ErinS

ErinS BSN, RN

Hospice

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All Content by ErinS

  1. Hospice and Assisted Suicide

    ErinS replied to Spidey's mom's topic in Hospice, Palliative

    I know you didn't want personal opinions, but I am going to give mine. First, people rarely commit suicide because of physical pain. Suicide is usually because of emotional pain. I don't know what...

  2. Lasix use in CHF?

    ErinS replied to gorgenurse's topic in Hospice, Palliative

    Remember that no medication or even treatment is against the rules in hospice. Different agencies will approach things very differently, but some agencies will do more aggressive interventions than...

  3. Hospice with Physical Therapy together??

    ErinS replied to Shell5's topic in Hospice, Palliative

    We often will order a PT eval, and our aides are cross trained to restorative therapy and will continue whatever the PT

  4. Best one sentence handoff report

    ErinS replied to emtb2rn's topic in Emergency

    I work hospice and the best one sentence report I have ever received: Increased dilaudid to 250mg per hour, versed to 20 mg per hour, and she is still alert. Also: pt is seeing her cat that died 15...

  5. What was wrong with my patient??

    ErinS replied to Dazglue's topic in General Nursing

    Someone who has a fixed delusion can be like this. Totally alert and oriented, except for the delusion. I took care of a psych pt who had a delusion that Jesus was her boyfriend. It was so bizarre,...

  6. Family Nurse

    ErinS replied to Tamarah Chick's topic in General Nursing

    I have considered starting this kind of business. Kind of a healthcare consulting business. There is a huge need for this- I know because I work in hospice and realize how little people understand...

  7. Odd requests

    ErinS replied to CapeCodMermaid's topic in Geriatric, LTC

    I had a patient yesterday ask if I could take her glasses to the eye shop, get them repaired, bring them back, and then just bill her the cost. I am sorry miss, but I am a nurse, not an errand...

  8. ALF

    ErinS replied to Vtachy1's topic in Geriatric, LTC

    It can be. ALFs often have varying rules from one facility to another, and depending on their access to a nurse they may not be able to care for a foley (they often require weekly bag changes, and...

  9. How common is it to get fired?

    ErinS replied to TurtleCat's topic in General Nursing

    I have made several mistakes, some of which have cost my companies tens of thousands of dollars. I say this not because I am proud of these mistakes, but because i have always worked somewhere that...

  10. Thoughts on Hospice Care w/ non-terminally ill patients

    ErinS replied to simplyme06's topic in General Nursing

    One of the primary tenants of hospice is an individualized plan of care based on a patient's wishes. Sometimes people have a terminal illness, and need hospice for the comfort aspect, but when it...

  11. Getting back into travel nursing!

    ErinS replied to luvche's topic in Travel

    I traveled to Seattle with Cross Country. The company was fine. I worked at First Hill Swedish Medical Center and it was a really fun place to work (I did medical). Seattle was so amazing. The...

  12. What is the most interesting case you've seen in the ER?

    ErinS replied to BigDiesel's topic in Emergency

    I have seen a few cases of calciphylaxis- calcification of small blood vessels that causes wet and dry non-healing wounds all over the body. Another terrible and painful

  13. What is the most interesting case you've seen in the ER?

    ErinS replied to BigDiesel's topic in Emergency

    This is the WORST disease I have ever seen. In 3 years I have had 3 CJD patients, all in their 50s. They go from fine to dead in less than 6 months, and the restlessness is incredibly heart...

  14. Nurse market saturation 2015 and beyond ?

    ErinS replied to GOODMED's topic in General Nursing

    I would not go to med school myself, because I love being a nurse and I did not want to give up a decade of my life to school and end up with tons of debt. I would not worry about the CRNA or NP...

  15. Hello, looking for some encouragement.

    ErinS replied to gorgenurse's topic in Hospice, Palliative

    I think this is a pretty normal feeling. You are responsible for your pt's during your working time, but not when you are off. However, if your pts are well managed, you will find they have minimal...

  16. Hospice nurse interview questions?

    ErinS replied to gorgenurse's topic in Hospice, Palliative

    Tell me about a time you did something that was against the rules. We ask everyone we interview this question. Hint: Don't answer with anything

  17. Acute care vs. Home health

    ErinS replied to SrnD's topic in Nursing Career

    Well, I work hospice so it is a little different, but the part where you said you get palpitations until you leave, you don't really get to leave. It is exceedingly difficult to leave your work at...

  18. Clinical etiquette: card for nurse on the floor??

    ErinS replied to njmomstudent's topic in General Nursing

    Write her a thank you note. The nurse probably would not mind a sympathy card, but she was probably just trying to help you realize that we find ways to work with sick people even when someone we...

  19. new grad bad interview

    ErinS replied to rn_yogi's topic in General Nursing

    When I am interviewing I ask some tough questions. I want to know that you can admit your shortcomings, prioritize, work as a team player, and figure out how to get extra help. You do not have to...

  20. Average RN Case Manager Pay in PA??

    ErinS replied to kakrn5's topic in Hospice, Palliative

    I am in Utah, and when I was case managing had 12-15 patients. Your load seems low which makes me think you will be driving a lot. I make closer to $80000, but that is with mileage and overtime. I...

  21. Why do you do what you do and DON'T do what you don't do?

    ErinS replied to nurseprnRN's topic in General Nursing

    I don't work in a hospital because I feel those gentle gray walls closing in on me and bleeding the life right out of me. Also, I was tired of working everyday trying to get patients to do things...

  22. Daylight Savings & Documentation

    ErinS replied to KidsMakeMeSmile's topic in General Nursing

    I hate time change! I thank God I don't work 12 hour night shifts anymore. The hardest thing was giving report (yeah, I gave the last percocet during the first 2 am, and then gave push morphine...

  23. Odors

    ErinS replied to Vtachy1's topic in Hospice, Palliative

    Bowl of coffee grounds under the bed will help with the smell. Also, may want to talk to your MD about doing daily bladder flushes. I like acetic acid- sterilizes and keeps the foley from getting...

  24. Do you find this article insulting?

    ErinS replied to cacentralvalley's topic in General Nursing

    I TOTALLY agree with this article. Working in hospice I see Medicare Fraud everyday with hospitals and SNFs playing this game. In fact, I have had facilities tell families that are going for tours...

  25. Are you doing fecal transplants very often?

    ErinS replied to Vtachy1's topic in General Nursing

    One lucky thing about having c-diff (and likely the ONLY reason any pt accepts this) is most people would do ANYTHING to not have c-diff anymore! I suppose I would be willing to have this done, but I...