4boysmama

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 of practice to provide that personal care and you...

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 opiate exposure/tolerance, disease process, etc. ...

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 time banked (that we can either cash out or use as ...

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 be a tough choice

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

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

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 state requirements for education and are qualified to...

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

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 disrupting their sleep to do treatments.

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

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 a hour) turnaround. in the absence of cooperative...

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 10mg/1ml) once daily for the first week and then twice da...

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

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

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 possible for you to give good end of life care to p...

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 request to the doc (email, fax, or escript if the d...

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 your regular days) praying that this is just a temp...

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 as I am removing the dressing I am holding the line...

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 with no caregiver, or actively dying with symptom...

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

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

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

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 subsequent infection) would be with repeated insertion and ...

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 change anytimes soon. I can tell you a a hospice rn, I...

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 circumstances. I do want to follow up on one point -...