doodlemom

doodlemom

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All Content by doodlemom

  1. on call nightmare

    doodlemom replied to pixienurse's topic in Hospice, Palliative

    I would imagine that a more established hospice would have a better system - this seems like more aof a start up. If they're not, then you should run really fast and even if they are - find a better...

  2. What makes you love hospice?

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    RN dyin' to see you? That's good! I've known girls named Randy, so I wasn't making any assumptions that you were a guy. So, the LVN thing must be state by

  3. What makes you love hospice?

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    We have laptops, as well - hate em. They take more time than old paperwork ever

  4. Think I've found my niche...

    doodlemom replied to weetziebat's topic in Hospice, Palliative

    Runningirl, Oncology is a great place to learn - and you probably see patients that are dying so hopefully you have some docs on board that are good about keeping people comfortable. If your hospital...

  5. What makes you love hospice?

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    Randy - you said in your post that the on-call LVN may already be out on a death, therefore you would have to go out on the next one. Are your LVN's allowed to pronounce? I didn't think it was legal...

  6. What makes you love hospice?

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    I think it really depends on where you work. Hospice can be laid back at times but then really intense at other times. When you have a laid back period, it's time to take care of yourself. You are the...

  7. Think I've found my niche...

    doodlemom replied to weetziebat's topic in Hospice, Palliative

    Woo hoo! I'm so glad you found your niche! Congrats to you and to

  8. RN Case Mngr Hospice

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    Ha! I'm glad someone thinks

  9. RN Case Mngr Hospice

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    Methadone works on all of the receptor sites (Mu, delta, kappa, and NMDA.) It is the only narcotic that works on the delta receptor which provides analgesia only. The NMDA receptor works on...

  10. use of cadd pump and port a cath?

    doodlemom replied to juliegirl06's topic in Hospice, Palliative

    I've not had it happen but it is possible for it to clot off with that low of a rate. You may want to flush it a couple of times per day with 10-20 ml of saline. I know that when I worked in the...

  11. RN Case Mngr Hospice

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    It seems like this would be a good case for terminal / palliative

  12. RN Case Mngr Hospice

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    What is neurorest gel? Is it a compounded neurontin

  13. Feet starting to mottle off and on...

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    you mean you would get him back after she died? If the patient likes having the dog around, I have no problem with this as long as she realizes that the dog is on loaner AND only if the nurses are...

  14. RN Case Mngr Hospice

    doodlemom replied to RNDYN2CU's topic in Hospice, Palliative

    I think that it is probably up to the facility. Most hospitals and NF don't allow any of their nurses to press a PCA button - and will tell family members not to press it either. We've written orders...

  15. Propofol question

    doodlemom replied to ParrotHeadRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Propofol can be used for palliative sedation in hospice

  16. Can a patient do chemo or radiation?

    doodlemom replied to nosonew's topic in Hospice, Palliative

    Quite frequently a patient may have pain that is r/t bone mets or tumor size and radiation can help shrink the tumor and therefore give pain relief. We've had patients that we were able to decrease...

  17. LPN doesn't want dying patient to go to hospice.

    doodlemom replied to Jo Dirt's topic in Hospice, Palliative

    ditto

  18. Can a patient do chemo or radiation?

    doodlemom replied to nosonew's topic in Hospice, Palliative

    Actually the reimbursement rate depends on where you live. 140 is a lot higher than here - we're around 120. We are still able to pay for XRT pretty easily - it's not like it's happenning all of the...

  19. Can a patient do chemo or radiation?

    doodlemom replied to nosonew's topic in Hospice, Palliative

    Are you saying that you are not paying for ANY medications at

  20. Can a patient do chemo or radiation?

    doodlemom replied to nosonew's topic in Hospice, Palliative

  21. Can a patient do chemo or radiation?

    doodlemom replied to nosonew's topic in Hospice, Palliative

    If the doctor is recommending it for symptom relief then the hospice should be covering the XRT. I have seen a lot of "palliative chemo" patients but have yet to see one who is really being helped...

  22. Question regarding nursing care...

    doodlemom replied to KatrinkaRN's topic in Hospice, Palliative

    We don't worry about sterile technique when a patient is in their own home. You are correct in that pt's are used to their own germs and flora in the home, but at a facility they are not surrounded by...

  23. Why IV pumps for Central Lines?

    doodlemom replied to mysticalwaters1's topic in General Nursing

    I had a home patient several years ago that needed IV fluids and she had a PICC line. I tried hanging the fluids by gravity and they would not go in. The infusion company told me that I'd need to have...

  24. uniforms or street clothes

    doodlemom replied to nurselearner's topic in Hospice, Palliative

    I wore street clothes for years but then I started doing a great deal of work in facilities and the thought of bringing all of the germs back into my own home made me start wearing scrubs. I leave my...

  25. How long are your IDT mtgs? And content?

    doodlemom replied to Cing_angels's topic in Hospice, Palliative

    I don't like the idea of having someone sit in and read notes or sit in for any of the disciplines. When we've had this happen in out teams, things get missed and it really isn't a team meeting at all...