nosonew BSN, RN

Yep... 7 years in December... but my administrator is pushing for unsafe practices and I refuse to be any part of it. I am going to go into nursing education... teaching classes and on-line classes, clinicals, etc. I will miss my patients sooo much...

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

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 using too much Roxanol? How do you explain the differe...

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 months he died. They were just about to retire and ...

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 well. She told me our bereavement counselor "sucked"...

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 hospice nursing and confused! Help!

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 street. They take donations, have volunteers that come i...

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 payroll (that is paid after paying medical bills of cour...

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 yoa MIL who has terminal ca but needs palliative ...

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 extremely lucky in that I have never actually had a...

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 unit, I would have ended up quitting. I worked in ...

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, but other gals I worked with had no issues. Person...

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 of developing an ON LINE Out of Practice RN Revie...

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 false info.

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 go in person... Babs... I would have LOVED workin...

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 eating.. summers, lots of 1.0, winters, 2.0 due to veggie...

Honestly, from what I have found out... the penalty is the RN losing his or her license IF ANYTHING goes wrong. That is why I refused to work with inadequate staffing... that is also one of the reasons after SEVEN years with Davita I am no longer w...

I have a question... how can WE, RN's, SAFELY care for patients with short staffing? Check out this scenario: 1 RN, 1 Tech. 9 patients (4 wheelchair, 1 cath). From 5:45a-8:30 a only 2 employees in the unit. And if there was a fire? Tornado? Other em...

Fresenius just bought RCG Davita just bought Gambro I say it's a toss up. :shrug: In 2 weeks I am OUT of dialysis... Best wishes!

Thanks Jnette... And I plan to go by weekly to check in on them... The last straw was the 2 people (literally no one else in the building) and 10 patients.. not only is against policy and procedure, but my state board of nursing and the dept of hea...

If it isn't her phosphorus level, it may be a reaction to her dialyzer. If you use renalin or another cleaning product for your dialyzers.. that could be it. Try no-reuse for a week or so and see how she does. If it improves and her phos level isn't ...

Honestly? QUALITY OF LIVE VS. QUANTITY OF LIFE in question here. If the prognosis WITH dialysis treatment is POSITIVE.. YEA! If not... BOO! And honestly, you have to respect the rights and decisions of the family, however, find out if there was ever ...

Well... let me say ONE THING! It is YOUR license on the line! This happened to me today! I was told that Monday 10/3 that I would open with 11 patients with 2 staff members. We have NO reuse tech, no water person, no secretary, just 2 people. Me (RN ...

Our max is 2L/hr as well. Your patient needs some literature on how difficult his fluid gains are on his health. Go research nursing sites, dialysis sites and nursing research literature. CINAHL and other nursing research data bases have info you can...

I agree with all posters. Zebra... most of my patients are very wiped out post dialysis when they begin. Some are over it in months.. others years. I am almost into my 7th year as a charge nurse. Look at URR/Kt/v, pre and post labs, what is their a...