ErinS

ErinS BSN, RN

Hospice

Member

  • Content

    347

  • Visitors

    7,047

  • Followers

    0

  • Likes

    5

All Content by ErinS

  1. Hospice Nursing

    ErinS replied to LvANrse80's topic in Hospice, Palliative

    I lasted only 2 weeks in LTC, but have been in hospice 2 years and love it. I work 5 eight hours shifts a week. I am not sure I could handle 12 hour days in hospice, but maybe it would be better if...

  2. POEMS syndrome & glioblastoma

    ErinS replied to courtney.2009's topic in General Nursing

    I am not sure if the information on glioblastoma you were told is correct. They are actually the most common form of brain tumor. Perhaps it was the location of hers, or some subset of glioblastoma...

  3. Unstable crazy situation-Help!!!

    ErinS replied to AtlantaRN's topic in Hospice, Palliative

    Your company is allowed to discharge patients. Our admit paperwork includes patient expectations, which include providing a safe environment. This is not safe. I would recommend discussing this...

  4. Morphine and End Of Life

    ErinS replied to MelissaLPN's topic in Geriatric, LTC

    Just my two cents. It is important to remember that a patient who is actively dying may no longer show those 'typical' signs of unmanaged pain. In fact, many patients who are alert do not show sings...

  5. Tell me about your continuous infusions

    ErinS replied to ErinS's topic in Hospice, Palliative

    Thanks for your replies. We have had a vague policy for years and a nurse was just fired because of it. Okielpn- Our medical director has been pretty resistant to rectal meds- and I am glad of it....

  6. Placebo's & Trust

    ErinS replied to DJ-Adia's topic in General Nursing

    No, never, no way! Shame on this nurse for doing something like this. Beyond that, since when can you look at someone and know that they are nauseated? And why withhold zofran anyways- this is not...

  7. alternatives to nursing

    ErinS replied to Bostonrunner's topic in Hospice, Palliative

    I guess this depends on if you want to stay in healthcare or leave totally. Honestly, if I was going to change careers I would open a nursery and spend all day with plants. However, if you want to...

  8. Graduate nurse: Path to hospice?

    ErinS replied to Sierraphoenix's topic in Hospice, Palliative

    I strongly recommend, particularly if you will be working in the home, that you get a good solid year of med/surg experience. I worked in float pool, and if you could get into that it is particularly...

  9. Fired because of Facebook???

    ErinS replied to hairtocare's topic in General Nursing

    At my work you can not have the workplace in your profile and speak poorly about work, people you work with, or patients. And of course you can never make any comments about patients on facebook that...

  10. Suicide

    ErinS replied to Vtachy1's topic in Hospice, Palliative

    I took care of a pt who attempted suicide, and then decided she wanted to stop tube feedings and be on hospice. An ethics panel decided this was okay, as she was competent, and 3 months later she is...

  11. nurse says, do you want her to be in pain

    ErinS replied to time4meRN's topic in Hospice, Palliative

    I think in a lot of ways this is the way some hospices operate- take the person off everything and let them die. In my hospice we have tried to find a place that allows good symptom management, but...

  12. I give in to drug seeking patients

    ErinS replied to Raidernurse's topic in General Nursing

    I work in hospice and currently care for a patient who is an addict and in terrible pain. We are not going to cure either, but by getting her proper pain meds and limiting her access to them, she is...

  13. How hard is nursing school? Another question...

    ErinS replied to wnb4's topic in General Students

    Nursing school is hard. Very hard. Being a nurse is also hard. It is stressful. You are in charge of someone's life. You are in charge of ensuring not only that you do not make a mistake, but...

  14. Magnet, polarization, ageism, classism

    ErinS replied to edgarandersonrn's topic in General Nursing

    In the current job market, you have to be competitive. Like it or not, more education equals more competitive. If you want to be competitive, get your BSN. If it is all fluff, than it should be...

  15. Protocol for comfort care

    ErinS replied to MomRN0913's topic in General Nursing

    Our hospice admit orders include: Morphine 2-8 mg q hour prn Ativan (or versed) 1-2mg q 2 hours prn Haldol 1-2 mg q 4 hours prn Dc vs, cardiac monitor, resp therapy, wean off O2 In my experience,...

  16. How do I have more confident talking/calling doctors?

    ErinS replied to winter_green's topic in General Nursing

    SBAR is an invaluable tool until you are confident in this skill of talking to doctors. The thing that has helped me the most so far has been cultivating relationships with doctors that treat me as a...

  17. How do dementia patients process grief?

    ErinS replied to cannulator's topic in Hospice, Palliative

    The beauty of dementia is that sometimes that grief is truly gone with the forgetfulness. I had a pt whose wife had died and he did not remember. When told he would go through the entire grieving...

  18. Does hospice pay for luprone injections

    ErinS replied to masham1711's topic in Hospice, Palliative

    If it is related to terminal illness hospice is responsible for it, meaning if the pt is on hospice and has this done, his insurance/medicare will not pay for it. However, the hospice medical...

  19. Roxanol-How do you describe the effects to the family?

    ErinS replied to JacelRN's topic in Hospice, Palliative

    Several points I discuss: Most side effects people get used to- but not constipation. SL morphine is processed differently than IV morphine, so it has less tendency to cause confusion, hallucinations,...

  20. Theoretical/Conceptual Framework

    ErinS replied to liser79's topic in General Nursing

    This is my school's conceptual framework- particularly the career ladder paragraph. We have visual model of this, but it is not accessible online. Hope this helps. School of Nursing Mission The Dr....

  21. Staffing and Nursing Fatigue

    ErinS replied to TheMrsRN's topic in General Nursing

    Sign up for medscape. They have a lot of research. Also your work should allow you access to

  22. This forum is scaring me!

    ErinS replied to Laurel32's topic in General Nursing

    I love being a nurse. I recommend nursing to most people. I live in a place where nurses can still get jobs (Utah) if they are willing to start in a nursing home. I make a good salary, have...

  23. What info should be "tattooed" on a nurse's brain?

    ErinS replied to rloh961's topic in General Nursing

    I work in hospice but things I have memorized: Equivalency of common narcotics Tele measurements- left over from working as a tele nurse How common drugs are excreted, common interactions, common and...

  24. End of shift report

    ErinS replied to jekajoy's topic in General Nursing

    Joint Commision has mandated that hand-offs must involve the opportunity for asking questions, hence the change you are seeing. I actually have always given verbal report. The two biggest things-...

  25. Any nurses understand how isolating infertility is....

    ErinS replied to JacknSweetpea's topic in Ob/Gyn

    I worked in post-partum for a few years. There were several women I took care of who were there having a baby of their own after just adopting a baby because they thought they were infertile. So...