momof2guys

At my company how we deal w/constipation is base on what disease process is creating the problem ie: pain meds vs liver disease. If pain med we start senna plus then advance toward ducolax supp after rectal check for impaction. If liver issues we start w/ lactulose TID daily. Hope this bit of info helps.

I work a a very busy IPU. We take pts w/ chest, nephrostomies and NG tubes. We acess mediports, PICC, sub q and insert IV lines, to use PCSs. We transfuse blood, send pts to have paracentsis and maintain TPN during pts stay. At times the staff has issues with the " medsurg feel" but we know that we're working on that pts symptoms.....oh yeah we usually receive at least 2 or 3 admissions.

I agree with Jeannepaul, we attended to each death. The staff RN at a LTCF could pronounce (if the nurse was comfortable doing that) and we took care of everthing else. The 3am calls were the worst and I usually had to drive the 50+ miles.

When I worked per diem I was paided 45.00 per visit. LPNs received 25.00 per visit.

I agree you should get your RN. Some companies hire LPNs to work on continuous/crisis care cases only, RNs carry the bulk load of the work. Congrats on your little one and good luck.

Welcome to the most awesome and gratifying nusing that you will ever do. Think "palliative not curative", were no longer seeking a cure but comfort. There are multiple jobs within hospice; crisis care, home care, admissions, after hr call team to name a few. I would reccomend that u work different positions if you can. I started inpt moved to admissions, worked home case managing and came full circle working inpt again. I learned so much from each and able to apply that edu each day. Again welcome

Talk with your clinical coordinator he/she will usually schedule a meeting with all parties to hash out problems. If diff ulities can not be solved then u should be able to break your contract w/o any serious consequences. Wishing u the best of luck.

Unless your a inexperienced GN we all should know when to use sterile technique. With that been said if your using clean technique instead of sterile bc your to busy, wrong supplies or ...... This is not best/acceptable nursing practice, with not so good outcomes for patient or nurse. If your unsure if that wound or dressing change should be done using sterile technique stop and ask.

Most larger hospitals open internships twice yr usually around graduation time. Apply to the areas that interest u. Good luck

Is your employer small? My previous company case managers were not required to work taking call. We had3 call nurses working from 5p to 8a Monday -Friday. On the wkend we had 4 nurses taking call, 3 RNs and 1 Lpn. I worked weekends 8a-8p was paid 250.00 rate and mileage door to door. We had a 60 mile area, usually had at the very least 3 admitts and several discharges. I'm coming full circle and returning to working inpt again.

I previously worked f/t for nurse finders. I had plenty of shifts and got called off several times while working at THR. If u decide to go this route understand that u can and will be called off depending on hospital census. You can try to work at parkland since your in Dallas, they usually have a lot of open spots on their schedules. Good luck,hope this helps

I've only seen this once...I really believe that hospice is a calling. You need to know where your comfort zone is, does death scare you? For me it's a part of life-the same as birth..... I feel that a nurse needs to know where his/her spirituality is to have a peace working this job. You will know rather quickly if hosice is a fit for you.

I love my job because I care sooo deeply for people. When people are sick or injured their most vunerable. They need some one to care and look out for them and that my dear friends is the nurses (our) domain.....no matter what u do, ur a nurse and that's the most important thang. sooo be proud where ur at and just know that ur the most important care giver that your facility has. :) enjoy your job

I have multiple stories, hope not to bore y'all. On nights we worked each shift with 2 nurses, this normal night I had admitted a lady she was mostly responsive choosing when to talk and when she chose to she let her lips fly....very nasty speaking to any staff who dared to enter her room. Anyways she was awake for 3 days prior to progressing to an unresponsive state, during this time she had No family, No visitors or phone calls . It was soooo easy to feel sorry for her but we all have heard the saying " u reap what u sow". Apparently she was a difficult person. When she was very close to passing another nurse and myself was at bedside holding her hands so she would not die alone. At her moment she stiffened up and instead of the peaceful expression were so used to seeing she had an expression of total terror- sheer terror on her face. With out thinking We stepped back from her, not sure why. I've never experienced anything like that since and pray that I never will again, once was enough for me. I'm strong in my faith, this one event has stayed with me thru the yrs and I suppose it will until I die.

My previous job I worked weekend call. RN's were paided a flat fee of 250.00 per shift if we had 1 visit or 8 during the 12hr. We received 95.00 for admissions and 65.00 for death calls. 25.00 hr if we sat on a continuous care case. I don't know if this is what u were asking for hope it helps.