hospicevet 20

hospicevet 20 ASN, RN

Hospice, Education, Critical Care Peds

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About hospicevet 20

hospicevet 20 has 25 years experience as a ASN, RN and specializes in Hospice, Education, Critical Care Peds.


Worked NICU after graduation from nursing school, then a couple of years in adult pulmonary ICU. Taught for a year, then found my passion in hospice. Have worked as a case manager, an on call triage nurse, and in management over the past 20 years.

Latest Activity

  1. Suicide

    Had a patient years ago that committed suicide via shotgun in the mouth. The DNR wasn't even mentioned. Our whole team was traumatized, but the director of the hospice was super supportive, and...
  2. blank signed scripts

    Does anyone have any opinions about having blank signed scripts for the on call nurse? I am working for a hospice and the medical director has signed a couple of scripts, to be filled in with what we...
  3. Help me become more empathetic.

    I really don't think that acting is the way to do it. Personally, if a person makes it a point to say my name and then proceeds to spew out some feel good drivel, I know it's BS, and so does anyone...
  4. Interested in entering your world

    I think you're wise in not making a jump so soon after losing your grandmother. Talking with her hospice nurse is probably a good idea, since she knows you, and can probably give you some good...
  5. Team Meetings & Hospice Nursing Diagnosis

    Oh, and Oxford Textbook of Palliative Medicine, by Doyle, Hanks, and MacDonald. Also Symptom Management Algorithms: A Handbook for Palliative Care, by Linda Wrede-Seaman,
  6. Team Meetings & Hospice Nursing Diagnosis

    I used to work for a large for-profit hospice, and cost containment was a huge issue. We were expected to give report in IDG in 3-5 minutes, and if there weren't any big changes, to say "no big...
  7. A Conversation with my Supervisor

    Rather than getting angry at the NM, it might be more instructive to her to ask her how she would want you to handle it. Granted, it doesn't feel as good as telling someone to go suck an egg, or...
  8. Too Many Hats, Not enough heads

    Have had a few interviews, and a couple sound really good. (the good news!) Had lunch with one of my former teammates last week, and she said the new plan is to have the RN only see the patients...
  9. What is the longest long day anyone works???

    Looking at it another way, in October I worked travel, patient visits, care conferences, office time and charting, and on call, working 48 hours on weekends, and managed to get two, count 'em, two...
  10. No dogs allowed in room

    While not everyone has a kitty or drinks coffee, usually people in their own home will have laundry soap, either liquid or powdered. It works well, especially if there aren't a lot of pills that have...
  11. Danger to self? help!

    Did I miss any mention of a pain assessment? Too frequently pain is overlooked in agitated demented patients, and it may be their only way of communicating their distress. Many times I've seen...
  12. Too Many Hats, Not enough heads

    Penny wise, Pound foolish, as my granny used to say. They have had to import a nurse from out of state, put her up in a hotel, rent a car, and pay for all meals. What really chaps my hide is that...
  13. Too Many Hats, Not enough heads

    Hi All, While I am considered a strong hospice nurse, and have gobs of experience, I have come up against a wall. I just resigned from a position with a for-profit corporate focused hospice, that...
  14. lung ca symptom mgmt

    I didn't see any reference to what kind of lung CA. Be aware that some kinds of lung CAs like to mets to the brain, and you may see some different symptoms than you would with another pulmonary...
  15. How much vicodin is being given in 24 hours? Rather than figuring the 5 mg dose, try to go at it from a full day dose for conversion. If she is gorked out on a short term narcotic, she may do better...