aphillipi

Hello! I was wondering if anyone would be willing to share any practices or forms their agency uses to facilitate good communication with SNF or ALFs... it's consistently an issue for us. Thank you!!!

Yes exactly and yes I'm a hospice rn. Our CAHP survey scores show there is an issue with families receiving conflicting information from hospice and facility. So we are trying to brainstorm on how to fix that... We are offering an educational present...

If a patient is admitted to hospice but does not have a dnr and they are actively dying in front of you what do you do? I answered I'd call 911 and start CPR because by not signing a dnr patient is saying they want to be resuscitated. I was told that...

Is it possible to get my MSN in leadership and management (online) and then get a doctorate of np or do you have to first get a msn in nurse practitioner? I'm interested in leadership/management and I have an opportunity to do that at work in the nex...

Congrats! I'm in hospice too and sometimes think about doing what you're doing. This book and website is amazing as far as I can tell and has helped me w general nursing practice: index best of luck!

I'm a new grad who just started working in hospice as a case manager three months ago. (I worked in a SNF for 3 months before I took my license and RAN to hospice.) I see that a lot of people on allnurses are saying that all new grads are pretty much...

Hi! I'm a semi new grad ASN RN with 1 month SNF experience who just got an offer in the Sacramento area doctor office for $23/hr with the possibility of topping out at 26/hr after a year or so. Am I wrong or is that really low? Thanks!

New nurse here w question: Earlier today i could NOT get ahold of a doc on the phone for my new ltc pt. so i sent him a fax w standard admission orders, asking him to add anything else he wanted or cross out anything he didnt want. i called the offic...

In your experience when a patient has entered end of life phase and family decides to dc continous tube feedings,is it completely dc'd at once or gradually the rate is lowered? I would think that discontinuing at once would be the kinder thing to do ...

Yeah I'm really starting to have my doubts about this nurse's credibility... It's hard when you're new and can't trust your "very experienced" coworkers advice. I have to look EVERYTHING up - but I guess that's a good way to learn the most up to date...

I'm reading a lot about neurotoxicity seizures and hyperalgesia occurring due to morphine being administered around the clock even after a patients kidneys have stopped putting out urine and pt has been npo. So I've been telling PTs caregivers to les...

Thank you so much for posting that link! I had found it a long time ago and loved the Fast Facts but lost the address in my bookmarks. I need to print that whole website out. Thanks again!

Thanks Tewdles I have quite a few of them and can't wait for my core curriculum from hpna to arrive any day! :)

Thanks for the insight! The other nurses I've talked to have said the same. I guess I need to go with the flow of hospice instead of focusing on my textbooks and the internet. Unfortunately I'm always going to be a book nerd! (Also just so it's clea...

I went through the same exact thing as a new grad. After I had one terrible, horrendous night I called the don and said I was never coming back. She was actually really nice and wrote me a letter of recommendation! I guess she knew the situation was ...

I should also note that the pt I have in mind has no history of pain other than some arthritis and was receiving it for pulmonary edema and dyspnea. I'd be much more aggressive w morphine in a cancer pt, etc.

I emailed my board of nursing and got a reply yesterday pretty much saying follow your company's policy... Not really the answer I was looking for. Their policy is no CPR but it really feels wrong to me. if the patient hasn't signed a dnr, and they'v...

I'm a new grad who has a per diem position at one hospice and just called in to an interview at another hospice. I'm wondering if it is a conflict of interest to work for two hospice companies? I know they are very competitive. Obviously I would neve...

yeah i thought so bummer i could have used the extra shifts. oh well.

Hello! I'm doing the online Hurst review and just did my first QTest. I scored 101 points (or 80.8%). All of my classmates are doing Kaplan, so I have nothing to compare my score too. Any input from anyone who has done Hurst and then passed NCLEX? Th...

Why did you choose Hurst over Kaplan? I didn't think I meshed well with the instructor teaching Kaplan at my school. I'd also heard great things about Hurst and really enjoyed a Hurst demo I saw at nursing student conference I attended. Why did you...

Congratulations!!!! (Wow 23 SATA, that's painful!)

Hello! I'm taking psychology this summer and one of my assignments this summer is to interview a mental health worker. One problem: I don't know any mental health workers and all of the ones I've tried to call from the phone book have completely blow...

Thank you very much Davey Do!!

Hello! I am working on my first care plan right now and for part of it we are to prioritize all of the nursing diagnoses we came up with from our assessment. Well I found a ton of abnormalities with my patient so I have a ton of dx's and I'm getting ...