TammyG

TammyG

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All Content by TammyG

  1. Approaching tough subjects with the boss

    TammyG replied to Butterflyxx0621's topic in Hospice, Palliative

    I don't want to sound non-supportive, but I don't understand exactly why you are upset. You signed up for a PRN role, presumably because it offered you the opportunity to turn work down when you...

  2. Counting Narcotics Every Vist

    TammyG replied to lifelearningrn's topic in Hospice, Palliative

    I always look at the opioids every visit anyway, to make sure that there is an adequate supply. I don't see any problem with documenting the count. I hate to see any additional documentation...

  3. Advanced patho/pharm

    TammyG replied to nyc2011's topic in Student Nurse Practitioner

    I was working fulltime at the time I took Advanced Patho and did fine, and I did work a fair bit of overtime in there too (but not a crazy amount). But, it was my only class so I had plenty of time...

  4. I want to be a Hospice Nurse

    TammyG replied to FrancineRyan's topic in Hospice, Palliative

    I strongly advise you to get some hospital-based experience first. You can't get that kind of training in home health. In the hospital, you are constantly surrounded by experienced nurses and see...

  5. Hospice Case Management

    TammyG replied to nurseontheway's topic in Hospice, Palliative

    I was a case manager for three years (now doing on-call), and I rarely worked less than 10 hour days. I had 14-17 home patients in my case load in a busy metro area with quite a bit of driving daily....

  6. CHPN certification

    TammyG replied to Elle23's topic in Hospice, Palliative

    I relied solely on the HPNA core curriculum and did

  7. Recent DNP-FNP graduate, interviews approaching and pregnant. Advice?

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

    I see that the OPs situation is resolved favorably. However, everyone should know that it is blatantly illegal to make hiring or other employment decisions based on pregnancy status. Personally, I...

  8. Looking for Resources to study for CHPN Certification.

    TammyG replied to blondepenguin's topic in Hospice, Palliative

    I agree with Compassion75 that you will do fine with the study guide and core curriculum. I also bought the unlimited CNE at gannet which had some "certification prep" courses, but did not find them...

  9. Time gap between school and starting work??

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

    I am graduating this month and pretty much the whole class will continue working as an RN until they get an NP job. I have gotten a lot of advice not to rush things – – I plan on taking an entire...

  10. Personal Mental Health Issue

    TammyG replied to I'mReallyDumb's topic in Job Search, Interview, Resume

    No employer can legally ask about your mental health background, except for a very few public employers dealing with public safety or involving govt security clearances, and even then the scope of...

  11. Care for surviving family

    TammyG replied to drem7116's topic in Hospice, Palliative

    It could be that the patient is too sick to leave the hospital, and the hospice does not have GIP beds there. A palliative care consult would be very helpful. The other suggestion to Life With Cancer...

  12. I need encouragement/motivation

    TammyG replied to TheDude77's topic in Advanced Practice

    Not really. Only that, it gets worse from here. Getting through NP school is a long hard slog. You just have to keep your eye on the light at the end of the

  13. Career Transition-NP

    TammyG replied to CKOBXT's topic in Student Nurse Practitioner

    It is a long process. Just getting the RN will be a 4-semester program, then another 4-semesters for the NP, and that is full time. Nursing school is very difficult because of the long clinical...

  14. Is there such programs?

    TammyG replied to EMEddie's topic in Student Nurse Practitioner

    You need to have be an RN and have a bachelor's degree (though not necessarily a BSN) to apply to any NP program that I am aware of. Some programs also require a

  15. Bio Degree, then Nursing School?

    TammyG replied to msomig's topic in Student Nurse Practitioner

    Agree with DPT133. You are so close to graduating now, it will take you at least a year to find and apply to a nursing school program anyway, plus there are undoubtedly prerequisites that you'd need...

  16. RELOCATION!

    TammyG replied to Missy89's topic in Student Nurse Practitioner

    I have never heard of a "DEA exam." I thought it was just an application. Since the DEA is a federal agency, one DEA license should follow you around from state to

  17. Attorney to Nurse Career

    TammyG replied to Brett73's topic in Legal

    I have no interest in legal nurse

  18. RELOCATION!

    TammyG replied to Missy89's topic in Student Nurse Practitioner

    I had thought that, if your target state (that you are moving to) is a compact state and you have an RN license in another compact state, you don't need to apply for your RN in the target state before...

  19. Attorney to Nurse Career

    TammyG replied to Brett73's topic in Legal

    I practiced law for 15 years before starting back to nursing school. I wanted a total change in professions, one that would give me a lot of personal satisfaction. I have been a nurse for 4 years...

  20. On-call hospice nurse

    TammyG replied to lwheatley's topic in Hospice, Palliative

    My hospice has an "on call" team so the case managers truly are "off" at 5 pm (at least in the sense that they do not need to respond to patient calls or do visits). On-call nurses have regularly...

  21. Assessing Anxiety, SOB, nausea in patients that can not rate the symptom

    TammyG replied to nashva's topic in Hospice, Palliative

    I believe that CMS Hospice Quality Reporting Measures require that each hospice provide quantification of how well and quickly it addresses dyspnea in newly admitted patients. This is what led to the...

  22. Do Hospice Providers Benefit...

    TammyG replied to westieluv's topic in Hospice, Palliative

    According to AANC (which does not administer the CHPN certification), certified nurses report more personal growth, recognition, increased autonomy, empowerment, career advancement, increased...

  23. Pressure Ulcer Care (Stage IV)

    TammyG replied to lifelearningrn's topic in Hospice, Palliative

    It sounds like your protocol is appropriate. The problem with Santyl is (1) many hospices won't pay the $200 for it and (2) it requires daily dressings, which may be difficult for some caregivers....

  24. CHPN certification

    TammyG replied to Elle23's topic in Hospice, Palliative

    There is no requirement of specific experience as an RN or hospice RN to take the CHPN exam, just a "recommendation" by the board. I took the exam when I was working in oncology. Although I did not...

  25. Heplock to home hospice?

    TammyG replied to BmoreRN82's topic in Hospice, Palliative

    We prefer not to take a patient with a peripheral IV, but will certainly do so if there is a good reason and if the IV is in good shape and we will have enough nursing coverage to properly monitor. I...