westieluv

westieluv

Med/Surg, Tele, Dialysis, Hospice

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All Content by westieluv

  1. What kind of shift report was that?

    westieluv replied to proud nurse's topic in General Nursing

    You know, even when I worked in LTC and had the same patients day after day, I still didn't feel okay about getting a report like this. "Nothing new" indicates that absolutely NOTHING whatsoever has...

  2. What kind of shift report was that?

    westieluv replied to proud nurse's topic in General Nursing

    I've gotten report before from a nurse who waited until five minutes before I got there to make calls to several physicians regarding changes in her patients. It went something like this: "Mr. Smith...

  3. Sepsis as Hospice Diagnosis

    westieluv replied to lpoore's topic in Hospice, Palliative

    That's what I was thinking too. Sepsis isn't like typical end stage illnesses in that it can be cured in most people with aggressive treatment. If they are too weak and compromised to overcome the...

  4. New hospice nurse with questions

    westieluv replied to Kerber's topic in Hospice, Palliative

    Are you seeing patients next week, or does that alternate with being on call? The company that I just accepted a position with does it like this: week one, nurse 1 does visits but isn't on call. week...

  5. Sepsis as Hospice Diagnosis

    westieluv replied to lpoore's topic in Hospice, Palliative

    I'm getting confused here between AFTT and Debility. Are they considered the same diagnosis but with a different name? I was a hospice intake nurse a couple of years ago, and I was familiar with the...

  6. Would you like your job more if you were paid more?

    westieluv replied to proud nurse's topic in General Nursing

    No. If you really love something, you love it regardless of how much money is involved. For example, I love American History, and if we could afford it and we lived in an area with a lot of historical...

  7. Should high absenteeism be cause to be fired?

    westieluv replied to Emergent's topic in Nursing Professionalism

    I am currently employed in a department that cannot keep staff. They train them, they work a couple of months, and they quit. As a result, they are way too lenient with sick calls. I understand when...

  8. I Lost All Respect For A Colleague Today

    westieluv replied to Ruby Vee's topic in Patient, Colleague Relations

    And if Heidi does indeed stay behind, she is going to feel dirty and used and rotten and wonder how he could have just *left* her, his lover, behind, even while Dr. Dick moves on with his life and...

  9. The Worst Nursing Job You Ever Had

    westieluv replied to firstyearstudent's topic in General Nursing

    a couple of years ago I would have said LTC, but that was before I worked as a dialysis nurse for one of the "Big Two" dialysis corporations. Working in the chronic unit is basically an assembly line,...

  10. I Lost All Respect For A Colleague Today

    westieluv replied to Ruby Vee's topic in Patient, Colleague Relations

    Heidi possibly does know Mrs. Dick, since Dr. Dick told the story about his wife puking in a patient's wastebasket when the patient described his BM to her, indicating that Mrs. Dick is possibly a...

  11. I Lost All Respect For A Colleague Today

    westieluv replied to Ruby Vee's topic in Patient, Colleague Relations

    Heidi "gets her scrubs tailored so they fit her just so"? Oh, someone PLEASE, pass me that patient's wastebasket! Anyway, in all of my years of working on hospital units, I have seen my own share of...

  12. Today I learned...

    westieluv replied to cd365c's topic in Hospice, Palliative

    When I used to do hospice info visits with prospective clients and their families, I always told them that it does happen on occasion where someone actually improves and "graduates" from hospice, even...

  13. Would You Be Willing to do This?

    westieluv replied to westieluv's topic in Patient Safety Issues

    If fixing it means hiring and training nurses repeatedly, only to see them quit within the first year, then I guess you could say that they are trying to fix it, but obviously, without the result that...

  14. Joint Commission had me for lunch.

    westieluv replied to VAC's topic in Patient, Colleague Relations

    I see, and thanks for clearing that up. I have never worked for a facility that didn't have JC come in, and it's always a huge ordeal that everyone

  15. Joint Commission had me for lunch.

    westieluv replied to VAC's topic in Patient, Colleague Relations

    Can a facility opt out of JC evaluations? I thought this was required by law to be an accredited healthcare facility. If you aren't accredited, then a lot of insurance plans won't reimburse for your...

  16. Would You Be Willing to do This?

    westieluv replied to westieluv's topic in Patient Safety Issues

    We have a couple of nurses in our department who have been doing it for years too, and seem to be okay with it. They are older, single, and have no one at home, so it doesn't seem like such a big deal...

  17. Would You Be Willing to do This?

    westieluv replied to westieluv's topic in Patient Safety Issues

    But to their patients' disadvantage, since a fatigued nurse is more prone to making mistakes. There are small things in dialysis, things like forgetting to clamp a CVC port or grabbing the wrong...

  18. Signs the patient population is doable ?

    westieluv replied to Nola009's topic in Patient, Colleague Relations

    Oh, I'll be long retired by then, if I'm even still alive. I'm 49 now, so I have a head start on them, thank

  19. Joint Commission had me for lunch.

    westieluv replied to VAC's topic in Patient, Colleague Relations

    And if you had medicated for pain strictly based on the pain scale without taking into account the pt's BP, would the JC have commended you when the pt. coded? Nope, of course not. They would have...

  20. Have you ever cried in front of the relatives?

    westieluv replied to Purple_roses's topic in Patient, Colleague Relations

    Purple_roses, I can totally understand where you're coming from. It is completely different when you are in a patient's home, as opposed to a controlled environment like a hospital or nursing home....

  21. Have you ever cried in front of the relatives?

    westieluv replied to Purple_roses's topic in Patient, Colleague Relations

    As an on-call hospice nurse, there were times when I got teary eyed when I went to a home for a death call, particularly when it was for an eight year old and then a two year old. In a situation like...

  22. Would You Be Willing to do This?

    westieluv replied to westieluv's topic in Patient Safety Issues

    Thanks! I feel like a ton of bricks has been lifted off of my shoulders, and I'm no longer scared of losing my license due to fatigue brought on by ridiculously long hours. I will have some long days...

  23. Would You Be Willing to do This?

    westieluv replied to westieluv's topic in Patient Safety Issues

    Happy ending! I am out of there! I had three potential employers interested in me within a few days of getting applications out there, and I interviewed and have been hired for a hospice position...

  24. Signs the patient population is doable ?

    westieluv replied to Nola009's topic in Patient, Colleague Relations

    I have been a nurse for almost 25 years, and have worked in all kinds of demographic areas, from rural, cornfield communities to large, dangerous, cities. I feel that it is more of a generational...

  25. Is Job Hopping the Norm for Nurses?

    westieluv replied to westieluv's topic in Nursing Professionalism

    Well, I had planned on staying with my current company indefinitely, because 1) I was trained to do a specific skill that is in high demand (dialysis) and 2) because the company is huge and I could...