RNSUEIA

Can anyone tell me why our patients get the hiccups? I have been working hospice about 15 months and I was assessing a pt who is complaining of hiccups that he describes as coming from deep with in him. It sounds very uncomfortable, I did get him an ...

You do not need to be religious to be a hospice nurse. You have to be a caring person. Religion is not always important to our patients.

Maybe we should remember to look for the good in our coworkers. Some people spend too much time worrying about looks and clothes. Nursing spawns a lot of petty criticisms of one another. I am just not down with that. Lets be nice. : )

I have a new patient that I am seeing who is having a hard time adjusting to any new pain meds being added to her current dosages. I have her on oxycontin 120 mg bid and hydrocodone 7.5\325 2 every 4 hours and oxycodone 5 mg 2 every 2 hours for break...

I have a patient with pancreatic cancer that I have managed for approx 2 weeks now. It seems like nothing I say gets through to the wife in regard to pain management. I believe this is due to her own fears of pain. She told me one day that she doesnt...

No she is'nt allergic to Morphine, but she really resists my doing alot of changing of her meds so I am trying to ease her along. I did start her on Trilasate 750 mg BID today, trust me she wasnt that pleased. I hope it makes some inprovement i told ...

I have been doing hospice for a couple of years and mostly on the weekends. Two days ago the social worker asked if she could go along on my admission as we were going to admit this pt in Jan. but she was scared and refused the admission then. The sw...

I have never had to start an IV in the home, we do however use piccs and ports. Mostly for pain control or nausea. We dont do a lot of blood draws either. I think that if you feel like hospice might be your calling, you should go for it. It is a GREA...

At my hospice, the nurse does all of the paperwork, signs consents, fill out emergency contacts sheet with md, pharmacy numbers, calls for equipment etc. The social worker only gave out some printed info.{on this particular visit} I do see the import...

I know of a very good brain injury rehab facility and they do work with title 19 as well as having done some hardship cases. Its called On With Life in ankeny iowa. They do miracles there. Another suggestion, how about a Vail Bed. This is a bed that...

I made the switch to hospice 2 years ago and I love it. I work part time for them and part time on a med surg floor so I have lots of variety. I find that in hospice I have much more respect from the MDs. When my pt has a need I call the Doc and tell...

TIGRESS; I lost my 12 year old daughter 3 months ago and I can tell you with great conviction that the family has suffered a terrible tragedy and can use all of the kind words and deeds you can give them. Having people whisper and speculate is not wh...

After reading the product information, long ago. I always give Lovenox in the love handles. I have found that typically pt have less discomfort with this area as well.

How about teaching the wife to do the dressing change? Giving her some hands on training during your visit would be comforting for her. That would at least eliminate this daily dressing change. If you've been doing it for a while, she probably alread...

we typically use atropine gtts orally to dry secretions. 2-3 gtts per hour usually works well, and is less invasive than suctioning.

Pt was just diagnosied 2 weeks ago. Thought he had a sinus infection and turned out to have a tumor behind the eye with mets everywhere. I suppose there could be sometime of involvement close to a nerve that is causing the hiccups. I just dont know a...

You know if this pt is homebound he probably qualifies for a home health nurse to make at least a weekly visit. That nurse could place and monitor the foley catheter. I have never had a good experience (for any length of time) with a texas cath. Usua...

I remember years ago when I worked as a cna, the only baths that we gave on a night shift were to bed bound patients. No showers were given unless we had a code brown or some one enjoyed getting up extra early and wanted a shower. Other wise we were ...

Couldnt you get a foley catheter for him? I am aware of infection issues with this but it seems to me that he could be kept cleaner if he is not wet which will lead to fewer skin breakdowns. You would be more easily able to keep his skin clean. Male ...

The reasons I love my job are 1. Really good pt to nurse ratio 2. We have enough cna's to make our job easier 3. We have hard working cna's 4. I make some darn good money!!:roll

Hello Shay! I work as a home hospice nurse part time. I also work med\surg prn. I feel as though I have the best of both worlds. I love my hospice position, and as a part timer I do not case manage. I see pts who are usually more stable in order for...

I also worked in a nursing home in Alvin TX for a short time when I was a cna. There were two of them there and they were the absolute worse I have ever seen. I worked my tail off and could barely walk to my car at the end of the shift for trying to ...

Having just completed my 5th day in the icu i must admit that i am mentally and physically exhausted from taking care of one pt. I have been a RN for 2 years and have had med\surg experience all during that time. I have never felt more incompetent un...

that's a great idea. My handwriting is awful when I have plenty of time to write. I cant imagine that anyone could read it when i am in a hurry. and no stopping what your doing if your using a recorder. Thank you for that tip!

I dont plan to work there full time. I work prn for this hospital and requested to cross train. I do plan to tell my supervisor that I dont feel as though I have had enough orientation to try to do any shifts on my own at this time. I worked WAY to h...