4boysmama

4boysmama

Hospice + Palliative

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All Content by 4boysmama

  1. Failed preceptorship

    4boysmama replied to Spurse32's topic in General Nursing

    (bolding mine) I'm curious how passing meds was still a new process in your capstone experience? That seems like a red flag on your

  2. When did you last see a nurse wearing the old school garb?

    4boysmama replied to DesiDani's topic in General Nursing

    There was a nurse on the med0surg floor where i did clinicals who wore cap, white dress and stockings. she still works there, according to a friend who now works that floor. I tried to convince my...

  3. New hospice nurse: Burned out!!!

    4boysmama replied to MsPrettyHospiceRN's topic in Hospice, Palliative

    it sounds like you need to find a new agency...the one you're at now is setting you up to

  4. on call requirement

    4boysmama replied to leisamartinez's topic in Hospice, Palliative

    My current company we are required to do weekends ever 6 weeks. we have dedicated on call overnight and weekend staff, so the regular nurses do weekend days (8:30-5 on sat and sunday) every 6 weeks....

  5. How much is too much

    4boysmama replied to Shortone7's topic in Hospice, Palliative

    I left my last hospice agency because we went ove 2 months without any HHA - and the Rns were expected to do aide visits with ur RN visits (while still doing a regular caseload of RN visits in a day)...

  6. TPN in hospice?

    4boysmama replied to Stcroix's topic in Hospice, Palliative

    I have had several hospice pts on TPN. In the case of your patient, the TPN isn't going to measurably prolong his life, because the cancer and he obstuction will likely force his decline pretty...

  7. Sad and Exhausted - Questioning my career choice

    4boysmama replied to Nurse Beth's topic in Career Advice Column

    I understand that you're trying to help by making suggestions, but I have to admit that it's very frustrating to see frequent suggestions for Hospice to any nurse on this forum who is tired of their...

  8. Will they revoke my offer?

    4boysmama replied to Rnae's topic in Job Search, Interview, Resume

    Usually those provisions are in for people who are driving as part of the job (ie: home health nurses). The paperwork clearly says for those with company cars (ie: a car provided by the hospital) so...

  9. question on aide coveage for hospice

    4boysmama posted a topic in Hospice, Palliative

    for those of you in home hospice - how many days a week will your company provide home health aides to patients? Mine only does a max of (monday through friday) and my boss always says it's because...

  10. Advice for RN starting in home hospice care???

    4boysmama replied to KHT's topic in Hospice, Palliative

    I keep the Hospice Companion symptom management book in my bag, it's great for looking up treatment for off-the-beaten track

  11. End of life liquid meds vs crushed

    4boysmama replied to Race Mom's topic in Hospice, Palliative

    I'm confused - why couldn't your family open the kit themselves? I mean heck yeah that cm should have gone out or sent a runner. but once she refused, why couldn't your family ust override her and...

  12. Does home health prepare a nurse to transition to NP?

    4boysmama replied to HelloWish's topic in Home Health

    i agree with the others that you are jumping the line a bit. First, I'm not sure where you are located, but in my area new grad nurses are NEVER hired prn in hospitals. To be prn, they need you to...

  13. time management and productivity

    4boysmama replied to lma_rn's topic in Home Health

    A follow up question for those of you suggesting documenting in the home...how do you deal with chatty family who want to talk as long as you are there in the home? I'm hospice, we use homecare...

  14. Wording for Resigning

    4boysmama replied to missmaddie's topic in General Nursing

    I would be diplomatic in your letter. Nursing is a very small world, and people job hop all the time so you never know when someone from Job 1 will show up at Job 2 (or future Job 3, 4...etc) I would...

  15. Coverage for incontinence supplies

    4boysmama replied to Race Mom's topic in Hospice, Palliative

    mine covers briefs/pullups, provides 2-3 waterproof pads (not chux), but not disposable wipes. gloves only if they have a

  16. Agitated terminal agitation or a hospice nurse's worst nightmare

    4boysmama replied to laynicrn's topic in Hospice, Palliative

    nurseries, I'm sorry that you are having to bear witness to your dad's struggle to break this life's ties a few things that come to this hospice nurse' mind immediately - that's a whole lot of...

  17. Frustrated

    4boysmama replied to bosslady47's topic in General Nursing

    as a hospice rn case mangr, I agree with the above that it is a flexible, autonomous and (mostly) respected job. But....I do my fair share of butt-busting and bedpan slinging. It's not a cushy desk...

  18. Home health tracking Apps

    4boysmama replied to jlynn2303's topic in Home Health

    I'm not sure that's legal... my office uses the actual mileage from home to office as the exempt mileage for each of us (so it's different for

  19. David Bowie

    4boysmama replied to ktwlpn's topic in Hospice, Palliative

    this is lovely! Duncan Jones Breaks Silence to Share Letter from Physician to David Bowie :

  20. Homecare Homebase

    4boysmama replied to pfeliks's topic in Hospice, Palliative

    the pathways are really driven by the particular patient and what they're experiencing at any iven moment. I've got some who have 4- pathways, and ome who have 10-12! pretty much every single pt I'm...

  21. Dilemma Nursery Vs Hospice?

    4boysmama replied to Kimpossiblenurse's topic in General Nursing

    as a hospice nurse, I definitely think that 5 months is far too soon for you to be considering a hospice position. In the best of circumstances, it is emotionally trying each day. I have no doubt...

  22. David Bowie

    4boysmama replied to ktwlpn's topic in Hospice, Palliative

    I was saying to my hubster last night that I wonder if he utilized physician-assisted dying in order to go out the way he wanted. From what I've read, he seemed to meticulously plan the end of his...

  23. how would a nurse assess acute exacerbation of asthma?

    4boysmama replied to CNS2b11's topic in General Nursing

    of course the whole picture is important, including meds and pmh. however, if you have someone in front of you who is struggling to breathe and the have asthma, your first priority is going to be...

  24. What to do

    4boysmama replied to eternalbride's topic in General Nursing

    I'm sorry, but those of you claiming armchair quarterbacking and that everyone who is being harsh with this nurse must be (only) acute care nurses...I'm here to tell you that I am a LTC (and also home...

  25. How many times will you ask me to stay over??

    4boysmama replied to WorriedNurse25's topic in Geriatric, LTC

    You are allowing their poor staffing to continue when you say yes to accepting double shifts. you need to say no, period. they will not make efforts to staff appropriately if they know you will...