doodlemom

doodlemom

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All Content by doodlemom

  1. Pain Management Protocol

    doodlemom replied to webblarsk's topic in Hospice, Palliative

    Maybe it would be helpful to your hospice if your Medical Director would do inservices (on various subjects regarding end of life care) for physicians. That way other physicians get to know him/her....

  2. Pain Management Protocol

    doodlemom replied to webblarsk's topic in Hospice, Palliative

    We are lucky in that our medical director is very well respected (by most physicians - there are always those that just don't get it). When we fax a request to start a pt on methadone, we will usually...

  3. Pain Management Protocol

    doodlemom replied to webblarsk's topic in Hospice, Palliative

    Depending on how much and what kind of pain a pt has, we will start them on different regimens. Obviously if it's a cancer pt and they are telling us they are having severe pain then we might start...

  4. Trends in dying process

    doodlemom replied to req_read's topic in Hospice, Palliative

    It's very interesting. I grew up Catholic and have taken notice (maybe because I am hyper-aware) that many of my Catholic and fundamentalist patients seem to have a bad time nearing death - having...

  5. lpn's in hospice?

    doodlemom replied to greenbean's topic in Hospice, Palliative

    that's great - but why wouldn't an lpn be able to do lab draws? an unlicensed person is allowed to draw blood - unless it's from a central line. if you get your blood drawn in a doctors office, it's...

  6. New (soon-to-be) Graduate RN Looking to LTC

    doodlemom replied to redot's topic in Geriatric, LTC

    I think that you become much more competent in your clinical skills if you work in a hospital for a while. If you go straight into long term care and decide later that it is not for you, you are...

  7. What is...

    doodlemom replied to NeuChrisRN's topic in Hospice, Palliative

    Terminal sedation is not euthanasia and can be a part of hospice. It means to sedate a person until they are unconscious. The reason this treatment is given is because the pain and suffering are so...

  8. Home care vs. LTC

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    BeExcellent, what a WONDERFUL gift you are to those patients! You really make a difference in their lives and the lives of the staff. No patients need us more than the ones in nursing homes, don't you...

  9. Home care vs. LTC

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    I've always seen our job as trying to make life easier for the LTC facilities. We try to treat the facility as the family and give them as much support as possible. After getting to know the facility...

  10. frustrated and overwhelmed

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    I must say that there are still good places to work out there. With hospice becoming a popular business as of late, there are all kinds of fly by night agencies. If you really want to do this work,...

  11. Acute Hospice Care Crisis?

    doodlemom replied to leslie :-D's topic in Hospice, Palliative

    He had pain for several weeks and we kept going up on his dosage of narcotic and steroids with no good relief. The excruciating pain lasted a couple of days before the decision was made for sedation....

  12. lpn's in hospice?

    doodlemom replied to greenbean's topic in Hospice, Palliative

    We use quite a few LVN's at our hospice for inpatient care, continuous care, and 2nd non assessment home

  13. Acute Hospice Care Crisis?

    doodlemom replied to leslie :-D's topic in Hospice, Palliative

    Several years ago, I took care of a 7 yr old child with a type of bone cancer - I don't remember the name of it. Near the end, it affected his facial an scalp bones and he was in excruciating pain. It...

  14. What do they do in NYC?

    doodlemom posted a topic in Hospice, Palliative

    My significant other and myself were pondering the question of how hospice workers get around in big cities. Do they drive, take the subway, a cab maybe? I would think on-call would be a bear. Just a...

  15. Any San Diego Hospice nurses?

    doodlemom replied to lefthander1975's topic in Hospice, Palliative

    Wow, that sounds great. It sounds like a great

  16. Any San Diego Hospice nurses?

    doodlemom replied to lefthander1975's topic in Hospice, Palliative

    I looked on their website. I would imagine that you would get an incredible amount of experience by going through the program. If you are a new nurse, I think this would probably be a good way to...

  17. Any San Diego Hospice nurses?

    doodlemom replied to lefthander1975's topic in Hospice, Palliative

    That sounds like a really extensive program! Do you pay for this program? Is that the only way that San Diego Hospice will hire you? They are nationally recognized as one of the largest and innovative...

  18. What do they do in NYC?

    doodlemom replied to doodlemom's topic in Hospice, Palliative

    That's kinda what I'm wondering...how could they possibly carry all the supplies needed? Can you see someone carrying diapers and chux on the subway? You can't run back to your car for that extra...

  19. frustrated and overwhelmed

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    I know it is hard to leave your patients, but YOU are more important than they are. If you don't take care of yorself, then you will not be able to take care of other future

  20. frustrated and overwhelmed

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    What happens to your case load when you are off for 7 days? Or did you mean that you are off call for 7 days? Having dedicated on call staff works better for me. I work M-F 8-5 with no on

  21. threw in the towel

    doodlemom replied to mtnmom's topic in Hospice, Palliative

    mtnmom, if you talk to corporate then maybe you can make it better for others coming down the line. If you do talk to them - give good feedback and solutions. They are less likely to listen if you are...

  22. futility of care

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    WOW! I wish that there were more of theses docs

  23. frustrated and overwhelmed

    doodlemom replied to kelluvanurse's topic in Hospice, Palliative

    We have full time on call nurses that are salaried but our prns provide back up and some routine weekend visits. They get paid $3.50/hr to carry the pager and their regular hourly pay if they go out....

  24. Hiccups and hospice patients

    doodlemom replied to RNSUEIA's topic in Hospice, Palliative

    I'm not exactly sure why people get hiccups but I occasionally have a pt that has them and we use either baclofen or thorazine for them. I've heard that they can be caused by irritation of the...

  25. OK I confess.....

    doodlemom replied to bay bay's topic in Hospice, Palliative

    You are SOOO right. I hope that you are OK. I have given report while driving on many occasion and I have been very lucky. I use an ear piece, but research shows that this is dangerous, as