doodlemom

doodlemom

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All Content by doodlemom

  1. help about chronic pain and meds

    doodlemom replied to n8isgr8's topic in Pain Management

    Has she been able to be on the same steady dose for a while? How many prn doses of MS does she need a day? If it's several then maybe they need to go up on her methadose which would give her more...

  2. Reasonable (?) caseloads

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    I think they are expecting WAY too much from you. That is a lot of pt's to have in such a large

  3. Moving to Austin

    doodlemom replied to texasmedicrnj's topic in Texas Nursing

    I've met paramedic students that have told me that Travis County is the place to work if you want to make the best money. Apparently they make a lot more here than anywhere else around - nearly twice...

  4. Can they do this??

    doodlemom replied to RN4ustat's topic in Hospice, Palliative

    Another issue...sorry to go on...The hospice that I am working for has started going with the idea that if a doctor states their pt is dying then even if you are doubtful, admit them. You then watch...

  5. Can they do this??

    doodlemom replied to RN4ustat's topic in Hospice, Palliative

    I don't think it is illegal for a doctor to refuse to work with a certain hospice, just like a nursing home can decide whether or not they want to work with a certain hospice. I would imagine that the...

  6. Smoking bans in and around NC hospitals

    doodlemom replied to Maggie in NC's topic in North Carolina Nursing

    Actually, in the last 3 places that I worked people were told to not wear perfume. I agree with this rule, as strong odors can affect pt's and co-workers. I have asthma and strong perfume will set me...

  7. Hospice On-Call Schedules

    doodlemom replied to Wren's topic in Hospice, Palliative

    We had over 200 patients at the previous hospice and case managers were back up to the primary on call nurse. With that many patients stuff comes up no matter how well the case managers tuck in their...

  8. what is comfort care only?

    doodlemom replied to Ms.RN's topic in Geriatric, LTC

    I work in hospice but when I used to work in the hospital I used to cringe when the docs would put people on comfort measures only and then keep them on IVF. When a patient is dying, the most...

  9. nurse to patient ratio

    doodlemom replied to bmbcyclist's topic in North Carolina Nursing

    There is no law or rule. It is not unusual to have 7 patients and I think that is

  10. Smoking bans in and around NC hospitals

    doodlemom replied to Maggie in NC's topic in North Carolina Nursing

    I used to be a manager at a restaurant and it was against NC employment laws to not hire based on if a person is a smoker or not. You are not allowed to ask the question on interviews, just like you...

  11. Upset about pay in this area...

    doodlemom replied to leisa22's topic in Texas Nursing

    I used to live in NC (with 9 years of experience) and made 25/hr for day shift when I left 2 years ago! Where in NC did you live? I'd like to move back if the pay has gone up that much! The cost of...

  12. Reasonable (?) caseloads

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    Forgot one thing...sorry to go on! How do you carry your case load in just 4 days? Who carries the pager on the

  13. Reasonable (?) caseloads

    doodlemom replied to jerseyRN's topic in Hospice, Palliative

    We try to keep around 12 - 14 but I've had as many as 16 and some of our nurses have had up to 20!!!. The hospice that I used to work for never made us get above 12 for home team and 16 for facility...

  14. Final days:AGITATION

    doodlemom replied to JamiRN's topic in Hospice, Palliative

    BTW, We haven't had access to Ativan Intensol sincle early last winter. All of the pharmacies keep telling us that the company is going to start making it again but that it's not available yet?...

  15. Final days:AGITATION

    doodlemom replied to JamiRN's topic in Hospice, Palliative

    We've used ABHR for nausea and sometimes add decadron if there is swelling from tumor creating an obstruction. What would the reglan do for restlessness? We just use plain ABH for

  16. Final days:AGITATION

    doodlemom replied to JamiRN's topic in Hospice, Palliative

    If the agitation is related to the narcotics, we have found that switching to methadone has helped. Also, we've used a combo of ABH for severe agitation. I had a patient that didn't do well with...

  17. ANH in dying patients

    doodlemom replied to samhlh's topic in Hospice, Palliative

    When I explain that it will make the patient more uncomfortable and that their lungs will fill up with fluid, therefore "drowning", families always foregoe the idea of IV hydration. What is

  18. Would you go PRN at 2 hospices?

    doodlemom replied to Nurse 1991's topic in Hospice, Palliative

    We have a hospice house that we send our home pt's to for symptom management or respite. If it is full, then we use contracted nursing facilities for the same reason. We are fully staffed with nurses,...

  19. Would you go PRN at 2 hospices?

    doodlemom replied to Nurse 1991's topic in Hospice, Palliative

    Your employers may have a problem with it. Hospices are very competitive with each other...just a

  20. Calling the coroner when hospice patients die?

    doodlemom replied to Blackcat99's topic in Hospice, Palliative

    Some counties in TX require this

  21. Lasix in Nebs for Air Hunger?

    doodlemom replied to rosemadder's topic in Hospice, Palliative

    When we've used the sterile IV solution, we used it straight, undiluted. Also, we've always used the IV morphine solution for morphine nebs. I've always thought that you should use sterile solutions...

  22. Lasix in Nebs for Air Hunger?

    doodlemom replied to rosemadder's topic in Hospice, Palliative

    We've used the IV solution...never tried using the

  23. pay for hospice nurses

    doodlemom replied to angie1982's topic in Hospice, Palliative

    Do all of your nurses work per diem? The thing I don't like about per diem work is that it encourages nurses to make their visits as short as

  24. pay for hospice nurses

    doodlemom replied to angie1982's topic in Hospice, Palliative

    ...that was for RN salary. I have no idea what LPN's

  25. pay for hospice nurses

    doodlemom replied to angie1982's topic in Hospice, Palliative

    For a hospice nurse with several years of experience in NC...non-profit starting pay about 22/hr. For-profit starting pay about 25 or