MomRN0913

There is a difference in acute pain and chronic pain as one said. Just because you are not screaming out in pain doesn't mean you don't need pain meds. People who have chronic pain are taught and learned many things for pain control. Such as to as...

My agency has policies on nothing. They send me into horrible areas. I'm going to one where a 16 year old got shot in a drive by a week ago. I was told by my boss " drive by's can happen anywhere". Nice, huh? I go I to roach infested homes, sm...

I was an ICU nurse for 5 years. I got out to try to be a NM, which turned out to be horrible then I did something else non bedside and now I am a HH/ hospice nurse and the job is torture. I would go back to ICU full time ifi could do shift work on a...

I have a palliative care case that might be hospice I'd they had insurance. It's of a Spanish speaking lady with pancreatic cancer. Her daughter cares for her who is very emotional and " needy". The patient does not want to go to the hospital. She ...

Thanks for all the ideas, feedback and support. After a grueling week, I have had a grueling Monday and now my boss is out to get me. She has taken the hospice cases I enjoy and had left me with the palliatives which are extremely draining. Any " ...

This is going to sound awful, but in my experience, these patients do quite well when they self- extubate.

I'm glad you found a position to get out of HH. I've been in it for almost a year. A miserable year. Overworked and underpaid. I wanted a work/ life balance, instead I got a work is life situation. I will do anything to get out and have my life b...

Grammy, that was great advice. And compassion. And that notebook idea is great. Because I am sick of waking up at 4am with something left over bothering me, whether it be about an order I received or a patients condition...... I am not religious ...

I have no idea what the law is in my state, but I went to DC a patient in a bad area, and I pulled up and there were cops and emt's outside my patients home. Apparently someone was in there high and drunks seeking drugs. I ask the EMT what's going o...

Thanks so much for the support. I am so completely drained. And at ropes end. Then I find out today they are increasing productivity as of next week. I can't even keep up wih what I have now and work before and after work on the weekends. They de...

One of the MSW's I work with who is a complete dog lover was petting the small dog of a hospice patient. The dog snapped and bit her nose and gashed it and she was gushing blood and the family did nothing ! She drove home bleeding and her mom found...

No...... The dog disn't die, the patient did. The dog got quarantined for 10 days. The family said they wanted to put the dog down after the patient died because they aren't the nicest people. Who knows if the dog is still alive, but if it isn't, ...

I do have a real questions regarding HIPAA. I took part in the care of a patient who has had a pretty big impact on the cystic fibrosis community. He has recently passed away. He was very talented writer and editor and had an amazing story to tell ...

This sounds like a great deal. I have a 20 pt load mix of hospice and palliative care and some need to be seen 3 times a week. I get 2 admits a week and case manage and am in the field for all the patients. I am assuming you also have social worke...

I took care of a patient with ALS in the ICU. He was there a long time before he died. He was one of the most difficult patients to take care of and not many nurses wanted to take care of him. His mind was there, he was trapped in his body, on a v...

The hospice patients I have usually get kicked off of hospice before getting to the end stages. And now I'm getting more hospice ( finally). And they are dying. Helping a patient acheive a comfortable death is a real challenge! I'm finding in our h...

I'll be honest. The ICU I worked in was mostly all good looking people hired in the reign of my NM. I didn't realize it for a while. Don't know if it had anything to do about $$. However, those good looking nurses aren't all young. We have some ho...

Autocorrect on my iPad. I'm well known for my autocorrect bloopers in text and on facebook.

Hope I am posting in the right place....I am having my final interview for an RN disability CM/ consultant position with a large insurance co pa y. I've never donetbis before, but I did well with my case studies and passed my first in person intervie...

Part time home health I could do without case management. Just seeing patients for visits would be fine. Case managing in home health is awful. Especially with my problem-child caseload. I wish you the best of luck, I long to be a real case manage...

Seriously! They have the naughty fireman, naughty cop, naughty every profession costume in the costume stores. Does that harm the reputation of all those professions too?! People need to seriously loosen up!

Honestly, I hate case management in HH. Sorry. But it seems different at your company. We are also their field nurse. Case managers do EVERYTHING in my company. I'm trying to get into realy case management. I'm sure case management in HH is de...

It is no secret I am really miserable in HH/Hospice. I do actually like hospice, but its the expectations and the way my company is run that gets me. I am having a feeling I am going to have to be facing my boss very soon and need some true informe...

How the heck did this thread become about HIPPA violations? OP had a true concern and interest in learning about the outcome of her complex patient. That's what this is all about. I've done it too, OP, so the police can come get me too for a HIPPA...

Not at all! It's fun ! One Halloween I was a patient and my ex husband was a "murse". One in particular, Gaylord focker! We love that movie. And he looks a little like Ben stiller, so it was funny. Hope none of the male nurses are insulted..... ...