ErinS

ErinS BSN, RN

Hospice

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All Content by ErinS

  1. Questions about hospice

    ErinS replied to Genista's topic in Hospice, Palliative

    Oh my gosh, I would love that job! I find case management extremely stressful! It is rewarding, but I feel like I am losing my mind some days trying to remember everything that is needed. I am...

  2. Use of EtCO2 monitors in inpatient hosptial palliative setting

    ErinS replied to KellyB143's topic in Hospice, Palliative

    I guess I am not sure why this would be used. Usually my pt's are not a pca until they are actively dying, at which point we expect a change in respiratory status. Do you have additional

  3. During Hospice Consultant, Patient states he would like to continue treatment

    ErinS replied to DaddyO's topic in Hospice, Palliative

    I encourage a really frank discussion between your uncle's oncologist and your uncle/family. Ask direct questions such as: What treatment options are left? What are the pros (meaning quality of life...

  4. It still bothers me.

    ErinS replied to chicookie's topic in General Nursing

    I think you did the right thing. I work in hospice, and while I encourage pt's to set realistic goals, I am always optimistic. Like you, I do not think that being optimistic has to focus on pulling...

  5. new RN and new hospice nurse-need help!

    ErinS replied to ajitamamasita's topic in Hospice, Palliative

    I always continue any routine medication a pt was on before entering their dying process. I also make some assumptions- pre-medicate for pain prior to interventions that cause discomfort- like...

  6. What is your response to lay people?

    ErinS replied to Vtachy1's topic in Hospice, Palliative

    I tell people 'my job is hard, but it was much harder for me to make people do things in the hospital that hurt them, that they did not want, or that I knew would do no good'. And I tell people that...

  7. COPD- 98% O2 sat?

    ErinS replied to payang0722's topic in General Nursing

    In hospice we use a touch of morphine and anxiolytic to manage symptoms of respiratory distress when people are otherwise stable (and sometimes when they are not). It is important to remember that...

  8. How do you work????

    ErinS replied to mnrb_mdn's topic in General Nursing

    I learned to give report to MD's using SBAR, which is a common report system that includes your 'R'-recommendation. I generally call my doc (I work hospice) with a specific order in mind, and usually...

  9. What's your favorite nursing/nurses' prayer?

    ErinS replied to learning&yearning's topic in General Nursing

    Lord, help me to remember there is nothing I will face today that you and I can't get through

  10. Getting over a negative clinical experience a year and a half ago

    ErinS replied to rumwynnieRN's topic in General Nursing

    Honestly, as a student I am surprised you got in trouble for the things you did. It is very strange that you had so little guidance and then were failed for the things you describe. I encourage you...

  11. Something is wrong with me. Guess I shouldn't be a nurse

    ErinS replied to ijuanabhappy's topic in General Nursing

    I think you are being to hard on yourself. I have been in my current job 3 years, I am very good at it, and I have days where I am sure I have a brain tumor because I can not remember ANYTHING. If I...

  12. Routine meds for hospice use

    ErinS replied to trodden's topic in Hospice, Palliative

    Here is a link to the World Health Organization's website: http://www.who.int/3by5/publications/documents/en/genericpalliativecare082004.pdf It talks about the above mentioned meds and the uses. So...

  13. I feel silly wearing Grey's Anatomy Scrubs - but they are SO comfortable!

    ErinS replied to 2126's topic in General Nursing

    Ditto on the

  14. What is your opinion on adding more Spanish-friendly tools to the ER?

    ErinS replied to angiebelle's topic in General Nursing

    This is a great idea for a change project. I was thinking just today about how little spanish resources are out there. The patient I was working with today was a 7 year old, and she is bilingual,...

  15. Curious about Hospice Nursing

    ErinS replied to AlliecatRN11's topic in Hospice, Palliative

    I started working float pool at a medium sized community hospital. I left my position of 4 years to work as a travel nurse for 6 months, and when I returned home there were 3 full time RN jobs in the...

  16. 1mg Ativan 7 times per day?!?!

    ErinS replied to SuzieeQ's topic in General Nursing

    Was she sedated? If not, then I would not be concerned. Our standard ativan dose is 0.5-2mg q 4 hours prn. In addition, I have also had patients on continuous ativan infusions of 20-40mg per hour,...

  17. Labored Breathing?

    ErinS replied to payang0722's topic in General Nursing

    Morphine is the drug of choice to use for dyspnea in a hospice pt. Dyspnea in the dying is characterized by several things, including a respiratory rate of more than 20, use of accessory muscles,...

  18. Dr Oz and Aspirin

    ErinS replied to carolmaccas66's topic in General Nursing

    Heart attack emergency care: MONA: morphine, oxygen, nitro, aspirin. Most people will only have the aspirin in the home, but may as well get it started. If they do not take it in the home, the EMS...

  19. Mesothelioma pt.

    ErinS replied to ajitamamasita's topic in Hospice, Palliative

    Great recommendations from surrealmoment. Also, i have found for pt's who absolutely refuse morphine, that something like a saline neb makes them feel like they have the power to manage the symptoms,...

  20. Management of severe EOL pulmonary edema

    ErinS replied to SurrealMoment's topic in Hospice, Palliative

    1. Reposition as much as possible for comfort. 2. Call the md and get something other than roxanol. (For us, this would probably be subQ morphine that would likely already be in the home in a 1-time...

  21. What do you consider to be nursing's biggest setback?

    ErinS replied to almost30's topic in Patient, Colleague Relations

    Nurses have allowed everyone else make the decisions about our jobs and what we should do. Who decided what our education should consist of? Doctors, administrators, and educators without a nursing...

  22. Odd behavior with psycosomatic symptoms

    ErinS replied to JeneraterRN's topic in General Nursing

    I think you were taking care of my husband:yelclap:! But seriously, he does have anxiety, and it is associated with chest pain. Perhaps the pain interventions distract him from his anxiety, and this...

  23. How do you "bond" with your patients?

    ErinS replied to winter_green's topic in Ob/Gyn

    A study one of my professor's conducted followed a nurse who had an incredible success rate in occupational health changes. The people interviewed who had counseling on how to make changes to prevent...

  24. OMG! My relief staff keeps pushing the "Coming to Jesus" fact..

    ErinS replied to SoCalRN1970's topic in Hospice, Palliative

    I wonder if those nurses are not burnt out. We have had several nurses leave recently, and they were all talking that way and were burnt out. I try to be realistic with my patients about the...

  25. reamed out for using soft wrist restraints

    ErinS replied to newnurse012's topic in General Nursing

    I am a hospice nurse and get very upset when my patients are physically restrained. But, our orders allow for ativan and haldol, so often our patients are chemically restrained. I think this is part...