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

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    I think I am starting to see this from your side. We are blessed at our hospice with a community of MDs who for the most part respond extremely well and quickly to our nurses' requests for changes in...
  2. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    JCAHO is calling for a 6th vital sign? Good heavens, I'm way behind. I thought the five they advocate for were B/P, temp, pulse, respirations and pain. What is the sixth? You and I disagree on this...
  3. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    You said, "Kat, maybe I am an "old fashioned" nurse, but I don't think that ANY patient should have to ASK for pain medication---let alone a dying patient." I was taught to round frequently on my...
  4. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    I don't think you'll get much argument from anyone that it's poor nursing judgement to fail to take action with a patient who is "sweating and struggling for every agonizing breath (because they)...
  5. Katillac

    Need New Ideas, CHARTING

    Katillac replied to rockchalk_jayhawk's topic in Hospice, Palliative

    my goodness, i am so jealous that your nurses get to dictate their charting! we use suncoast as well at out hospice, and i agree with the characterization of it as being not very user friendly, but...
  6. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    I believe that it's appropriate to give PRN pain meds for pain. You believe, apparently, that it's appropriate to give PRNs to prevent pain from ever occurring. We differ in our definition of what PRN...
  7. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    I'll pass on the references, thanks, and stick to credible professional and academic stuff and the recommendations of the WHO and the HPNA (who gave me the CHPN after my name). I'll also stick with a...
  8. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    Well, I see it differently, and so, I hasten to reassure readers out there, do most hospice nurses. I don't give PRN meds routinely, especially narcotics, or because I think that the patient may need...
  9. Katillac

    Palliative Care and Euthanasia

    Katillac replied to bracken's topic in Hospice, Palliative

    It's interesting, isn't it? If a person is struggling at the end and a loved one comes and gives them comfort and ease and they are able to relax and slip away, we never point to the visit as the...
  10. Katillac

    Palliative Care Team

    Katillac replied to Celia M's topic in Hospice, Palliative

    I'm sorry, but I need to emphatically disagree with this. You are using hospice and palliative care interchangeably, and they are not the same. Patients receiving palliative care don't need to be...
  11. Katillac

    Traumatized by nursing - advice needed

    Katillac replied to kcsun3's topic in General Nursing

    Wow. That's pretty harsh. So she should just suck it up and deal? Zero points for that helpful advice. Can't begin to say what bad advice this is. So, she lies about when she graduates, then gets...
  12. Katillac

    At Your Hospice, Do You. . .

    Katillac posted a topic in Hospice, Palliative

    At your hospice, do you ever have vent patients? Does this seem like a life extending measure to you, and inconsistent with the hospice mission? And, separate question: When someone is NPO as in the...
  13. Katillac

    At Your Hospice, Do You. . .

    Katillac replied to Katillac's topic in Hospice, Palliative

    I totally respect your experience, and in no way am I suggesting that dehydration can or should be disguised. In my experience, it's possible, with emollients, to keep lips from being dried and...
  14. Katillac

    At Your Hospice, Do You. . .

    Katillac replied to Katillac's topic in Hospice, Palliative

    I'm thinking of a case in which a vent patient has good quality of life; the patient is alert and oriented, interacts with family and staff, and other than being on the vent right now leads a "normal"...
  15. Katillac

    LPN student in Hospice

    Katillac replied to ChristinaV's topic in Hospice, Palliative

    in the hospice where i am eployed, we utilize lpns as staff nurses in our residence and also in home care. but please remember that the medicare benefit, which drives a lot of the operation of...
  16. Katillac

    Oxycodone vs. Morphine

    Katillac replied to Katillac's topic in Pain Management

    Thank you so much, aimee. These are
  17. Katillac

    Oxycodone vs. Morphine

    Katillac replied to Katillac's topic in Pain Management

    Thanks for the replies. I haven't found what I'm looking for in any of the Google entries, though - a specific comparison of the efficacy of morphine and oxycodone in treating pain and dyspnea. I'm...
  18. Katillac

    looking for some input frm Hospice nurses

    Katillac replied to darla80's topic in Hospice, Palliative

    If her primary physician certifies that in his belief one or more of her diagnoses is such that if the disease or condition runs its expected course she will not live longer than six months, and the...
  19. Katillac

    How do you know if you will be able to handle Hospice Nursing?

    Katillac replied to JNT'smom's topic in Hospice, Palliative

  20. Katillac

    Suggestions for Coping with Pt. Death

    Katillac replied to amj10rn's topic in Hospice, Palliative

    Mollie, Fortunately, there is room for us to approach our practice as hospice nurses in many ways. Some of us grieve when our patients die, some don't. Some have rituals they enter into for closure...
  21. Katillac

    Suggestions for Coping with Pt. Death

    Katillac replied to amj10rn's topic in Hospice, Palliative

    My hospice holds periodic simple memorial services, to which all staff are invited. Staff stand and one by one the names of the deceased are said aloud, and after each name is spoken a beautiful gong...
  22. Katillac

    Hospice On Call Compensation Structure

    Katillac replied to Katillac's topic in Hospice, Palliative

    Thanks for your response, Angelica. Could you please tell me what your average census is? Thanks,
  23. Katillac

    Hospice On Call Compensation Structure

    Katillac replied to Katillac's topic in Hospice, Palliative

    Thanks for your response, Angelica. Could you please tell me what your average census is? Thanks,
  24. Katillac

    Hospice On Call Compensation Structure

    Katillac replied to Katillac's topic in Hospice, Palliative

    Thanks for the reply, aimee, but I am a little confused. When you say they don't get anything extra, does that mean they don't get paid to be available to take calls (and do phone triage, I imagine)...
  25. Katillac

    Hospice On Call Compensation Structure

    Katillac replied to Katillac's topic in Hospice, Palliative

    Thanks for the reply, aimee, but I am a little confused. When you say they don't get anything extra, does that mean they don't get paid to be available to take calls (and do phone triage, I imagine)...