Kittypower123 BSN, RN

There is no rule that you have to work exclusively in wound care. I got my certification while working in hospice. I continued to work in hospice for a few years then decided to move into full time wound care.

Houston, TX - need I say more?

In a society that didn't even know where diseases came from. They didn't know about bacteria, viruses, etc. They had no good healthcare and terrible hygiene. Things are very different now. And over half a decade still gives time for the development o...

But life went on after the plague. People survived. And this isn't 1333. It's 2020. Brilliant minds are working on developing a vaccine and on developing treatments. This hasn't wiped out 40 million creatures and I seriously doubt it will. Even if it...

First of all, we will develop a vaccine, many are working on it now. Second, in between recurrences, there will still be births. Third, those who get it and survive may be immune the next time around (obviously we don't know that yet, but it's possib...

While I agree that this has the potential to be incredibly devastating to world's population, I don't quite see the extinction of mankind. Even if 20% of the population died, that still leaves 80%, many of whom can and will have children. Am I missin...

Thank you both for sharing, I'm interested in education about COVID-19 too.

When I worked in a SNF it was 30+ patients when all the nurses showed up and more if they didn't. Med pass also included blood sugar checks and insulin administration and checking labs for PT/INR levels on 2nd shift. Plus we had to do things besides ...

I smell it too. It's actually kind of handy in hospice, I can let family members know their loved one is close to death. Help them prepare a little.

I've been away from this site for awhile. But I would like to clarify. I do not do my documentation after the admission visit. I do it on-site. But, I do a thorough evaluation of the patient to determine whether or not they are appropriate for hospic...

There are a few things that help your patients and their families to have positive experience. First, don't promise anything that you can't personally deliver on. If it's not up to you, don't promise. Be honest about what you and hospice can and cann...

Back when I was working in a SNF, I had a patient on Coumadin. The INR came back at 5-something and there was blood in the foley bag. Called the MD and he said to give the Coumadin and retest in the morning. Um...No. Sorry, not going to do that. Got ...

I'm so sorry you're struggling with grief. It does come with the territory, as much as we try to be professional and have boundaries, some of our patients just get to us. Your hospice company should have chaplains, they can help you too. They're ther...

Time management can be difficult. You can plan your week, but it won't turn out that way! One thing I do is front-load my week. I plan to get almost all of my visits done in the first three days of the week. I know it won't happen, but if I plan for ...

Me too. I scored 22 on that little list. As a hospice case manager, I visit patients where they live. I love being able to see one patient at a time, then spend time by myself between visits. Facilities can be a bit on the noisy side, but I don't hav...

Amen!! I hate it when I hear "Morphine kills people." Or that hospice does for that matter. Keep getting the word out.

So well said! So much more education on pain control and narcotics is needed, specially in regards to end of life. I run into the Morphine kills, once you start taking Morphine you'll be dead in 2 weeks, type comments. Thankfully, I work with a docto...

I just want to put this out there - "Normal" is a setting on your washing machine. Everyone is unique. As others have said, there is no stigma with taking medication for diabetes, allergies, hypertension, sleeping disorders or whatever. There shouldn...

I've had a few patients with sudden and quickly worsening wounds. Not all were sacral though. The first was actually her heels. I did a full skin assessment in the morning and was called back in the afternoon to by the aide to find both heels had lar...

I work in hospice too and am going to pursue wound certification. If you go the WOCNCB website and look at the eligibility for the exam, it explains that there are two different pathways. Taking a course and successfully completing it make you eligib...

A mass email saying "Thanks nurses! etc." At least it came out at the beginning of Nurse's Week this year, instead of the last day like last year (I think they forgot last year...oops). No reference at all the theme of the week though. From some of t...

That wasn't a suppository!

As soon as I finish this assessment I need to change the dressings in rooms 5 and 7, change the foley in room 6, help Susan in with the wounds in room 8, do my next med pass, and finish my charting.

1. Things will never go according to plan. 2. Lunch is a luxury. 3. The last hour of the day is the most nerve wracking. 4. You will rarely get everything done. 5. There is a fate worse than death.

They're all alive and I'm off at 5!