Katillac RN

That's not a pic of me. That's Nurse Ratched from One Flew Over The Cuckoos Nest for you young pups.

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All Content by Katillac

  1. Katillac

    Cross Posted from Home Health Nursing: Narcotic Diversion

    Katillac posted a topic in Hospice, Palliative

    Sorry about the typo in the subject line, I can't figure out how to edit that! Hi, All. I'm wondering if anyone has any resources they can point me to regarding suspected narcotic diversion in a home...
  2. Katillac

    Narcotic Diversion in Home Care

    Katillac posted a topic in Home Health

    Hi, All. I'm wondering if anyone has any resources they can point me to regarding suspected narcotic diversion in a home care patient. This is a case where we strongly feel that narcotics are being...
  3. Katillac

    Question About RNs Supervising Caregivers

    Katillac posted a topic in General Nursing

    Does anyone know where I can get a sense of the regulations for New York State that govern the obligation of an RN Case Manager in a circumstance where there are paid but nonlicensed caregivers (not...
  4. Katillac

    Acute Hospice Care Crisis?

    Katillac replied to leslie :-D's topic in Hospice, Palliative

    I'm going to take a stab at this one based on my own experiences. When I have a really intense case, I often end up at the end of the night feeling very much alone. To me, that's because I have...
  5. Katillac

    Who's Doing Palliative Care?

    Katillac posted a topic in Hospice, Palliative

    Hello and Happy New Year to allnurses hospice folks! I'm looking for information about what hospices out there have an up and running pallative care program. I would like to have a look at what's...
  6. Katillac

    What is med surg like these days???

    Katillac replied to johnson0424's topic in Medical-Surgical

    I can't say what Med/Surg is like these days, though I can assume it has only gotten worse since I left it 3 1/2 years ago. That was after a year on a tele floor, working nights on a 36 bed unit. I...
  7. Katillac

    in home emergency packs

    Katillac replied to Al Stephens's topic in Hospice, Palliative

    A follow up question for those who use EKits in the home, especially those with narcs: I assume that an MD signs an order for these kits. Is it the Primary MD, the Hospice Medical Director, or someone...
  8. Katillac

    Who's Doing Palliative Care?

    Katillac replied to Katillac's topic in Hospice, Palliative

    Yes, it's very helpful. Thank you! If you would feel comfortable sharing your location with me, please PM me. I'd like to visit at some point. And please forgive the megatext! I wrote it in Word and...
  9. Katillac

    nursing differences

    Katillac replied to midwife2's topic in Hospice, Palliative

    That's a good question! Ours is also a six bed unit, and we have seven part and full time nurses and a list of per diems all of whom may have slightly different approaches to medication. With us, it's...
  10. Katillac

    whats best to study for CHPN

    Katillac replied to Tonita's topic in Hospice, Palliative

    Hi, Tonita - I have to agree with RNRatchet, both books were important for different reasons. The Core Curriculum book was great for its information about disease process, meds, rules and regs of...
  11. Katillac

    Please help me understand/Domestic Violence Question

    Katillac replied to Bipley's topic in General Nursing

    Yours is the kind of thinking that makes many abused women feel too ashamed to get help. Just a few things off the top of my head: "She wasn't a weak woman without resources, she didn't want to leave...
  12. Katillac

    Please help me understand/Domestic Violence Question

    Katillac replied to Bipley's topic in General Nursing

    So, Bipley, do you understand better now why these women don't "just" get up and leave? To the women who have bravely shared their stories in an effort to educate, thank you. When I went in to the ER...
  13. Katillac

    Does TPN prolong life?

    Katillac replied to Nursing1Student's topic in General Nursing

    I'm afraid I have no peer-reviewed medical research to offer, only my experience as a hospice nurse. However the answer to your question is that it is unlikely that the patient starved. I have seen...
  14. Katillac

    Documenting MS04

    Katillac replied to xmaxiex's topic in Hospice, Palliative

    At our facility, if we premedicate before doing ADLs but the pt is comfortable when not being moved, we feel more comfortable getting an order that in addition to "PRN pain/dyspnea" also says...
  15. Katillac

    a Question about HIPPA, the police, and etoh levels on a pt

    Katillac replied to godzilla's topic in HIPAA Challenges

    The bottom line of HIPPA, based on what I've read and training I have had, is that you protect a patient's information, including test results, from anyone who doesn't need it to treat the patient....
  16. Katillac

    treating a visitor of your pt? reprimanded for not doing it....

    Katillac replied to rehab nurse's topic in General Nursing

    As other folks have said, if you take VS you have entered into a nurse/patient relationship. The reason that facilities have policies against this is that if you took the BP and it WAS through the...
  17. Katillac

    Feeding and toileting

    Katillac replied to SouthernLPN2RN's topic in Geriatric, LTC

    I wonder if the inspectors that advance this logic have ever worked in an LTC facility. It sounds so easy; "just" assist them before the meal. As other posters have indicated, residents don't always...
  18. Katillac

    switching from oxycontin to methadone

    Katillac replied to flea's topic in Hospice, Palliative

    great articles on methadone from the who: http://www.whocancerpain.wisc.edu/eng/18_1/interview.html http://www.whocancerpain.wisc.edu/eng/16_1-2/alternatives.html also this one on rectal methadone...
  19. Katillac

    holiday pay

    Katillac replied to busylynn's topic in General Nursing

    Here's what we do: On any holiday, Christmas included, one gets holiday pay for the 24 hour period starting at MN the night before and ending @ MN the night of. So, if I work 11-7 Christmas Eve, I get...
  20. Katillac

    resignation dilemma

    Katillac replied to mtnmom's topic in General Nursing

    some major points here: 1) an employer in an at-will state can legally choose to hire, fire, and re-hire or not for whatever reason they choose unless the action is discriminatory against a...
  21. Katillac

    Home Health/Hospice Visit Pay by Location

    Katillac replied to toonchild's topic in Hospice, Palliative

    I really can't answer about home health, as in my area (NYS) home health and hospice are very different. My hospice in particular looks for full time RNs and LPNs in the field, and most of our...
  22. Katillac

    Hospice Library...what would you pick?

    Katillac replied to LadyBugLass's topic in Hospice, Palliative

    Hands down for practice. . . Notes on Symptom Control in Hospice and Palliative Care, by Peter Kaye. My copy was published in 1990, don't know if there is a later edition, but this book is a gold...
  23. Katillac

    Hospice and litigation question

    Katillac replied to jsteine1's topic in Hospice, Palliative

    Well, methadone is tricky to dose. It's used as both a long acting and a PRN but it has a DAYS long half life so titration can be challenging. We really have to stay on top of it, especially when we...
  24. Katillac

    Hospice and litigation question

    Katillac replied to jsteine1's topic in Hospice, Palliative

    I'm all for any advocacy that helps get patients appropriate symptom management. However, a more effective approach with the doctors that I know would be to work on establishing that there is little...
  25. Katillac

    Hospice and litigation question

    Katillac replied to jsteine1's topic in Hospice, Palliative

    Your answer is a little unclear, I'm afraid. What are you marketing and how will this information help you to market