TammyG

TammyG

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All Content by TammyG

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

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

    About ten years with two different hospices. I have never seen any gossip or backstabbing. It could be that I am just not sensitive to it. I never noticed any in the hospital jobs that I had...

  2. Question about dressing

    TammyG replied to NurseDianne's topic in Hospice, Palliative

    One example I have seen recently is a chronic scalp wound resulting from a craniotomy a few years back; hospice diagnosis is COPD. Another is an infection at surgical site following hip surgery;...

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

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

    I have never heard of a hospice environment like that. RN CMs usually only see each other at team meetings every other week -- there is not time to gossip! Unless a family calls in to complain, the...

  4. Hospice on-call schedule

    TammyG replied to fireball78's topic in Hospice, Palliative

    My hospice has dedicated on call nurses, and dedicated triage (phone) nurses. RNMs do not do any

  5. Anyone ever been in this situation

    TammyG replied to jaznia15's topic in Student Nurse Practitioner

    I think you will be best off getting a good night's sleep and relaxing. An 85 sounds very do-able given your past history with this class, and it seems even the professor has realized that the class...

  6. CCRN looking towards JD

    TammyG replied to Dontknowwhattodo's topic in Legal

    I am one of those JDs that quit and went to nursing school to be a "glorified grunt." I practiced law for 20 years, hated every minute of it. I love nursing. I help people every day. I don't feel...

  7. Stage 2 wound...

    TammyG replied to MessyMomma's topic in Wound, Ostomy, Continence

    We have a running joke about wet-to-dry. I swear that is the only dressing change MDs learn during residency. All our fellows come in and order wet-to-dry for every patient they

  8. Raise your hand if you worked and went to NP school full time?

    TammyG replied to TheDude77's topic in Student Nurse Practitioner

    Most of my class works full-time at the University hospital -- in fact, they have to as a condition of having their tuition paid. It is expected that they will complete the program in three years --...

  9. Completed BSN prior to applying?

    TammyG replied to MBrickle's topic in Student Nurse Practitioner

    Every school is different. I remember at the time, Georgetown's FNP program did not require any prior NP experience, but their acute care NP program did. I actually did not start NP school for a few...

  10. Wound Care NP???

    TammyG replied to wildcatarnp's topic in Nurse Practitioners, NP

    I am pretty sure that there is an advance practiced certification for wound care, kind of like an advanced practice WOC. You need to have a few thousand hours of practice to qualify for it, plus lots...

  11. Can't Keep Looking at the Bright Side (I just want to cry)

    TammyG replied to mountainaireNP's topic in Nurse Practitioners, NP

    I am so sorry you are having a hard time right now. You just have to keep trying and applying for every job you can. Do as much pro bono work as you can afford to do, lots of opportunities for NP...

  12. Question about dressing

    TammyG replied to NurseDianne's topic in Hospice, Palliative

    We often use elastic retention netting (try Curad size #5) and ABD pads on leg wounds that need frequent changes. Otherwise you'll spend a fortune on specialty dressing. If you have to change the...

  13. Assessing Acute Abdominal Pain vs. Cancer Abdominal Pain

    TammyG replied to Nurseknit's topic in Hospice, Palliative

    The assessment of acute abdominal pain versus cancer pain is a medical diagnosis and should be done by an MD. I would imagine that most acute abdominal conditions arise more abruptly, but not always...

  14. The Best Study Materials for NBCHPN's Certification Exams

    TammyG replied to areensee's topic in Hospice, Palliative

    I also studied with the study guide and core curriculum. I thought that was sufficient preparation. I have a lot of experience in oncology and I definitely thought that helped, since there were a...

  15. Is Hospice Nursing depressing?

    TammyG replied to middleagednurse's topic in Hospice, Palliative

    I could have written dottimur's post. I also love hospice nursing and find it uplifting. I am sometimes euphoric when I leave, as weird as that sounds, because I am so happy that I helped to give...

  16. Teaching material for Care Kits?

    TammyG replied to joyprn's topic in Hospice, Palliative

    We stopped the care kits years ago. Someone decided they weren't consistent with regulatory authority, or

  17. Foley cath

    TammyG replied to Vtachy1's topic in Hospice, Palliative

    I never cath unless there are signs of discomfort or

  18. working full time during clinicals

    TammyG replied to LookForward's topic in Student Nurse Practitioner

    I am working full time and am in my first semester of clinicals. It has been a real struggle. I am not sure if things get easier or harder after the first semester. And all my kids are grown. But...

  19. NP Student with doubts...

    TammyG replied to Dancer10's topic in Student Nurse Practitioner

    I am feeling the same as AmakaFNP. I am an adult NP student and also questioning why I ever started the process. I loved my job as an RN. But I also have gone too far and can't quit now. The way I...

  20. Should we teach unlicensed caregiver . . . . .

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

    The provision you quote above applies only to facilities. You may want to check out the implementing regulations, California Code of regulations Title 22 which might have more to say about the...

  21. would like to work home hospice

    TammyG replied to ohmeowzer RN's topic in Hospice, Palliative

    Larger companies tend to hire separate nurses for case management (M-F 8-5) and on-call (all other hours), but in small companies you do both. RN case managers in my company are paid salaried,...

  22. Discharge from hospice

    TammyG replied to curiousinCA's topic in Hospice, Palliative

    Patient's don't need to improve in order to be discharged from hospice -- they just need to not decline. (Lots of double negatives in there.) It is a medical decision and the responsibility of the...

  23. Too Much Suffering

    TammyG replied to GundeRN's topic in Hospice, Palliative

    That's awful. Hopefully the code ended quickly and the patient was already dead and did not feel anything. One of the worst experiences I had was when my lovely 94-year old godmother was coded...

  24. Pt cant forgive...

    TammyG replied to smalltownLVN's topic in Hospice, Palliative

    I think that, as an RN, I do not have the training to do that type of work with the patient. Our social workers have this training and are very good at dealing with these issues, as does our...

  25. Should we teach unlicensed caregiver . . . . .

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

    State practice acts generally do not enumerate specific acts that are permitted to unlicensed personnel such as CNAs -- that is why they are unlicensed. Their duties are not specified. Rather, the...