nosonew BSN, RN

Latest Activity

1. mileage guidelines

   nosonew replied to Em1995's topic in Home Health

   Luckily, No. We do document where, how long, miles, etc, but have never been questioned. I totally depends on the traffic, weather,

2. Questions for non-novice hospice nurses!

   nosonew posted a topic in Hospice, Palliative

   Okay... new hospice nurse (RN since 93 however) and having difficulty transitioning from curative to palliative care. (imagine that!) Pain control: What do you most commonly use? Do you ever fear...

3. Concerned about new widow... she is VERY angry

   nosonew replied to nosonew's topic in Hospice, Palliative

   Actually, I was a bit more concerned about what she might do to the oncologist than to herself. However, UPDATE... spoke with her at length today. She sounds better and she and I do get along very...

4. Concerned about new widow... she is VERY angry

   nosonew posted a topic in Hospice, Palliative

   Her husband died after a very short battle with cancer. The oncologist told them due to his liver function that chemo would kill him, but he did do radiation. However, the cancer spread and within 3...

5. Can a patient do chemo or radiation?

   nosonew replied to nosonew's topic in Hospice, Palliative

   We pay for all meds associated with their hospice dx. Including any comfort care items (ie: bowel, bladder, depression, pain, etc. of course) The thrift shop is in a rented building on our main...

6. Can a patient do chemo or radiation?

   nosonew replied to nosonew's topic in Hospice, Palliative

   We currently have 58 patients. We live in a rural community and cover many counties. Luckily, we do have many donations and many/most of our clients do memorials to our hospice which helps make...

7. Can a patient do chemo or radiation?

   nosonew replied to nosonew's topic in Hospice, Palliative

   So more or less it depends on the Hospice Organization itself? The hospice I work for is non profit and allows this... yet I have a friend across the US that can not find a hospice to help with her 80...

8. Can a patient do chemo or radiation?

   nosonew posted a topic in Hospice, Palliative

   And still be considered a hospice patient? I am wondering because those can both be done for comfort care, to keep the size of the tumor from growing, thus allowing increased comfort. I am new to...

9. Interested In Dialysis

   nosonew replied to lisa41rn's topic in Dialysis, Renal, Urology

   Honestly, my biggest stressor in 7 years with dialysis are the critical issues you deal with. No, they do NOT happen often, however, they do happen. Strokes, seizures, anaphylaxis, etc. I have been...

10. encouragement needed

    nosonew replied to mtnmom's topic in Dialysis, Renal, Urology

    My first 3 months were a nightmare. Large unit, hateful staff, none of whom had ever heard of teamwork. When I went to a smaller unit, it was soo much better. Honestly, if I had stayed at the larger...

11. Pregnant Nurse and Dialysis?

    nosonew replied to Paravell's topic in Dialysis, Renal, Urology

    I was pregnant twice in my 7 years. I didn't have any issues with pregnancy and working, although I ended up on bedrest (I was 35 and 37 during each pg). So, I was off work a bit longer than normal,...

12. New Nurse Educator... Help Developing a class!

    nosonew posted a topic in Nursing Educators, Faculty

    After 12 years clinical experience, I decided to do what I love best... teach. I love teaching patients, families and staff. So, I took a position with our local college and now have the full time job...

13. pto/sick time

    nosonew replied to firstdon's topic in Dialysis, Renal, Urology

    I recently quit Davita after 7 years but they pay both PTO and EIL (Extended Illness Leave). Don't know who you work for... but I personally wouldn't be happy... sounds like someone is giving you...

14. I am quitting...after almost 7 years.

    nosonew replied to nosonew's topic in Dialysis, Renal, Urology

    Deigo... I just emailed my local college DON about open positions... she put me to work right away! Most of these jobs are word of mouth, rarely advertised! Of course, I knew her... perhaps you could...

15. dialysate prescription

    nosonew replied to student60's topic in Dialysis, Renal, Urology

    At our unit we had a 2K or 1K bath.. nothing else. If below a 5.0 K we did a 2 bath...if over 5K we did a 1 bath. All we could do. Also, I titrated versus patient telling me what he or she was...