anashenwrath ASN, RN

Hospice

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All Content by anashenwrath

  1. anashenwrath

    Asymptomatic in SNFs/ALFs?

    anashenwrath posted a topic in Disaster Preparation

    Hi all, Hospice RN seeing COVID+ patients exclusively. So far, all my patients have been at SNFs or ALFs, all are geriatric with lots of comborbidities and usually dementia. One thing I'm noticing is...
  2. anashenwrath

    Caring for COVID as visiting/hospice nurse

    anashenwrath posted a topic in Disaster Preparation

    Hi all, hope everyone is taking care out there. I am a hospice nurse, so normally have a mix of home patients, SNFs, ALFs. My county has a little under 1,000 positive cases; we are in our surge, not...
  3. anashenwrath

    Lasix for EOL secretions?

    anashenwrath replied to kat7464's topic in Hospice, Palliative

    Ugh. I have a vague memory of a hospice patient at a SNF (not one of mine, but I knew the patient and the staff) who was having significant secretions. Apparently the floor nurse on 11-7 called the...
  4. anashenwrath

    Advice, Applying for Home Hospice RN

    anashenwrath replied to RNstat123's topic in Hospice, Palliative

    Ask about census, how many patients you'll be expected to see a day, mileage, etc. Investigate the turnover... see if you can talk to the nurses/aides and get the real-deal scoop. Is there an...
  5. anashenwrath

    Miles on my car

    anashenwrath replied to friendlylark's topic in Hospice, Palliative

    I don't stress about miles; I feel like I get fairly compensated. I drive a hybrid, which definitely helps! I average about 100 miles a day. If I wasn't getting reimbursed, though, I would have a big...
  6. anashenwrath

    What is a bad day?

    anashenwrath replied to kelzerize's topic in Hospice, Palliative

    Getting called to leave an actively dying patient with grieving family that you've been taking care of for a month to admit a 60-something year old who lives at home independently and who you didn't...
  7. anashenwrath

    Should I feel bad for not picking up extra shifts?

    anashenwrath replied to nursekaterpn's topic in General Nursing

    Sweet summer child. They will say ANYTHING to get you to pick up a shift. It will never change and it will never stop. Screen your calls and rest easy. You are under no obligation and they are lucky...
  8. anashenwrath

    Opoid crisis and providing hospice care

    anashenwrath replied to angshallad's topic in Hospice, Palliative

    I'm on Cape Cod (ie, that place where HBO did a documentary about the opioid crisis) and find overall it's not too bad. Like anywhere, different prescribers prescribe differently, but it's not...
  9. anashenwrath

    I made a medication error. What will happen to me?

    anashenwrath replied to whyohwhy's topic in General Nursing

    As others said: not sure what your working environment is, but I think you'll be fine. I remember when I made a narcotic error. And I didn't catch it, my supervisor did the next day! I was horrified,...
  10. anashenwrath

    ER to Hospice

    anashenwrath replied to friendlylark's topic in Hospice, Palliative

    Congrats OP! Based on your username, I'm going to assume you're in Oregon, which is a very good state for EOL care! Reading through your pros and cons, I noticed a lot of "logistical" factors, so I...
  11. anashenwrath

    Triage and on call

    anashenwrath replied to cargalrn's topic in Hospice, Palliative

    Ugh my heart breaks for our on-call nurses (especially bcs the RNCMs have been covering for one of them for the last three months!). On-call gets called for anything (ignoring actual out-of-control...
  12. anashenwrath

    Cape Cod Nursing

    anashenwrath replied to Cahoon BSN RN's topic in Massachusetts Nursing

    Cape Cod RN here! The healthcare system on the Cape is kind of a horror show. Cape Cod Health basically runs the show, Outer Cape Health is "reorganizing," and we only have two major hospitals (both...
  13. anashenwrath

    License renewal Chapter 260 requirements??

    anashenwrath posted a topic in Massachusetts Nursing

    Hey there, My colleagues and I are all SO confused bcs we keep getting emails saying we have to complete a mandatory Domestic and Sexual Violence Training when we renew our license. However, after...
  14. anashenwrath

    License renewal Chapter 260 requirements??

    anashenwrath replied to anashenwrath's topic in Massachusetts Nursing

    Hey ya'll! Just in case anyone was lurking to find out an answer.... I found out that the training is not yet available and we MA nurses will not be held responsible for it until it is posted on the...
  15. anashenwrath

    Aspiration drama!

    anashenwrath posted a topic in Hospice, Palliative

    Hello all! I am dealing with some drama with a patient on hospice for end-stage Alzheimer's at an ALF (darn ALFs!) and was wondering if the community could give me some feedback. Pt is total assist...
  16. anashenwrath

    Aspiration drama!

    anashenwrath replied to anashenwrath's topic in Hospice, Palliative

    Great responses from you both. Thank you! I've incorporated this advice into my last few visits, and I think we'll get on the same page (hospice/patient, spouse, and facility). much love to my hospice...
  17. anashenwrath

    Scheduling Hospice Visits

    anashenwrath replied to cshelly12's topic in Hospice, Palliative

    I see about 4 patients a day. Prefer 3 so everyone can get plenty of TLC, occasionally have 5 and then I'm antsy and grumpy. I know nurses who do up to 7 (but they're in there for about 15 minutes a...
  18. anashenwrath

    Can a nurse start a hospice?

    anashenwrath posted a topic in Nurse Entrepreneurs, Innovators

    I know I want to be a hospice nurse. It's why I went into nursing and my hours on the hospice unit have confirmed that it is what I want to do. And I'm not tryingto get ahead of myself, bcs I know...
  19. anashenwrath

    Hospice RN vs Case Manager

    anashenwrath posted a topic in Hospice, Palliative

    Hello all! Looking for some opinions/advice. I worked 2 years as an LTC nurse on the Alzheimer's/Dementia unit of a SNF. Enjoyed it, but became frustrated with the constant staff shortage and 16-hour...
  20. anashenwrath

    Hospice RN vs Case Manager

    anashenwrath replied to anashenwrath's topic in Hospice, Palliative

    Testify! I'm salaried now and making less as a Director than I did as a 7-3 SNF nurse! I put in 60 hours a week, never take a break or lunch, and that's fine! But I'm not paid for it, and after a...
  21. anashenwrath

    Hospice RN vs Case Manager

    anashenwrath replied to anashenwrath's topic in Hospice, Palliative

    Guys thank you so much! Not only do I have a little more confidence about the role, but your info gave me some good things to ask about during my interviews! one more question if anyone is still...
  22. anashenwrath

    Hospice RN vs Case Manager

    anashenwrath replied to anashenwrath's topic in Hospice, Palliative

    That's excellent to hear! So you feel like a nurse, not just an
  23. anashenwrath

    Pay negotiation for an emergency pickup shift

    anashenwrath posted a topic in Camp

    Hi everyone! I am a LTC RN, and my boyfriend works at a camp. The nurse called out at the camp and they didn't have any available backup. I got asked to pick up, since I'm able to pass meds, which was...
  24. anashenwrath

    Pay negotiation for an emergency pickup shift

    anashenwrath replied to anashenwrath's topic in Camp

    Oh, and it is an overnight camp if that makes a difference. I'm at the desk from 8a to
  25. anashenwrath

    Pay negotiation for an emergency pickup shift

    anashenwrath replied to anashenwrath's topic in Camp

    It's an educational camp, I guess? Right on the water in Plymouth, MA. Schools come here for the week and do activities like rocket-building, shark dissection, coastal walks, field trips on a lobster...