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maybug ADN

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  1. maybug

    Healing from Childhood Trauma: Tapping/EFT

    How coincidental.. I literally just purchased an online course for Tapping/EFT before coming here and seeing this article. The course I purchased is more related to love, but I'm excited to learn to use it in relation to trauma and triggers as well.
  2. I worked in an IP hospice unit and we do not suction. I have been taught that suctioning at the end of life makes secretions worse. If anyone has any evidence based practice proving that wrong I would love to read it. Of course I think suctioning of a trach continues to be necessary and is performed as needed. But for "death rattle" secretions we educate that this is a common symptom at the end of life and causes no distress to the patient. We given Levsin, scop patches, etc.
  3. maybug

    Might be a dumb question but

    I get what you are saying. I've always thought to myself that if I were a patient in the hospital and a nurse tried to give me protonix I would refuse.
  4. maybug

    Shoulda, Coulda, Woulda

    This is definitely something I am beginning to learn and put into practice. I am fairly new in my case management role.. less than a year and while I am learning so much everyday, there are still days where I feel like I didn't do enough. There are days where I know I made a huge difference for a patient, but those other days where I just didn't have much to offer feel like such a defeat. But I shouldn't beat myself up that I can't fix every problem. I also compare my skills to those of the case managers that I work with who have 10+ years of experience. I have to remind myself that I don't know all the tricks yet, but I'm still an asset to the team and doing my best.
  5. maybug

    New grad sinking fast

    Ditto to what everyone else has already said and also, Meditech is a terrible charting system and does take considerable time to learn compared to other systems.
  6. maybug

    Work From Home: Nurse Case Manager

    I've been training for a case management position for the past 5 weeks. I'll start working from home next month and I'm so excited!!
  7. Thank you for your response. It is humbling to admit that despite the education and experience we have, that does not take the place of compassion.
  8. I work PRN at a hospice house. I was taking care of a patient that had been with us for 2 months and was very well known to the full-time staff, yet I had only taken care of her on 3 occasions. There had been several issues with the family due to cultural differences but the times I had taken care of her she was alone and resting. Until Thanksgiving. One of her sons called me into her room and very politely asked to have her transferred to the hospital to pursue life-saving measures. I was a bit taken aback as this was not a situation I had encountered yet. I maintained composure and professionally educated the son on his mother's condition (poorly responsive, no PO intake for days, weak pulses) and the limited resources the hospital would be able to provide, only delaying the inevitable. He relayed this to another family member on the phone who was adamant this was what they wanted. I spoke with the HCPOA who also confirmed this request, and followed policy by making the medical director and clinical supervisor aware and then calling EMS. The son signed the revocation form. When EMS came to transport the patient, they tried to educate the son as well to no avail. Her failing body was transferred to a stretcher and taken out of the hospice house. The entire interaction from beginning to end lasted only an hour. I know that my direct interaction with the family was professional and without judgment, but afterwards with my co-workers, I was angry and judgmental. And I carried that mindset with me home and for the rest of the night. I judged their decisions. I assumed they were uneducated on their mother's condition and prognosis. That they were being selfish and causing their loved one to suffer more. As a nurse, I assumed I knew best. I've seen countless people pass away at the hospice house. I've educated and re-educated family members who are grieving too badly to understand. Some are more accepting than others. Some just can't let go. But when they are too distracted, too tired, and too afraid to face reality, it is not my place to judge. The next morning as I was driving to my full-time job I prayed and reflected on my thoughts and actions. I felt ashamed of my lack of compassion and empathy. Why didn't I place myself in their shoes? Why did I feel the need to speak my bitterness and judgment on a situation I had no real knowledge about? Why was I carrying a burden that had nothing to do with me? As healthcare workers sometimes all we can do is educate. Patients most of the time actually won't do as they are instructed. They are often noncompliant with their treatments. It can be frustrating for us. But it is not our disease. Ultimately it is not our decision and it is not our life. It is easy for us to vent to our co-workers (and sometimes necessary) but it is not our place to judge. We end up carrying that negativity with us whether we realize it or not. The next time you are involved in a situation that is ethically controversial, that goes against your knowledge, that is testing your patience and that you may disagree with, take a deep breath. Try and take an understanding approach from the patient's or family member's point of view. We do not know their entire life story, their family dynamics, or their thought process. It is our job to educate, listen, advocate, and support. It is not our place to judge.
  9. maybug

    Stepping Back To Move Forward

    I loved reading this as it is similar to my career path. I've been a nurse only 5 years, but also have experience in acute care units, hospice, and case management and am beginning a work from home case management position in 2 weeks. I am very excited! Like you, I know this is a role I excel in and doesn't leave me exhausted and stressed at the end of the day like bedside roles. I also love to write and have wanted to contribute nursing articles/blogs to the internet, but haven't pursued it seriously. Advanced education is also something I am not super thrilled about but am beginning to consider the opportunities it could lend me. Maybe you are my future self 10 years from now. :)
  10. maybug

    I wish I could see you!

    As a hospice nurse, I have had several spiritual experiences with my dying patients that can only be explained as Godly moments. I will never forget them. This story was so special and brought tears to my eyes.
  11. maybug

    Never been in a code?

    Hahaha! Awesome point of view
  12. maybug

    Never been in a code?

    Thanks so much for this.
  13. maybug

    Never been in a code?

    Of course there is a skill list I fill out as a traveler, so it's no secret that I have no experience with codes. but obviously I cannot help that I've never had one.
  14. maybug

    Never been in a code?

    Hi all! I've been a nurse for 4.5 years now with my first year in hospice, 2 years med/surg tele and travel nursing for the past 9 months with PCU experience. I'm nervous that I'm considered an experienced nurse yet have never experienced a code! I've assisted in a couple rapid responses but I've never witnessed or had a code blue. Is this normal? It makes me nervous about ever having one.
  15. maybug

    Now THAT'S a lab result

    platelet of 1. Alive.
  16. maybug

    awful pt assignment or the norm?

    that's the way I see it... no matter where I go... it cant be any worse! ha

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