Maybe it is a bit late to post a reply, but I feel inclined to comment. I have been a nurse for 19 years, worked hospice for 6 years and been on call nurse for over 5 of those years, yet there are...
Since I am in GA, I can tell you that our LPNs see patients, call the MDs, implement orders, do continuous (crisis) care, most things the RN does except case manage and admissions. The CC nurse at...
Do any of you ever use anything but narcs? I am all for using morphine, methadone, whatever it takes to relieve my patient's pain, but I agree that preventative measures and long acting are optimal....
patsysparksrnchpn replied to onewithhospiceheart's topic in Hospice, Palliative
I carry a soft drink plastic bottle in my car always, mix all the meds in the bottle, add PineSol or some such cleaning solution or coffee grounds and place in the trash. Except for fentanyl patches...
I work 7 on 7 off on call and have done so for a while. The week on can get long sometimes, but I love it. Although I have noticed the 7 days off seem to go by very quickly!! Also on my 7 on, I...
Hospice is not necessarily a place, hospice is wherever the patient resides, be it home, LTC or ALF. For symptom management, a patient can go to a hospice house or have continuous care at their place...
I have gone out a couple of times and not felt safe so I would shorten the visit and report that it needed to be a daytime visit. Also have been advised by my boss that if it felt unsafe to advise...
patsysparksrnchpn replied to onewithhospiceheart's topic in Hospice, Palliative
I have worked as on call nurse for three hospices with a variety of schedules. Right now I work for VistaCare Hospice and my director let me choose the schedule I wanted so I opted for 7 on and 7...
I like the fentanyl idea if the patient is a candidate for the patch. At our office, we have been trying to use the lock boxes that have to be set up by the nurse once or twice a week, sending out...