heron ASN, RN

Hospice

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All Content by heron

  1. heron

    Support Planned Parenthood Today!

    No, macawake, I'm not thinking you're naive at all. It's just that there's more than one way to frame a conflict and I'm not willing to let the forced pregnancy movement call those shots. Having...
  2. heron

    Support Planned Parenthood Today!

    The animosity of the forced pregnancy movement against Planned Parenthood has nothing to do with abortion, really. It predates Roe v. Wade by almost a hundred years ... abortion is just a convenient...
  3. heron

    Support Planned Parenthood Today!

    Ummm ... not hardly. The following quotes are from a random selection of citations obtained for " crisis pregnancy center funding". I recommend you check the subject out yourself, so here's the actual...
  4. heron

    Advice for new inpatient hospice RN

    ^^What she said^^ (and far more thoroughly than I could manage on my lunch
  5. What's your thinking so
  6. heron

    Advice for new inpatient hospice RN

    If you are working on an inpatient unit, you are in the ICU of hospice care. General inpatient care (GIP) is reserved for people with uncontrolled symptoms or those who are too complex to be cared for...
  7. heron

    Vitamins are a controlled substance?

    Either way, although I think it was a dumb decision, it was still hers to make if those meds were being charged to her budget. Time was, hospital employees got all kinds of free or low cost service as...
  8. heron

    Vitamins are a controlled substance?

    He may not have been paying for employee stock, but as dept head he's responsible for controlling his budget. I don't necessarily agree with his decision, but it was his to
  9. heron

    Support Planned Parenthood Today!

    Then there are the somewhat euphemistically named crisis pregnancy centers being funded with tax dollars to use junk science to scare women out of getting abortions, while providing pretty much...
  10. heron

    Too much Morphine-scopolamine+stesolide

    There's no one size fits all answer to that ... it takes the time that it takes and depends on the underlying disease process(es). I was trying to explain one reason that morphine would have no effect...
  11. heron

    I Inherited A Bully

    And there's your ace in the hole: saying thank you. As a lifelong underling (you couldn't pay me enough to take a management job!) I have to say that controlling bullies and deadwood is only half the...
  12. Don't engage ... the pt is just miffed that he didn't get his own way. He knew full well that the nurse would not go along, which is why he asked
  13. heron

    Too much Morphine-scopolamine+stesolide

    Kussmaul respirations continue as long as the patient is acidotic ... it's the body's way of correcting the imbalance by blowing off carbonic acid. I see it most often in people dying of end-stage...
  14. What worries me is the potential for yet another War on Drugs that uses draconian, inappropriate and ineffective measures to create big drama (and big $$ for enforcers and pushers alike) and little...
  15. heron

    I Gotta See If He Is Dead!

    Wouldn't have a clue ... the issue might be that the morgue was never set up to allow public access, for administrative, financial or even forensic reasons. It's a pity that the facility had no...
  16. heron

    I Gotta See If He Is Dead!

    It takes an expert, even gifted, manager to know when a power struggle over enforcing a rule will just escalate the damage being done and to go ahead and break it. Compassion (not pity) + skills = a...
  17. Miss you ... I remember that thread
  18. heron

    When Your Patient is an Addict...How to Deal

    When you characterize any effort to place the issue of addiction into some kind of larger context of intertwined care issues as "enabling", then you are, indeed advocating for inappropriate care....
  19. heron

    When Your Patient is an Addict...How to Deal

    Oh, please ... can the drama for a minute and try to understand that no one has claimed that addicts don't try to get over, especially in the ED. What we are tryng to explain is that righteous...
  20. heron

    Anyone know about Labor Laws?

    A benefit is not a gift - it is part of the compensation package offered to employees and is earned right along with the paycheck. But, yes, the employer gets to set pto
  21. Murphy's Law is an excellent guide, especially for folks who are new to this field: if something can go wrong, eventually it will. Every situation is different ... best to stay on your toes even (or...
  22. Here's an additional thought: most acute care facilities maintain a policy/procedure manual. Consider showing up 15 or 20 minutes early for your shift so you can actually read the facility policy ......
  23. I didn't read anything about character in Ruby's post ... but I guess no good deed goes unpunished. Not having been there, I have no idea whether your supervisor's assessment that you were floundering...
  24. heron

    When Your Patient is an Addict...How to Deal

    So, how do you deal with people who have both medical and addiction issues? This is the point that PPs are trying to make, I think. It's not a strict either/or algorithm. Which issue gets
  25. heron

    Nurse opinions on "Birth Rape"

    What makes you think it's not "forcible, intentional degradation"? Who sez "the issue" must be one or the other and both can't be valid at the same