AtlantaRN RN

AtlantaRN has 13 years experience as a RN and specializes in Med Surg, Hospice, Home Health.

Latest Activity

1. Family member complains after death...

   AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

   Truth. Social worker really helped put the situation in perspective for us. Complicated grief and transference secondary to unresolved conflicts in the relationship. Plus it's the holidays. Thank you...

2. Family member complains after death...

   AtlantaRN posted a topic in Hospice, Palliative

   We had an end stage copd pt who was on service greater than 2 years. Pt had 2 caregivers who are nurses. Pt with several revokes for aggressive tx with intubation as 1 caregivers goal was sustaining...

3. Worried about tomorrow

   AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

   It all worked out. Facility said i TOLD them to call x-company. My bosses knew better, they just had to hear my side of the situation. Thank

4. Worried about tomorrow

   AtlantaRN posted a topic in Hospice, Palliative

   Asked to come in n meet w branch director n mgr clinical practice. Word is a facility complained about me this weekend. Said that i said "we dont do continuous care," and they said when i returned...

5. How many patients do you see each day?

   AtlantaRN replied to Vtachy1's topic in Hospice, Palliative

   no, 16hrs a day is not normal. Our case managers work 8-10 hrs a day, but if they get near overtime, they can usually take part of a day off (corporate does not like ot). cms see 4-6 pts a day,...

6. Pain management: CA pt mets to bone and '20%of kidney function left'

   AtlantaRN replied to coogabooga's topic in Hospice, Palliative

   Choline Magnesium Trisilicilate 1200mg, i can't recall 2-3 times a day can help with bone pain (its an old drug, and its cheap, but it works), also steroids are helpful. dexamethasone can be titrated...

7. Careplanning for Comorbidities?????HELP?????

   AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

   I guess my issue is, this is hospice and there is NO real recovery....just symptom management. Narcotics cause gi sluggishness, so of course i'm gonna open a gi care plan and add senna to the...

8. Careplanning for Comorbidities?????HELP?????

   AtlantaRN posted a topic in Hospice, Palliative

   I understand careplanning....but we got a note from our QI person that we should be careplanning for comorbidities.... Qi lady says if pt has hx hypertension we need to be careplanning for...

9. IV certification / wound vacs / PCAs common?

   AtlantaRN replied to amarilla's topic in Hospice, Palliative

   It depends on the company. Some hospices sell hospice as an "extention of home health," which is wrong because hospice is end of life care. NO pcas, no wound vacs. mostly oral meds and wound care...

10. Taking the time to educate the families

    AtlantaRN replied to jeannepaul's topic in Hospice, Palliative

    "Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start...

11. Taking the time to educate the families

    AtlantaRN replied to jeannepaul's topic in Hospice, Palliative

    "Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start...

12. Nurse burnout/Moral distress/Compassion fatigue

    AtlantaRN replied to Lee238's topic in General Nursing

    original poster------you hit the nail on the HEAD! Thank you for starting this thread. i have shared it with my whole office---we are all experiencing levels of your symptoms. Some days are bettter...

13. Compassion Fatigue

    AtlantaRN replied to GinaDecorRN's topic in Hospice, Palliative

    This is a good thing! I have shared the link with my

14. oxygen orders vs nursing perceptions

    AtlantaRN replied to Meliss214's topic in Hospice, Palliative

    i had a patient with pulmonary fibrosis that was on 15liters.....he did fine for about 2 weeks, then he passed. he also had been a smoker yrs prior and had

15. Pain med PRN ATC

    AtlantaRN replied to Nursingluv101's topic in Hospice, Palliative

    Thats why it's prn instead of scheduled....you did the right thing. Did day nurse come into a patient in pain? No? you did the right thing. some folks just want to tell everyone how to manage the...