Leda1st

Leda1st

ER, Cardiac, Hospice, Hyperbaric, Float

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All Content by Leda1st

  1. part time Rn casemanager, full caseload and Lvns in office

    Leda1st replied to americanTrain's topic in Hospice, Palliative

    Ah, maybe I should move to Atlanta! Sounds like you have good management that wants to be sure their staff is able to provide QUALITY care to the patients. I think 12 patients is PLENTY for a fulltime...

  2. On Call Schedule.....that is workable

    Leda1st replied to onewithhospiceheart's topic in Hospice, Palliative

    We don't have designated on-call staff, and in my opinion, it is a disaster. Our caseloads are already too high, and all of us work at least 50+ hours per week already (salary). We desperately need to...

  3. Wasting controlled substances

    Leda1st replied to onewithhospiceheart's topic in Hospice, Palliative

    Why are you not supposed to waste in the sink or toilet? Just curious, because the instructions I have been given where I work (a place with multiple problems, so I won't be surprised ifI have been...

  4. part time Rn casemanager, full caseload and Lvns in office

    Leda1st replied to americanTrain's topic in Hospice, Palliative

    Thanks Tewdles! I'm working on it. My plan is to try to get a PRN position at another agency and "feel it out" before I jump in with both

  5. part time Rn casemanager, full caseload and Lvns in office

    Leda1st replied to americanTrain's topic in Hospice, Palliative

    American Train: I swear we must work in the same office. I am serious. Unfortunately, I do not feel safe indicating where I work. I, too, am looking for a new job. The director of the company I work...

  6. Can a new graduate be a hospice RN?

    Leda1st replied to fireball78's topic in Hospice, Palliative

    I have been reading this thread and wanted to put my 2 cents in. First, I would say it is possible for a new grad to be a hospice RN, but I would not recommend it. You are pretty much on your own, and...

  7. Weeping legs and wounds

    Leda1st replied to rnkalee's topic in Hospice, Palliative

    Unfortunately, I am a newbie as well, so I don't have any good suggestions. I just wanted to say how creatively COOL the poise pad and diaper suggestions were! I would NEVER have thought of those! To...

  8. End of life delirium?

    Leda1st replied to Keila's topic in Hospice, Palliative

    I wouldn't say it is "sundowner's" necessarily. In my very brief hospice experience thus far, I have noticed, however, that my folks with dementia seem to have most of their falls and their "episodes"...

  9. End of life delirium?

    Leda1st replied to Keila's topic in Hospice, Palliative

    Regarding the statement that opiods and benzos can also cause confusion: PLEASE don't hesitate, however, to use this if needed to keep your grandmother comfortable - try to figure out the best dosages...

  10. case manager turnover

    Leda1st replied to mimiv123's topic in Hospice, Palliative

    I am still very new to hospice, and our "veteran" nurse CM has been there less than 2 years. Yikes. I am planning to dig in my heels and stay for at least a year, hopefully more. I have already picked...

  11. Hospice interview- What would you want to know before taking a position

    Leda1st replied to crb613's topic in Hospice, Palliative

    1.Ask specific questions about pay. I was quoted an hourly amount, and then told that I would be salaried based on a 40-hour week at that amount (I have YET to only work 40 hours, so they get the...

  12. Nursing Home Emergencies- what would you do?

    Leda1st replied to anonymous1919's topic in General Nursing

    To Harmonpa: Check out the "Long Term Care" specialty area of this site for a lot of feedback. As someone who went from hospital to LTC, it is VERY different. There are some good things and some bad...

  13. Being Tired at work - How do you cope?

    Leda1st replied to abbaking's topic in General Nursing

    First, do your best to stay "on" the night shift schedule even on your days off. This is almost impossible, but it is MUCH harder to try to "swing" back and forth than to stay on one shift all the...

  14. Nursing Home Emergencies- what would you do?

    Leda1st replied to anonymous1919's topic in General Nursing

    I second the folks who said to check the code status, especially in LTC. If you would feel more comfortable and you don't know the code status, go ahead and have someone call 911, but PLEASE, PLEASE,...

  15. Fired from Assisting Living Facililty!

    Leda1st replied to jerenemarie's topic in General Nursing

    After reading these posts, I have to make a few comments. 1. It is VERY sad that things in "assisted living" are this way not just where I am but it seems to be widespread. 2. Someone said that Med...

  16. Hospice Help: Speech Therapy and Hospice?

    Leda1st posted a topic in General Nursing

    I am very new to hospice nursing - just started 5 weeks ago, came from ER/Urgent Care and Med surg, so I am really having to work on "shifting my focus". Just had a conversation with a speech...