iceecat

Goatee here...trimmed up of course and yes causes a problem with N-95's per employee health, and they want me to wear a PAPR, but whatever those patient types are not an everyday occurence. Secondly, since the hair on top of the head is missing and I miss it then gotta keep the facial hair. Go for it.....grow it out.

Nursing was not my first profession nor desire. I have a degree in Anthropology and Biology with a minor in Stats....nursing opportunity kinda came unexpectedly and I really really enjoyed it and still do. Honestly, I was surprised at how great the nursing profession is and am glad I took the opportunity when it presented itself.

If such is really the case than orders need to be clarified, the ultimate goal is comfort. 1mg per hour dilaudid with some benzo's for an actively dieing hospice patient is a minimal dose and when you say vital signs are good....were you taking VS on a hospice patient every hour? Yes the pillow comment is way out of line and I would report that. As far as the medicine being a PRN order....than you gave it PRN and that was fine. The fact that the order actually read "until death" is inappropriate and I have never met a hospice/palliative/ or intensivist that would ever actually use those words in an order and have a hard time believing the order was written that way albeit the thought was there, but if true than that needs to be reported. As a previous responder noted hospice does not medicate "until death" but to comfort. I am not surprised that pharmacy called to clarify the ativan order but for them to suggest to the RN that she did not have to give the med as ordered....I have never met a pharmacist who would suggest that to an RN and it crosses a line for them to suggest that. If the pharmacist has issues with the order than they can hash it out with the MD. There is a lot of problems with this whole scenario and if such is actually the case then I would step out of that assignment as well....sounds like a jeopardizing situation.