CANRN

CANRN MSN, RN

Hospice and Palliative Care, Family NP

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All Content by CANRN

  1. hospice burn out

    CANRN replied to bewell2's topic in Hospice, Palliative

    One thing I have learned is, when your off BE OFF, turn off the cell phone, and use this time to give yourself some TLC. I learned the hard way, if you do not care for yourself, you can not care for...

  2. Post mortem care

    CANRN replied to mc3's topic in Hospice, Palliative

    Excuse me, but cleaning a body (partially or otherwise), removing a foley cath, combing the hair of the deceased, putting on a clean dry gown is not as much for the deceased patient as it is for the...

  3. Post mortem care

    CANRN replied to mc3's topic in Hospice, Palliative

    I alwyas, pull the catheter, clean the body, change the gown, comb their hair and spray the room with air freshner (a small bottle I carry with me, has a nice fresh scent). I can not imagine someone...

  4. Hospice Electronic Documentation

    CANRN replied to jyhn's topic in Hospice, Palliative

    I highly doubt it can be changed. If so, I believe it would have been done by now. That program is a mess. Your right, things are hiden and if you forget where it is, your stuck. It's a mess. It is...

  5. Hospice Electronic Documentation

    CANRN replied to jyhn's topic in Hospice, Palliative

    Our agency just changed to McKesson and I absolutely hate it. It is not user friendly at all, there are too many little icons to remember where things should be documented. Prior to this company, I...

  6. providing hospice to mother

    CANRN replied to proud2b1's topic in Hospice, Palliative

    I also took care of my mother the last few months of her life. She lived with me after she could no longer be at home alone. I can't tell you how honored I was to care for my Mom. And like you, it...

  7. Bone Pain

    CANRN replied to RNSUEIA's topic in Hospice, Palliative

    We use Methadone almost exclusively in our hospice. Our pharmacy is great at helping us with titration and we all know how to titrate it and how often etc. Follow up on Methadone is very important....

  8. Held hostage by job

    CANRN replied to Ms Kylee's topic in Hospice, Palliative

    Kylee, I know your frustration. I believe anyone here on this board has at some point in their careers, experienced that same frustration. I sure have. During a very trying time in my career when I...

  9. Family has fear of pain meds

    CANRN replied to RNSUEIA's topic in Hospice, Palliative

    I have used handouts about pain medications myths, etc with some success. But what I have found works, it's explaining to the family about cancer pain WHAT it is doing to the body, organs etc and when...

  10. Use of an Oxymetor

    CANRN replied to Mazzi's topic in Hospice, Palliative

    Exactly, it is not required at all. There are other presenting symptoms and behaviors to support a DX. It is true, you can have a pulse ox reading over 90 and the patient can still display behaviors...

  11. Held hostage by job

    CANRN replied to Ms Kylee's topic in Hospice, Palliative

    The reason the cost seems high is, they paid the nurse to teach the class, more than likely paid the aids being taught and paid the cost of testing. All total this can reach over a thousand dollars or...

  12. Can a Sticker on my car = Hippa Violation?

    CANRN replied to AtlantaRN's topic in HIPAA Challenges

    Our agency had stickers with the company name on them. They were found in a closet and left out on a table for nurses and aides to put in the back windows of our cars. Our director walked in and saw...

  13. Parents both died in hospice care...should I switch to hospice??

    CANRN replied to newtelenurse's topic in Hospice, Palliative

    I also had both my parents die on Hospice as well as my younger sister. What these experiences have done for me, it has helped me to better understand the families as well as the patient (to a certain...

  14. Medicare Probe

    CANRN replied to PeacePisceRN's topic in Hospice, Palliative

    I have also mentioned this messageboard to my co-workers as well as managers and our director. Since I have never gotten any feedback, I am assuming they have never come here. Their

  15. Medicare Probe

    CANRN replied to PeacePisceRN's topic in Hospice, Palliative

    This is interesting! I have not heard about the possibility that this was to happen. Couldn't happen soon enough for me either! Our hospice is non-profit and our marketer is convinced that the future...

  16. Bone Pain

    CANRN replied to RNSUEIA's topic in Hospice, Palliative

    Try adding Ibuprofen 400-800 mg QID, with meals, also comes in liquid. Adding a steriod might also help, but start with Ibuprofen

  17. Anyone else Salaried here?

    CANRN replied to AtlantaRN's topic in Hospice, Palliative

    The agency I work for pays salary to all full time case managers. For that reason, I refuse to take a full time job with this company. My previous hospice agency paid hourly, I made a boat load of...

  18. Dr. Oz says energy medicine the next big thing

    CANRN replied to passionflower's topic in Holistic

    Reiki uses energy which is "spirit directed". I am a Reiki practioner, will take my master attunement in June, and the results have been amazing. Check out Reiki, it is also a technique that a...

  19. Doing an admission with the social worker

    CANRN replied to RNSUEIA's topic in Hospice, Palliative

    Yes, I have done several admissions with our social workers and it has always worked out very well. You are very sensitive to your patient's feelings, and that makes you a great nurse, but honestly,...

  20. Odors--Help!

    CANRN replied to TraumaTrainingWheels's topic in Emergency

    VANILLA!! Works wonders, I keep a small bottle of vanilla extract in my bag, if I get a stinky person, I just dab a little on my lip and walla, all I smell is vanilla. ALso, we had a REALLY STINKY...

  21. Patient doesn't tell she is getting cataract surgery

    CANRN replied to AtlantaRN's topic in Hospice, Palliative

    Medicare will cover this as it is unrelated to her hospice DX. Yes, she should have told hospice but more as an FYI than anything. This is incase she has complications and to know what, if any,...

  22. What to do??????????secretions.....

    CANRN replied to AtlantaRN's topic in Hospice, Palliative

    Our manager has always said "if your gut tells you that you should not leave, then you should not leave!" she always backs us. What about crisis care? you could have put this patient on crisis care...

  23. What to do??????????secretions.....

    CANRN replied to AtlantaRN's topic in Hospice, Palliative

    We rarely use suctioning. Usually scop patches and atropine drops. For secretions not managed with these, we can use Levison, robinol and what we have just started using with amazing results is Lasix...

  24. advance directives for hospice pts.

    CANRN replied to greenbean's topic in Hospice, Palliative

    Yes, we have taken patient's who are full codes. What we do is educate the patient and family related to code status and eventually, they or their POA will sign the DNR forms. Most patients and their...

  25. OHIO Nurses what part of Ohio are you from and what kind of nurse are you/will you be

    CANRN replied to GrnHonu99's topic in Ohio Nursing

    Northwest Ohio and I'm a hospice nurse and love