MissIt

MissIt

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All Content by MissIt

  1. Medication addministration and distribution errors

    MissIt replied to CorrectionsNurseSup's topic in Correctional

    Touting the need for a zero percent med error rate only makes people hide their errors, patients could be at risk and systemic problems don't get fixed. Hopefully the error rate won't be high, but...

  2. Interview for Inpatient Hospice

    MissIt replied to tokidoki7's topic in Hospice, Palliative

    Different people have different things that bother them. I don't get upset every time someone dies; most of the time I feel like we did a really good job helping them and their families. IMO, there...

  3. Interview for Inpatient Hospice

    MissIt replied to tokidoki7's topic in Hospice, Palliative

    There are similarities to med-surg. Something that surprised me was how sick these patients are. We have the occasional patient on a vent, severe wounds, patients with intractable seizures. You use...

  4. inpatient hospice nurse/pt ratio

    MissIt replied to clite's topic in Hospice, Palliative

    We have a 15 bed unit. Our ideal staffing for day shift is 3 nurses (RNs and LPNs) and 3 CNAs. We also have at least one volunteer most of the time. Night shift is 2 nurses and 2 CNAs. Sometimes,...

  5. Crackles/Rales

    MissIt replied to ajitamamasita's topic in Hospice, Palliative

    I took a refresher course this year and this is what they taught us: Rhonchi: snore like (airway secretions, may clear with cough) Wheeze: continuous (bronchitis, emphysema, asthma) Rales and Crackles...

  6. I want to leave nursing....now what do I do?!

    MissIt replied to np7797's topic in Nursing Career

    Do you work in a hospital? With two years, maybe try working prn. I honestly found that once I cut my hours a bit, I felt a lot better about nursing and didn't feel nearly as burned

  7. Lip care for patient on oxygen

    MissIt posted a topic in Hospice, Palliative

    I know we aren't supposed to use petroleum based products for a patient who is on oxygen. In the hospital, our respiratory therapists recommended surgi-lube. At our hospice, we use a lot of vitamin E....

  8. Field Hospice nursing to inpatient unit

    MissIt replied to Annie423RN's topic in Hospice, Palliative

    I would find out what the usual patient load and staffing is at the inpatient facility you are considering. On days when I have 4 or 5 patients, I get to spend lots of time with patients and...

  9. Field Hospice nursing to inpatient unit

    MissIt replied to Annie423RN's topic in Hospice, Palliative

    I agree, I think it's better because we have extra support staff there most of the time and volunteers during day shift. We usually have 5 patients, but it can go up to 7 on days. Admissions,...

  10. gangrene of the scrotum

    MissIt replied to nola1202's topic in Hospice, Palliative

    Do you have a wound care nurse? If so, have him or her come out and take a look. Ours is wonderful and if there is ever a time when we don't know what to do, she's happy to

  11. V.A. CNA train the trainer courses?

    MissIt posted a topic in Nursing Educators, Faculty

    Hello. I wonder if anyone knows of a train the trainer course to become a CNA instructor in Virginia?

  12. V.A. CNA train the trainer courses?

    MissIt replied to MissIt's topic in Nursing Educators, Faculty

    Thank

  13. how long it will take to transfer RN license in VA

    MissIt replied to roseuglyfish's topic in Virginia Nursing

    Where are you moving from; is it a compact state? I was able to work under my old license until the new one came, too (not at the VA hospital). I think it took about a month to get the VA license...

  14. Field Hospice nursing to inpatient unit

    MissIt replied to Annie423RN's topic in Hospice, Palliative

    Like most inpatient units, a 12 hour shift might be longer depending on what's going on (usually admissions and discharges), but never anything like 60 hours. It's similar to the floor-- we start the...

  15. When should hospice discussion begin?

    MissIt replied to bsnanat2's topic in Hospice, Palliative

    I hope that one of these days it will be a regular thing for palliative care to be started earlier in the disease process for patients newly diagnosed with these types of diseases. Perhaps it would...

  16. Lip care for patient on oxygen

    MissIt replied to MissIt's topic in Hospice, Palliative

    I like this idea and am going to steal it. I steal a lot of ideas from this forum!

  17. When should hospice discussion begin?

    MissIt replied to bsnanat2's topic in Hospice, Palliative

    This is very

  18. When should hospice discussion begin?

    MissIt replied to bsnanat2's topic in Hospice, Palliative

    One thing they told us in our hospice orientation is that sometimes it's easier for people to hear "the last phase of life" than "end of life" or "terminal" diagnosis. Also, we have so many...

  19. Extreme anxiety

    MissIt replied to Vtachy1's topic in Hospice, Palliative

    Is she impacted or having urinary retention? Fentanyl is hard because you don't really know for sure how much they're absorbing. Would you consider converting her to something else or adding...

  20. Hospital career after hospice nursing

    MissIt replied to mharden's topic in Hospice, Palliative

    It depends a bit on whether you're doing home care, long term care, or inpatient hospice. I do inpatient hospice and it is acute care. We do all the skills you would use on a med/surg type floor--...

  21. Question re. inpatient hospice nursing....

    MissIt replied to DeLana_RN's topic in Hospice, Palliative

    Most people do 12 hours, but there is some variety with 8 hours or the occasional 4 if someone has some kind of special

  22. Lip care for patient on oxygen

    MissIt replied to MissIt's topic in Hospice, Palliative

    I always like the idea of including families. It bothers me when we have a patient in the inpatient unit and a family wants to help with their care and we take over. Thanks for the ideas! So, if a...

  23. Question re. inpatient hospice nursing....

    MissIt replied to DeLana_RN's topic in Hospice, Palliative

    My background is radiation oncology, so I had some symptom management experience. However, during our orientation, they did a nurses skills fair and went over all of the wound care products they use...

  24. Question re. inpatient hospice nursing....

    MissIt replied to DeLana_RN's topic in Hospice, Palliative

    I work days. No rotating shifts-- Yay! Our orientation is amazing, nothing like what I've experienced anywhere else. I don't know if it's standard for hospice, though, because I never worked in...

  25. Question re. inpatient hospice nursing....

    MissIt replied to DeLana_RN's topic in Hospice, Palliative

    I think someone said something like 40% of our patients (home care, long term care, and inpatient combined) start out as full codes. Most of them become DNR at some point before they die. So, I...