patsysparksrnchpn

patsysparksrnchpn

med surg, renal, hospice

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All Content by patsysparksrnchpn

  1. Learning Curve for Being an On-Call Hospice Nurse

    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...
  2. Comfort / E-Kit Contents

    We will subtract according to allergies/sensitivities, but that is our standard
  3. Comfort / E-Kit Contents

    Our EKit contains Roxanol, Haldol, Ativan, Tylenol suppositories, biscodyl suppositories and Atropine
  4. This is my calling....

    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...
  5. Palliative Care and Euthanasia

    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....
  6. Wasting controlled substances

    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...
  7. On-Call position

    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...
  8. 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...
  9. Have You Ever Refused to Go Into a Terrible Neighborhood?

    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...
  10. On Call Schedule.....that is workable

    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...
  11. Drug Diversion

    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...