Kittypower123 BSN, RN

Hospice

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All Content by Kittypower123

  1. Kittypower123

    Day 2: 2016 Nurses Week Fill In The Blank Contest

    Kittypower123 replied to allnurses's topic in General Nursing

    ...the foley leaked all over the
  2. Kittypower123

    I don't thnk these patients are appropriate

    Kittypower123 replied to Raviepoo's topic in Hospice, Palliative

    That is not actually the case. AZ patients who qualify for hospice meet a FAST of 7A and a PPS of 50 or less. They may still be ambulatory (loss of that ability is further down on the scale) and still...
  3. Kittypower123

    Ridiculous medical mistakes on TV

    Kittypower123 replied to adventure_rn's topic in Nursing Humor

    I was watching The Walking Dead and the town they were in was attacked. Not by zombies, by other people. Anyway, a woman is carried into the clinic with a large slash wound to her abdomen. The lady...
  4. Kittypower123

    Help for the new hospice nurse please

    Kittypower123 replied to LovelyLu's topic in Hospice, Palliative

    All the things mentioned above are good points. I think it's important as well to involve the nurses at the LTC in the decisions about changes to POC and/or meds. They know what's going on with the...
  5. Kittypower123

    CHF alzhemiers difficulty

    Kittypower123 replied to Kerber's topic in Hospice, Palliative

    Sometimes patients with Alzheimer's have increased agitation with Ativan. Perhaps try Haldol instead rather than in addition to. I've seen Haldol and Seroquel given together work well too. When all...
  6. Kittypower123

    Dementia pts and hospice

    Kittypower123 replied to Carla25's topic in Hospice, Palliative

    Hopefully you have a copy of the FAST with you for reference. It's important to remember that you cannot skip an item. Start at number one and continue until something doesn't apply to the patient....
  7. Kittypower123

    A nurse but not hospice or geriatric nurse

    Kittypower123 replied to imenid37's topic in Hospice, Palliative

    I'm sorry that your mom is ill. You are going through a difficult time and difficulty in many aspects of life is not unusual. If your mom is not already on hospice, I would recommend getting hospice...
  8. Kittypower123

    The Death Knell Of Hospices Everywhere

    Kittypower123 replied to chordringer's topic in Hospice, Palliative

    Just this week I had to talk to the Medicare Part D for a patient. I gave the name, dosage and diagnosis for each non-covered med as well as the hospice diagnosis. Once I had done that, the person I...
  9. Kittypower123

    time to step back

    Kittypower123 replied to rustysflygirl01's topic in Hospice, Palliative

    It hasn't happened to me personally, but I did know a nurse who went through something similar. You need to allow yourself time to deal with your grief. Do something else for awhile and if you decide...
  10. Kittypower123

    Pain medicine and bone mets

    Kittypower123 replied to esrun00's topic in Hospice, Palliative

    Havd you tried Methadone? I have had very good results with methadone for bone mets pain. It takes 3 days to build up in the system so you have to wait before titrating. For my patients with bone...
  11. Kittypower123

    How do you deal with death?

    Kittypower123 replied to succinate's topic in General Nursing

    I've dealt with death personally and I'm surprised to hear you say that you "got over" the death in your family in two weeks. When someone you are close to dies, you don't ever "get over" it. You...
  12. Kittypower123

    LPN hired into hospice.. only have ALF experience

    Kittypower123 replied to zelda2012's topic in Hospice, Palliative

    I think I'd ask for more time at the HH, not just shadowing, but helping the nurses and actively seeking to be involved with procedures you're not familiar with. You need to get hands-on as much as...
  13. Kittypower123

    I am Really Enjoying My Hospice Clinicals (Community Health Class)

    Kittypower123 replied to lifelearningrn's topic in Hospice, Palliative

    I also worked in LTC first. I learned a lot and feel that I was better prepared for
  14. Kittypower123

    Question about dressing

    Kittypower123 replied to NurseDianne's topic in Hospice, Palliative

    We had a patient with a similar problem. We used zinc oxide applied daily (after cleaning the legs of course) covered with abd pads and wrapped with kerlix. We did the wound care daily and the wounds...
  15. Kittypower123

    Should we teach unlicensed caregiver . . . . .

    Kittypower123 replied to Spidey's mom's topic in Hospice, Palliative

    Could you get an order for Haldol cream/gel? Easier to teach the caregiver to administer and safer for CG and
  16. Kittypower123

    Volunteer?

    Kittypower123 replied to Irene Jeanette's topic in Hospice, Palliative

    I'd suggest going straight for your RN, LPN's have limited roles in hospice and many aren't hiring LPN's
  17. Kittypower123

    Do many hospice patients also have continuous G-tube feedings?

    Kittypower123 replied to Blackcat99's topic in Hospice, Palliative

    At our hospice, the patients with G-tubes were admitted with them. We won't make them stop using the g-tube but will only pay for the formula if it is the patient's only source of nutrition. If a...
  18. Kittypower123

    Win $100! February 2013 Caption Contest

    Kittypower123 replied to Joe V's topic in News, Announcements

    I hate it when they
  19. Kittypower123

    What song describes your workplace environment?

    Kittypower123 replied to Blackcat99's topic in Geriatric, LTC

    The theme song to Mission
  20. Kittypower123

    Old car guys in nursing home

    Kittypower123 replied to Brian's topic in Nursing Humor

    Reminds me of when I was a CNA, I found a gentleman on the floor under a table in the dining room. When I asked him what he was doing, he told me he was trying to fix the thing-a-majig on the train....
  21. Kittypower123

    Hospitals illegally firing nurses for refusing flu vaccines

    Kittypower123 replied to AQEELSMOM's topic in Disaster Preparation

    The job of a hospital or other healthcare facility is to provide an environment of healing for the patients. This includes protection against facility acquired illness. Influenze can be particularly...
  22. Kittypower123

    Surveyors on site--help with GTube Medications?!?

    Kittypower123 replied to santeeaholic's topic in Geriatric, LTC

    Look up your facility's protocol and follow that. It doesn't matter what the regulation says. If you violate your facility policy, you will be cited. This happened at our facility when one of the...
  23. Kittypower123

    I received a "write up" warning at my LTC

    Kittypower123 replied to Blackcat99's topic in Geriatric, LTC

    Been there done that. Generally I'm pretty good at getting out on time, even with the charting. Sometimes though, I have one of "those" nights and just can't get out on time. I've found that if I fill...
  24. Kittypower123

    First job advice...

    Kittypower123 replied to sdugan07's topic in Geriatric, LTC

    It really depends on your long term goals. If you want to work in geriatrics/LTC, go with that one. If you see yourself in the hospital in the future, it would be better to take the hospital
  25. Kittypower123

    Things pts say that make you scratch your head.

    Kittypower123 replied to Mommy&RN's topic in Patient, Colleague Relations

    Well, not a patient, but a family member. I work in LTC and the daughter comes running up to nurse's station yelling "Call 911 she can't breath!" Knowing this family and patient, I did not pick up...