Home care, whether being Hospice or regular homecare/palliative with mostly teaching, but there is hands on in both. I disimpacted my hospice patient the other day. I do wound care, I assist in...
When i say Palliatve care is what I don't want to do, it is not the actually palliative care piece I'm not interested in. That's what people are misundertanding. Case management of Palliative Care...
Thanks Halycon. I do feel a little better. My director was very supportive, and I am left with a little hope. Some things are just the nature of the job, like the paperwork that is never ending....
The Difference Between Palliative Care and Hospice This is a nice little summary about the difference between Hospice and Palliative care. I think Palliative care is a great thing. When someone is...
Oh and last, but not least, i can see how one thing could be misinterpreted, but I typed it out wrong in a state of stress. I said "dirty people who can't take care of themselves" Yup, that sounds...
I hate to even waste my time quoting the ignorant , obviously didn't read a word of what I said posts, and insulted me after reading the first few sentences, but, let me ask, when did I say roaches...
Holy Cow! I haven't been on here in a few days, and I am shocked at the responses I got! Although not surprised, because it seems as if these days, some nurses on this board have been taking the...
I'm wondering why the staffing person is the one TEXTING you not to come back anymore. If the DON was letting you go, he is the person with the power, not the staffing coordinator. That is something...
MomRN0913 replied to 9Bennett6's topic in MICU, SICU
Why not Bipap? It's usually the last stop before intubation, but can be effective without using so much o2. I agree with belgian RN, which waiting, agressively treating the underlying cause, if there...
I have been out for a week for my own Lap Chole. I was hoping to go back tomorrow because we are sooooo shortstaffed, even though I was written out until Monday. I work Home hospice and the educator...
I worked night shift for 4 years. I lost many days from sleeping. If I dont have to work the night after a shift, I would make myself get up by 1pm and go back to bed around 9-10pm for the night. I...
Yes, some days i regret it. I wish I would have chosen a career much less emotionally and physically stressful (and that made some more money) Life threw me some curve balls and the stress of the...
This past 2 weeks, the patients i have opened up cases for in HH speak not a work of English. They have social security numbers, Medicare benefits, and Medicaid benefits. Live in the U.S. But do not...
Again, I made this mention not just for the hospital stay. I am in home health. After the hospital stay you need to be able to manage your illness beyond having translators. Trying to teach a...
I am on anxiety and stress overload in this field. I really can't take it anymore. Over 6 years and I have recently gone nuts with it. I am in hospice and home health working 10 hour days,...
When my surgery is all over and done with, I already told my PCP that I want to start some anti-depressants. Lexapro I think is a good choice. i was on Effexor for a year after my...
Just for the future during actual practice.... delegating taking BP to a CNA is always optimal. If you didn't have a set of vitals, you would have brought the med with you, checked the BP, and if...
I'm new to hospice and work for a non-profit organization. We were talking about contnuous care, and apparently, according to Medicare regulations, CC is for symptoms that can not be controlled and...
Wound care is not my thing. Staging wounds is not my thing. Now in home care, it;s more on my shoulders to figure it out. I have an african-pt and today found a pink spot in her scaral-coccyx area (...
Thanks for the suggestion. I'll get that book. Honestly, we don't have a particular policy and procedure. Doctors orders, who usually leave it up to us.I would have stuck a duoderm on this patient...