Pondmud

Latest Activity

1. CNA - Any thoughts on pre-occupying a dementia patient?

   Pondmud replied to tonyapinion78's topic in General Nursing

   In so many ways, we do best when we meet people where they're at. If your patient had trouble with "furosemide" but is comfortable with "water pill", I don't think it's wrong to call it a water pill....

2. Samuel Merritt ABSN Summer 2015

   Pondmud replied to redandgold's topic in School, College Programs

   I graduated 12/2011 from San Mateo, and can tell you I got my acceptance phonecall on Halloween for a January 3 start date. If that timeline is their baseline, then I guess you'll hear at the...

3. palliative meds

   Pondmud replied to Kissy1818's topic in Hospice, Palliative

   While there is validity to sedating an agitated person as a means to provide comfort, I think medicating someone with the primary goal of sedating (as opposed to relief of something else that brings a...

4. Brand new to Hospice Inpatient Unit

   Pondmud replied to countrygonecity's topic in Hospice, Palliative

   Actually no wait - my brain just farted. You've now been on the job for 2 weeks - congrats!! There is all that. There are standard-ish orders for pain, nausea, agitation, congestion, constipation and...

5. Have you ever been assualted by a patient?

   Pondmud replied to pfeliks's topic in Hospice, Palliative

   Oh my gosh, I'm so sorry to hear that this happened to you. I get what you're saying about whether you will be able to care for him the way you'd want to, should he be re-admitted to your facility....

6. palliative meds

   Pondmud replied to Kissy1818's topic in Hospice, Palliative

   We've used versed and ketamine NCA for terminal stages, but only rarely. I don't know if it's written up as such in the P&P's, or if this is how our medical team views these meds, but we treat it...

7. CHPN certification

   Pondmud replied to Elle23's topic in Hospice, Palliative

   Agreed - the test was quite heavy on the oncology knowledge (I still don't know how to predict metastases from the venous flow), even though there are just as many cardiac and pulmonary patients out...

8. palliative meds

   Pondmud replied to Kissy1818's topic in Hospice, Palliative

   Same here - lorazepam or diazepam are choice #1 and #2. We may use the IV route if it's a picc line, but in the absence of that, and if the patient cannot take PO even as a slurry, we will go with the...

9. How do you know if Hospice Nursing is for you?

   Pondmud replied to Serenyd's topic in Hospice, Palliative

   Well, it's certainly a plus that you would like to get to know your patients and their families better. I am afraid that there are certain nurses attracted to the "slower" pace of hospice so that they...

10. Brand new to Hospice Inpatient Unit

    Pondmud replied to countrygonecity's topic in Hospice, Palliative

    Oh gosh. This post was from a year ago. I bet you can answer all your questions now :) If not, I might be able to fill in some

11. CHPN certification

    Pondmud replied to Elle23's topic in Hospice, Palliative

    I just sat for and passed the CHPN exam yesterday :) Here's what I can tell you: I think it's highly possible your previous experience may cover for the 2 years hospice-specific experience that the...

12. medical abuse?

    Pondmud replied to sfaithj's topic in Patient Safety Issues

    There may be a consent to treat, implied agreement as evidenced by the patient consenting to be admitted to the hospital; but upon admission don't we all have our patients sign a Patient's Bill of...

13. medical abuse?

    Pondmud replied to sfaithj's topic in Patient Safety Issues

    I think the context surrounding why she was straight-cathed is important. What if she were retaining urine, and they didn't want to go with a continuous catheterization because 1. they hope to resolve...

14. Continuing Ed specifically for Home Health?

    Pondmud posted a topic in Home Health

    Hi everyone - I'm very new to home health nursing, and I've got a question for some of you more experienced nurses since I'm just learning the ropes: In my initial meeting with the client, I was told...

15. Samuel Merritt ABSN Spring 2011

    Pondmud replied to Victory925's topic in California Nursing

    As one student at San Mateo, I'd say that YES OMG the program is intense. However, it is possible to complete. While there are some professors whose teaching styles haven't been a perfect match to my...