MomRN0913

MomRN0913

ICU

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All Content by MomRN0913

  1. How many patients should a case manager be responsible for.

    MomRN0913 replied to katie'sangel's topic in Hospice, Palliative

    Yes I do have those. But I tend to get very involved in that portion too:( it's been. Very stressful week with a huge cse old, actively dying, hard to control symptom wise patients, indigent home...

  2. Would Like Input - CABG

    MomRN0913 replied to NickiJules's topic in General Nursing

    When my grandfather was in the hospital, they tried to unsuccessfully endoscopic ally peg him and couldn't. They anted to do it surgically under general anesthesia . My dad was his health care proxy...

  3. Getting back in after 2 years

    MomRN0913 replied to MomRN0913's topic in MICU, SICU

    I've been out 2 years....... And you said it so well, once an ICU nurse, always an ICU nurse. I've been doing hospice for a year now and still consider myself an ICU

  4. Help!

    MomRN0913 replied to MomRN0913's topic in Case Management

    Jamaica820- I interviewed with

  5. Help!

    MomRN0913 replied to MomRN0913's topic in Case Management

    I did try united healthcare for a telecommute position. Months after I submitted my résumé they emailed me back saying the position was filled but told me to apply for others. I feel so defeated....

  6. Would Like Input - CABG

    MomRN0913 replied to NickiJules's topic in General Nursing

    Your patient from the start was at high risk for not coming off the vent without PFT's. I am sure the doctor was aware of that fact and explained the risks and benefits to the patient before surgery(...

  7. Help!

    MomRN0913 replied to MomRN0913's topic in Case Management

    Thought I would update, even though its not a good one. I heard nothing, so I reached out yesterday and found out I did not get the job. I "interviewed really well" but there are other candidates...

  8. Would a night time children's center make 2nd and 3rd shift easier?

    MomRN0913 replied to jordanjzz's topic in Nursing Career

    When I became a single mother when my daughter was 6 months old and I had to go back to full time night shift, I thought this to be a good idea, but then I thought about how hard it was sleep...

  9. Morphine neurotoxicity

    MomRN0913 replied to aphillipi's topic in Hospice, Palliative

    Very well said. The patient ended up dying Friday. Not the best most peaceful death. I do use what I can within our parameters. She was comfortable, yes, but there were so many other processes...

  10. How many patients should a case manager be responsible for.

    MomRN0913 replied to katie'sangel's topic in Hospice, Palliative

    None of the above:(. I have a mix of hospice and home are palliative patients, all in the home and very complicated patients, most indigent which are really difficult. My time is spent trying to fix...

  11. How many patients should a case manager be responsible for.

    MomRN0913 replied to katie'sangel's topic in Hospice, Palliative

    Thank you for this info. I'm about to go over 20 patients and plan on saying something tomorrow, because I just can't handle it

  12. My poor coworker:(

    MomRN0913 replied to MomRN0913's topic in Home Health

    It was reported and its a sad unfortunate incident. Unfortunately a kind social worker who is supporting a family of a dying patient kindly pet a dog sitting next to her and she got bit in the...

  13. Am I Only one who is irritated by doctors and medical shows?

    MomRN0913 replied to Destiny'skid's topic in Patient, Colleague Relations

    ER was probably the medical show closest to reality, and believe it or not, that show was a huge part of why I decided to become a nurse. Grey's ****** me off the most of all medical shows. Horribly...

  14. My poor coworker:(

    MomRN0913 replied to MomRN0913's topic in Home Health

    The dog was sitting on the couch next to her while she was counseling a family. She wasn't in its

  15. Responding to the ER for STEMIs

    MomRN0913 replied to MesaRN's topic in CCU, Coronary, Cardiac

    Usually the Ron's from the other units ( such as Cath lab or cv icu) but are notified. I worked in the ICU where " code hearts" were called and we were notified by the nursing supervisor as soon as...

  16. "Don't tell her why she's here"

    MomRN0913 replied to anashenwrath's topic in Hospice, Palliative

    We do not sign on patients without them knowing they are on hospice if they are awake, alert and oriented. I had a patient on homcare who we were trying to transition into hospice. His daughter (who...

  17. Morphine neurotoxicity

    MomRN0913 replied to aphillipi's topic in Hospice, Palliative

    I have a patient right now who is in the active dying phase for end stage renal failure. She has been experiencing myoclonus and I remembered this thread, came back and read it and she indeed seems...

  18. High & Low

    MomRN0913 replied to StudentOfHealing's topic in General Nursing

    Wow ruby, that brought tears to my eyes!A few highs.... We had a young cop who became very septic for some u known reason. He was on deaths door for a while. While I was working I was always his...

  19. Would you open this wound?

    MomRN0913 posted a topic in Hospice, Palliative

    I have a 106 yo patient who has been on and off hospice for over a year. She is palliative care now and is being evaluated for hospice again this week and I am sure will get signed on.Anyways, she...

  20. My poor coworker:(

    MomRN0913 replied to MomRN0913's topic in Home Health

    Snitch in the dog?She had to " snitch" on the dog. When you arrive at the er with a bloody gash on your face and are bit by a dog you have to. She had to let them know what happened, she had to make...

  21. home health paperwork

    MomRN0913 replied to sistasoul's topic in Home Health

    It's very accurate in my case. I wake up and do paperwork, I go to work and do it, I come home and do it, and I do it on the weekends.I'm not trying to discourage, but I wish someone would have...

  22. average pay for a hospice lvn?

    MomRN0913 replied to cawkazn's topic in Hospice, Palliative

    Yup. I'm an rn. I think the field just doesn't pay much. Maybe go for about $2 / fr if you

  23. average pay for a hospice lvn?

    MomRN0913 replied to cawkazn's topic in Hospice, Palliative

    I'm outside of NYC, we are pretty comparable to CA, our cost of living is ridiculous. My point is HH/ hospice doesn't pay all that much. New grads in the hospital here are being offered about

  24. Guess what I am doing on this lovely day?

    MomRN0913 replied to MomRN0913's topic in Home Health

    Took a break to go kickboxing and a little shopping. We are all paper too. I'm also a case manager and was SUPPOSEd to be a hospice. Use, but they have me doing almost all palliative which I really...

  25. average pay for a hospice lvn?

    MomRN0913 replied to cawkazn's topic in Hospice, Palliative

    I'm an RN in NJ with 7 years nursing experience and I only make