westieluv

westieluv

Med/Surg, Tele, Dialysis, Hospice

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All Content by westieluv

  1. My First Night Shift in a Long Time...

    Thanks to all of you. Right now it is 3:30 am and I am up typing this, lol, so hopefully I will be able to sleep later today. I am going to take a large travel mug of black coffee to work with me...
  2. My First Night Shift in a Long Time...

    Thanks so much for the tips! I will apply them tomorrow night and in the
  3. Rinse back amount

    When I was employed by Fresenius recently, I was taught 500 ml total for prime and rinse
  4. Help for the new hospice nurse please

    Well, I understand it to work like this: If a patient lives in a LTC and is not eligible for Medicaid (which pays their room and board regardless of if they are on hospice services or not) Medicare...
  5. I work for one of the "Big Two" dialysis companies as an acute inpatient dialysis nurse. For those of you not familiar with this, my job is to provide dialysis treatments to patients who are acutely...
  6. Is Hospice nursing "easier"?

    I've done both inpatient hospice and home hospice nursing. Inpatient is easier in the sense that it is much like working LTC only without the ridiculous med passes and everyone is at the end stage of...
  7. Does your clinic force nurses to work as techs when you are short staffed? I'm not talking about putting a patient on or taking one off once in a while, that's no big deal, but actually scheduling...
  8. Solutions for Acutes?

    This is exactly why I had to get out. Acutely ill patients who require dialysis are way too fragile for a nurse who has been working for 14+ hours to be responsible for, and I also got tired of...
  9. How do you staff your Fresenius?

    We did not have a charge nurse to cover those other duties, although there were four chairs in a row, meaning the the RN had four of her own and four more to oversee, and then yep, all of the other...
  10. Doing away with Scrubs

    I can remember when I was an after hours on-call hospice nurse working for a company where we had to wear business casual, even in the middle of the night. How many times did I do post-mortem care,...
  11. That's all you can do. I wish you well and I'm glad you were able to leave a situation that was making you so
  12. How do you staff your Fresenius?

    The chronic FMC unit where I worked was also starting to go to the model where the nurse takes a row of patients for herself and is still responsible for another row. I didn't get that. I mean, a tech...
  13. I don't know how that works, but i once asked if it would be possible for me to get hired as a unit clerk and was told that I couldn't because as a licensed RN, I had the obligation to fulfill my...
  14. Thanks, all. My interview is tomorrow, so I guess I'll see what they have to say. Do you think they'd let me wear scrubs to work? That's one thing I will miss about nursing if I do decide to try...
  15. Help! So Depressed...

    I am almost fifty years old and I have never been depressed in my life. However, tonight as I sit typing this, I feel like I'm trapped in a tiny black box and there's no hope of getting out. I have...
  16. If you accept a job, stay at least a year

    No new grad here. I've been an RN for over 24 years. I recently accepted a position with a home health/hospice company that lied to me in the interview so that I would accept the salaried position....
  17. That's a good point, because in my experience, while I avoid at all costs that tired, judgmental cliche' that, "They did it to themselves", it does seem that the overall unhealthiness of the American...
  18. Cut Throat Competition Makes Me Sick

    Well, here is a sample conversation from our office this past week: Marketer: "Okay, so go out and do the evaluation today, and then we can schedule the admission for this evening or first thing...
  19. Cut Throat Competition Makes Me Sick

    Hahahahahaha...yeah...NO!
  20. Cut Throat Competition Makes Me Sick

    A lot of hospice nurses are under great pressure to find a way to recert a patient, even if they don't meet criteria. So, somehow they find SOMETHING that qualifies them, even if they have to...
  21. Cut Throat Competition Makes Me Sick

    I have seen marketers and management personnel in my company dig into a patient's medical record and if they don't have most of the obvious indicators in eligibility, they will twist words and...
  22. Well, I work for the same kind of company that the OP works for (in fact, it sounds like she could very well work for my company). I wonder if anyone has considered that OASIS is not used in hospice...
  23. How should I explain to a hospital I want my job back

    Agreed. He is going to feel and look like a fool for putting in a good word for someone who got fired for bad behavior. If I were him and I found out that you asked for a recommendation after you had...
  24. How should I explain to a hospital I want my job back

    Well, even if the nephrologist friend spoke to someone who is going to call you, not knowing that you were terminated from their facility earlier this year, wouldn't you still have to fill out an...
  25. Ebola patient is on dialysis

    Even though I no longer do dialysis treatments, I think I can take a stab at this: Because as much as we may love nursing and love caring for our patients, we love our families more. At the end of the...