smurfynursey

smurfynursey

peds palliative care and hospice

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All Content by smurfynursey

  1. leg pain

    Hi all, I am not a dialysis nurse. I know a patient who gets severe leg cramps during dialysis. This has been happening more and more frequently. She is in her 90's and has been on dialysis for 10+...
  2. Best City to Work/ Have a Career in

    I worked in DC for 6 months and while I didn't hate every minute, I def. despised the city and the working
  3. honoring your kiddos

    hello AN, One of the kids that I took care of recently passed. I wasn't with him for that long (4 months), all things considered and didn't find out he passed until 2 weeks later (yesterday). I sent...
  4. Need help in my peds home health case

    So this might not be the best of ideas...but it works. If she lets you, plug her nose (just for a breath) and see if it goes away. If it does, its all
  5. favorite LOLs and LOM

    I know there are a few threads like this, but thought I would share some quotes of my favorite patients. lady 1 Older lady, new wound in a tough spot. I made an appt for her to see her PCP (for...
  6. new grad in the NICU

    ditto what the others said...You won't know which was is up for a long time...just be the little engine that could and you can! ICUs are a hard place for new grads. Admittedly, I've never done ICU...
  7. Working for 2 agencies at the same time

    If I was working for another agency that offered the same services in the same area, I imagine I would be. My other agency is peds private duty vs adult visits. My primary job doesn't accept any...
  8. Discontinue tube feeding

    The
  9. What do you take for lunch?

    subway!
  10. See if any HHAs near you have a parent child health program. They see a combo of new moms (at risk or not) with wounds, young moms, ect and kids that need nursing care (lots of hem-onc,but other...
  11. Pediatric oncology

    From what I understand, it is about
  12. Discontinue tube feeding

    (I know this is different) I used to work at a pediatric hospice, and often times what we would do is slowly change from full strength, to half strength (pedialyte) to just pedialyte and then slow it...
  13. New Grads Training in HHC

    How you do things differently in home care. I've trained a few new grads in settings that are not the hospital, and they are heck-bent on doing it the exact.same.way as they did in school. It...
  14. Working for 2 agencies at the same time

    It depends on the agency. Mine, for example makes you sign a conflict of interest form that you can't work for another company that provides the same services in the same area. I do PDN and visits,...
  15. When children die

    Ashley, Where do you work? I didn't know children's hospitals had a "hospice unit". I worked at a freestanding pediatric hospice until Christmas, is it like that? I love peds palliative care and...
  16. Sounds like this child would defiantly benefit from palliative care. What does the doc say? I worked at an inpatient pediatric hospice and some of the docs from the Children's hospital near us were...
  17. Acute Rehab preceptorship? please help

    JUST because you are not working at an acute care hospital DOES NOT mean you will not "learn"... I worked at a pediatric rehab hospital and I did different things than acute care...but I wouldn't...
  18. I agree with CC Wisconsin. A patient/resident may not know why you are there, but can sense that they are not alone. It can be challenging, especially if you aren't used to it. Even if you feel like...
  19. last Christmas wish

    Does anyone else have patients that want to die for Christmas? They aren't suicidal by any means...just ready to die and are tired of being sick. I am new (sort of) to hospice, all I've done before...
  20. last Christmas wish

    I'm not saying its right or wrong, just asking if others had the same experience. And I agree, Most familes would hate to associate Christmas with the date of their mother/sister/daughter/friend's...
  21. The abandoned children

    I used to work at peds rehab/sub acute/LTC facilities/units for kids and I can identify with this post on so many levels. On one hand I can understand (not agree, just understand) where these...
  22. Probationary Period

    The probationary period usually means they wait that long to make you permanent and not temporary. My job now has a 6 month "introductory period" to make sure that you are a good fit for the company....
  23. I have had both experiences Some places don't mind if you wait, and others will not give you the time of day without a license from that state. I always put in my cover letter that my application...
  24. Hilarious maternity nursing sayings/pics

    I have never done (and never want to do!) PP/LDRP nursing but i highly enjoyed these!
  25. Do your families give you anything for the holidays?

    I got a card with my patient's picture. (hugs) that would have upset me