ErinS

ErinS BSN, RN

Hospice

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All Content by ErinS

  1. oh for petesake!

    You are SO new! I know it seems like you have been doing it for 6 months and should have it down. I have been nursing for 5 years, and still feel new, and unorganized, and like everyone is watching...
  2. 24/7 Video Cameras in ICU rooms

    My question is: where is all that video stored. And if it is not stored, what's the point? If it is stored, how does it change a nurses charting? For example, we are supposed to chart hourly...
  3. l&d and malpractice

    I spoke with an attorney while in nursing school who recommended that as long as I don't have assets, malpractice insurance is more of a risk than anything. When someone decides to sue, it is not...
  4. Chest tube policy at your hospital?

    Our chest tubes were not sutured. The doc who inserted the chest tube marked the tubing next to the pt's body, so if it pulled out it was easy to see and
  5. frequency of RN visits

    It is in the COPs. An RN must visit once every 14
  6. Confused patient

    I have said to patients 'We have a policy that I assist you in filling your pill boxes', or have just asked to sit with them while they fill them, or have them sit with me while I do it. As soon as...
  7. ER Wasted

    I recommend hospice. Seriously. Your skills would be invaluable to a hospice agency, and I think you would find a lot of similarities. And everything you hate about the ER (rude people, demands to...
  8. When I am interviewing people I ask this question to get a sense of what is really important to you. How do you take care of yourself? Do you have a life outside of work? Also, this question is meant...
  9. duplication of services

    I say this is a duplication of services and I have never had a hospice pt on both home health and on hospice. How will YOU justify to medicare that her wound care was not related to her terminal...
  10. Made an error :'( unable to move on

    If you ever meet a nurse that says they have not made a mistake, they are lying or to dumb to realize they made one. We all make mistakes. Honestly, mild chest pain would not get me real excited in...
  11. I had $8000 in student loans after my bachelors, and I am paying out of pocket for my master degree. Your student loans should not be a mortgage, and certainly not for a nursing degree, where you...
  12. Patients' "home remedies"? What have you seen

    I was just talking to one of our older nurses who said they used to use maalox mixed with sugar or honey on wounds. She said that this really worked. Of course, raw honey is being found to work very...
  13. Living with poo

    I think the reality is there is crap everywhere. You just happen to be a little more in touch with it now. I work in homecare, and I make a point to carry disinfectant in my car (which I use at...
  14. I want to be a hospice nurse so bad!!!!

    If you want some specific hospice skills here are some things you could do. 1. For every chronic diagnosis you see, take a few minutes to google what comfort care for that diagnosis might look like....
  15. An Interesting Thread: Productivity

    Productivity is something management talks about in the hospital setting, but not something that is really discussed or defined with hospital staff. In the homecare setting there is defined...
  16. I encourage you to be honest with her. Obviously she understands death in some capacity. When you go up this week tell her he is very sick and is going to die. Answer honestly questions she asks,...
  17. Pay rate for visiting nurses

    My company pays $43 per visit credit, with admits being worth 2-3 credits, regular visits being worth 1, and inpatient visits between 1.5-2. I live in a fairly inexpensive area and this pay is very...
  18. I understand where you are coming from, but I think you will surprised when you start working how difficult it is to have students. There is an interesting phenomena when you are a nurse. It is very...
  19. Don't you hate secrets?

    Probably the angriest I have made families is when I have talked openly about death and dying in front of their loved one who is dying. However, I feel it is my responsibility to be honest with my...
  20. Panel interviews are intimidating. I often conduct interviews in a panel situation. If it makes you feel better, usually people who are interviewing recognize and take into account that people are...
  21. MRSA in the nares

    It is suspected that the majority of healthcare workers carry MRSA. I worked in a hospital for awhile that was trialing full contact precautions with all ICU patients to help prevent MRSA infections....
  22. New Job as a Hospice Intake Nurse

    When you say an 'intake' nurse, do you mean admission nurse? If so, that is what I do. I actually worked a year doing admissions, then switched to case managing for 2, then just recently switched...
  23. Saline in a bottle not for injection?

    Most places uses bacteriostatic normal saline which actually has a tiny bit of alcohol in it. So while you should not use irrigation saline for injection, you also really should not use injection...
  24. Hospice Charting and Recertifications

    Example of charting to decline. Mrs. Smith has: -Needed increased x to manage symptom y -Had a x cm mid arm circumference loss and a x number of pound weight loss -needed increased assistance with x...
  25. I do not have kids yet, but being a nurse likely will help me be a mom because nursing has taught me: 1. How to be patient with people who know how to push my buttons. 2. How to prioritize. 3. When...