4boysmama

4boysmama

Hospice + Palliative

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All Content by 4boysmama

  1. Fall with injury in ltc

    4boysmama replied to Nrsvn11's topic in General Nursing

    I very much doubt that you will lose our license over this, but you might lose that job. While it is appropriate to delegate personal care to the aides when available, it is also well within our scope...

  2. Multiple prn pain meds requested all at the same time

    4boysmama replied to lots2care4's topic in Hospice, Palliative

    I would need more info on this before offering an opinion. There are folks tat I would have no problems doing the meds you listed all together, and there are ones I wouldn't - it all depends on their...

  3. RNs: How much vacation time do you get?

    4boysmama replied to SummitRN's topic in General Nursing

    Im a community-based palliative/hospice full time RN. we get 5 weeks PTO, which includes vacation and sick days. Holidays do not come out of this bank - if we work the holiday we get 8 hours holiday...

  4. How important is pay vs work environment for y'all?

    4boysmama replied to AtlasRN's topic in General Nursing

    in my current situation, work enironment wins hand down over more money. If my financial circumstances were to change, then I would consider rappy environment for (much) more money, but it would still...

  5. OCN 2017, insight

    4boysmama replied to LovelyRN90s's topic in Oncology

    congratulations!! where did you take the chemo/bio 2 day

  6. Full Code required for surgery?

    4boysmama replied to KDPatty's topic in General Nursing

    how is that even legal? DOes your state have a DNR

  7. New Grad Qualification Question

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

    it means that you can start applying when you're 90 days out from graduation, and then must take and pass nclex within 90 days from graduation. eligible for licensure means that you have satisfied...

  8. Should I quit my patient?

    4boysmama replied to Jandomz91's topic in Home Health

    have you exhausted all options to get assistive devices for repositioning/transferring? I would start there before

  9. Is this a normal patient load for one nurse?

    4boysmama replied to Rivalicious's topic in General Nursing

    as someone who worked sub-acute/rehab, my very first question is WHY in the world are you doing dressings and treatments on nights? That stuff should all be done 7-3 or 3-11. It's absurd to be...

  10. Insurancedo

    4boysmama replied to Jdawg55's topic in General Nursing

    yes, programs will require proof of health insurance (as well as current

  11. Using hospice protocol

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

    our hospice medical directors are my go-to for the c2 scripts. they are always available by cell phone and willing to fax scripts to our hospice pharmacy (enclara) with a very quick (usually less than...

  12. Why is Neudexta not covered?

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

    yep, it's not covered by most hospices because it's ridiculously expensive. I had one patient who we just did dextromthorphan 10mg/5ml (give 20mg/10ml) with the quinidine 10mg/1ml liquid (give...

  13. Care plan help

    4boysmama replied to kylieandrew's topic in General Students

    agree with the others that cardio is not our most imminent assessment with persistent headache and BP that high. what could be the culprit

  14. Call 24/7/365, no back up - is this reasonable?

    4boysmama replied to Lucky724's topic in Hospice, Palliative

    nope nope, nope, NOPE. they're paying her 70k a year to OWN HER. 24/7/365 is not a sustainable employment

  15. on call requirement

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

    i responded to your other post and now seeing this. honey, as gently as I can say this...you need to cut and run from that agency. they do not care about their nurses, nor the patients. it is not...

  16. Hospice Compliance

    4boysmama replied to ComplianceMgr17's topic in Hospice, Palliative

    is this for a dedicated hospice pharmacy, or a local cvs/walgreens type scenario? For our dedicated hospice pharm, once we call the scripts in and give info on the prescribing doc, they will send a...

  17. Case Load Home Care

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

    This is unsustainable it's not safe for you or for the families you care for (or for the people who share the roads with you if you've been called out multiple nights in a row and are still working...

  18. How to prevent PICC line from moving during dressing change?

    4boysmama replied to theRPN2b's topic in General Nursing

    in facilities i've worked in they have always been sutured in, but I still make it part of my practice to anchor the catheter under the skin with my thumb just above the edge of the tegaderm so that...

  19. Questions

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

    ep, as others said. we tuck folks in, make sue they know hot to use backup o2, have enough meds, etc. but only critical visits happen - if they have pleurex or other drains than need doing, wound care...

  20. Case Load Home Care

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

    agency goal is 12-14. usually it's 14-16, sometimes up to 18 when we get slammed with census out of

  21. Documenting in car

    4boysmama replied to Grasshopper11's topic in Home Health

    I pretty much ALWAYS do at least my narrative note, if not all the documentation, outside the house in my car after a

  22. hospice NP

    4boysmama replied to celle507's topic in Hospice, Palliative

    I am not a hospice np, but do work with several in my organization. Ours do f2f, and also complex symptom mgmt

  23. Macy catheters - Anyone using them?

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

    have never seen one before - interesting concept. not sure I'd find them useful in my practice, and I imagine it's not very comfortable. Plus, I wonder what the risk of rectal abrasions (and...

  24. MSW looking for a career in FNP

    4boysmama replied to klawton's topic in Student Nurse Practitioner

    I respectfully disagree that there will be no need for MSW in 5 years because rn's can do the job. it's just not true; rn's are already overworkd and with technology advances that isn't going to...

  25. When to start administering "hospice medications."

    4boysmama replied to LPN9200's topic in General Nursing

    rr of 40 is an absolute indicator for use of roxanol (whether or not the person is on hospice) that level of respiratory distres is very unpleasant. I'm sorry your patient passed in less than ideal...