Its the 5th vital sign and MUST be addressed. Like I said.....find a doctor who will listen and treat pain accordingly. Its not that hard to

  9. Uncontrolled pain- how to approach the Doc?

    NC29mom replied to Sam J.'s topic in Pain Management

    Pts have rights. ...including choosing their own doctors. I've had similar situations with hospice patients. Not unheard of for our patient to decide they would rather have our medical director...

  10. Pain medicine and bone mets

    NC29mom replied to esrun00's topic in Hospice, Palliative

    What in the world??? People get a grip!!! What's the difference in this posters question and a poster on wound forum asking what dressing would work best for xyz wound?!? We are not doctors and cannot...

  11. Hospice EMR

    NC29mom replied to Nascar nurse's topic in Hospice, Palliative

    Forgot to add....our hospiscript account is linked with our homecare Homebase. So, hospiscript can see our pt med profiles. Does it help? No. Actually had a local pharmacy call me today bc apap...

  12. Pain medicine and bone mets

    NC29mom replied to esrun00's topic in Hospice, Palliative

    You need to be more specific regarding his pain. How does he describe it? This will give you the knowledge to know how to suggest to manage. Seems most people on this lost are assuming his pain is r/t...

  13. Hospice EMR

    NC29mom replied to Nascar nurse's topic in Hospice, Palliative

    We've used McKesson and Homecare Homebase. Neither fabulous in my opinion. McKesson can be manipulated by your company and used how you want. I worked for one hospice who had it figured pretty basic...

  14. Hospice EMR

    NC29mom replied to Nascar nurse's topic in Hospice, Palliative

    Will you be using for in pt unit or

  15. Would you accept a shift...

    NC29mom replied to LTCNS's topic in Hospice, Palliative

    Run away..

  16. Massage and Music therapies

    NC29mom posted a topic in Hospice, Palliative

    We had several offices within our network that offered either massage or music therapy to our patients. Sadly, we were bought out by a huge corporation almost a year ago. Last week they announced we...

  17. bad bad deaths

    NC29mom replied to NC29mom's topic in Hospice, Palliative

    We have the option of using the pca's also, but not every pt is appropriate to use. As a matter of fact, we rarely use. Generally we are able to allow the pt a comfortable death using po/pr routes. I...

  18. When do you get Narc orders?

    NC29mom replied to casi's topic in Hospice, Palliative

    I try to get my pts comfort kit meds right after admit....with a dnr (if they want). Nothing makes me madder than being on call in the middle of the night with a newly transitioning pt who has NOTHING...

  19. Hospice...hostile and toxic work environment!

    NC29mom replied to RENnurse4/17's topic in Hospice, Palliative

    Oh sure we have on call nurses. ....US! I work for a huge company, but our office only has about 40 pts. So, we work our regular week, and then take call a few nights a week, and every other weekend...

  20. Hospice...hostile and toxic work environment!

    NC29mom replied to RENnurse4/17's topic in Hospice, Palliative

    Actually I was referring to the stressful environment. ...in which your coworkers and pt/pt families feel we as hospice nurses have no life other than hospice. I've changed by cell phone number...

  21. Question about dressing

    NC29mom replied to NurseDianne's topic in Hospice, Palliative

    I would love to know of a wound that wouldn't be related to the diagnosis in which the hospice refused to provide supplies. Sounds like a cop out to me. We provide wound supplies regardless of...

  22. Hospice...hostile and toxic work environment!

    NC29mom replied to RENnurse4/17's topic in Hospice, Palliative

  23. Calmoseptine on a stage II?

    NC29mom replied to shannaleea's topic in Wound, Ostomy, Continence

    My all time favorite choice for a stage ii is Lanteseptic. Does wonders and I live by it. I think the ingredients may be similar to what you are talking about. Depending on the location of the wound,...

  24. Teaching material for Care Kits?

    NC29mom replied to joyprn's topic in Hospice, Palliative

    We don't use "comfort kit boxes" either. However, we get comfort meds in the home soon after admit (pt per pt basis) and ask cg's to store until needed. Not every pt needs comfort meds so I completely...

  25. Odourous wound

    NC29mom replied to nettie01's topic in Wound, Ostomy, Continence

    Absolutely. ..apply gel to wound bed or impregnate gauze with gel and pack....depending on what kind of wound/dressing. ... You can also use tablets. Crush and sprinkle over wound bed. I must add...