heron ASN, RN

Hospice

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All Content by heron

  1. heron

    Home births gone wrong

    I should think that it would be possible to give accurate clinical information, and counter misinformation, without pinpointing
  2. heron

    Non-compliant Manipulative Patient

    Well, if that's what you're looking for, that's what you'll find. ETA: interesting thing - I'm not reading any positive posts from you, at least in this
  3. Sexually transmitted? Seems likely. Here we go again
  4. heron

    Home births gone wrong

    Thanks CBlover. MrNurse, I'm also a bit annoyed by your remark about alternative providers "selling their services" (emphasis yours). Are there self-serving scammers out there? Of course! And I agree...
  5. Are we even reading the same thread? Simply labeling someone else's post as "mean" or "degrading" doesn't make it so. Would you and the others who disapprove please quote the posts you find offensive...
  6. All very therapeutic, or so the leatherfolk
  7. heron

    Home births gone wrong

    I think you and soldier nurse are both spot on. So - has anyone figured out what proportion of the badness is
  8. It's what I hate about any kind of management role: everyone's drama lands in your lap. It's like being a volunteer therapist. Supervising anybody is torture for me - but it comes with the license, so...
  9. OP should change the title of the thread to 50 Shades of Gray's Anatomy. "Please, sir, may I have some
  10. heron

    Job Embeddedness

    Thank you OK ... OP, you first
  11. heron

    Job Embeddedness

    But what does "job embeddedness" mean? I'm confuzzled.
  12. heron

    Home births gone wrong

    An interesting read: For Her Own Good: 150 years of experts' advice for women, by Barbara Ehrenreich and Diedre English. It's a history of, among other things, the growth of modern obstetrics from a...
  13. No worries ... we promise to not go all grammar nazi on
  14. I totally agree with your last statement. I also agree that specializing in providing hospice resources to LTC residents is a perfectly ethical business model. Brainstorming what that collaboration...
  15. What kind of grief do those nurses get when they don't admit? As I implied in my previous post, census = profit. Inappropriate admissions and levels of care have been prime system-gaming strategies...
  16. I second what everyone else has said. I am a medical nurse who has had the privilege of working with a truly gifted psych nurse practitioner for 11 years on my AIDS unit. I'm here to tell ya that...
  17. heron

    Hostile work environment - Violent Doctor

    Please keep in mind that risk mgmt and medical directors will not keep you informed of disciplinary actions that don't involve
  18. heron

    Transfers to GIP

    On my hospice inpatient unit, we used to admit pts from other units for transition to home or LTC as well as pts who were way more complicated than could be cared for otherwise - usually from ICU. The...
  19. Totally OT: having worked both sides of the hospice-LTC equation, let's not get snotty about who "cares" more about the residents. In the market where I live, LTC residents are beloved by hospice...
  20. Check out CMS criteria for dementia as a hospice diagnosis. As I remember, they're really quite specific. If your concern is the ethics of having the patients you describe on "comfort measures only" -...
  21. OP, it seems like you are trying to case-manage your friend/relative. Are you her POA and are you discussing these concerns with her? These are really her decisions to make, I think. I am in a similar...
  22. heron

    How is it fair to put PRN nurses on call?

    The full-timers might have been offered the option. Personally I love being called off, especially when I have pto
  23. heron

    Abuse/ negligent med error?

    To whom do you want to report this med person? I suppose, technically it's a wrong time med error, but a formal report of negligence or abuse to the BON can cost a license, so I'd want more context...
  24. heron

    Non-compliant Manipulative Patient

    Already on my ignore list. I just have a problem when nurses get slammed for being normal human beings, especially when it takes the form of dictating how we're allowed to feel. As an experienced...
  25. heron

    Non-compliant Manipulative Patient

    Exactly - and part of the self care needed to be able to develop those tools is being honest with ourselves about how they make us feel. Self-acceptance is the first step to acceptance of others,...