AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

Member

  • Content

    763

  • Visitors

    11,913

  • Followers

    0

  • Likes

    7

All Content by AtlantaRN

  1. Changes to On Call Job Description

    AtlantaRN replied to pixiec11's topic in Hospice, Palliative

    I am weekend on call, I'm on from friday at 5pm til monday 8am, I do come to the monday morning meeting at 8 to give report, and i'm done by 9am. I don't go to IDT meetings. I do come to the office...

  2. Denial, not just a river in Egypt

    AtlantaRN posted a topic in Hospice, Palliative

    Sad situation. Patient has been to the emergency 5 times in the last 7 days. ER doc told family today, stage IV cancer, if he comes in again, we will stabilize him and send him home, there is...

  3. I want hospice, but I want to continue treatment.......

    AtlantaRN posted a topic in Hospice, Palliative

    Can patients receive hospice and still continue to see all 5 of their "regular physicians?" I signed up a patient over the weekend, in late 50's, dx with renal cancer 4 yrs ago--this has mets to...

  4. feeling insecure

    AtlantaRN replied to sistasoul's topic in General Nursing

    I've been a nurse for 13 years, 10+ hospital floor nurse/telemetry/critical care; and the last 3 as a hospice nurse. Even after 13 years, i still have days where I feel insecure. Especially as...

  5. "Denial" situation update

    AtlantaRN posted a topic in Hospice, Palliative

    First thread is titled "Denial, not just a river in egypt." This is an update--went to work today, my clinical manager tells me.......the above situation has turned into a "thing". states should this...

  6. "Denial" situation update

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    This was an admission, that didn't happen. I"m being blamed because apparently i wasn't hired for my clinical skills (3+ edema to ankles and audible crackles aren't enough to indicate fluid...

  7. Admission Process question

    AtlantaRN posted a topic in Hospice, Palliative

    When we go to meet folks in their homes, we document that they verbalize an understanding of hospice philosophy, scope of practice and that they agree with the care plan. If your family is not on...

  8. Getting on the same page

    AtlantaRN replied to CoffeeRTC's topic in Hospice, Palliative

    my philosophy is better to have it and not need it, than to need it and not have it. Roxinol decreases the workload of the heart and decreases oxygen demand. We use 20mg/ml and usually order 5-20mg...

  9. Hospice Admissions nurse

    AtlantaRN replied to neonurse97's topic in Hospice, Palliative

    I went into our ipu unit last evening to do 4 admission, took me 10.5 hours, and that was in the facility with family members present. I got home at midnight, and slept til 10am. Each family was...

  10. Use of pulse oximetry in hospice

    AtlantaRN replied to HoosierMale's topic in Hospice, Palliative

    our hospice issues each nurse a pulse ox. we use it for recerts for copd. also, on admission, or during time with hospice, a nurse may write an order to check sat each visit, apply 02 2-5L for...

  11. Hospice Admissions nurse

    AtlantaRN replied to neonurse97's topic in Hospice, Palliative

    the only drawback to an admissions nurse position, is that if you don't have any admissions scheduled, you are required to go out in the field and do nursing visits, or chart check in the office,etc....

  12. 3 weeks into nsg program, he wants to quit...

    AtlantaRN posted a topic in General Students

    I don't know what to do...my son is 3 weeks into the nursing program at Gordon College, and wants to quit...He's not yet 20, got into the program on the 1st attempt (i've heard of folks on the wait...

  13. 3 weeks into nsg program, he wants to quit...

    AtlantaRN replied to AtlantaRN's topic in General Students

    he flunked out of nursing school. Started working at a local small airport in 2005, got hired at lockheed martin in marietta, ga 9/09, and will start engineering school in january with lockheed...

  14. Denial, not just a river in Egypt

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    found out this morning that fam went with another hospice that will do the fluids. marketer for my company is *issed....said I should have notified branch manager.....i notified referring md, med...

  15. Denial, not just a river in Egypt

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Wife verbalizes patient is sick, but doesn't want us to say the word "hospice." that was a red flag (i've had families in the past ask me to take off my badge because it says "hospice'). husband...

  16. Transportation of narcotics and other drugs

    AtlantaRN replied to susanerl's topic in Hospice, Palliative

    Nurses are required to deliver meds to patients home. We use a local compounding pharmacy, and we have a medication receipt form that we fill out with med, dosage, and quantity of meds, we sign at...

  17. pt. load for case managers

    AtlantaRN replied to holiday2525's topic in Hospice, Palliative

    12-15 they say is the standard load for a case manager at my company. At this time, one RN has 17, and another has 9. This is mostly due to acuity (family dynamics) and also location. We are around...

  18. Why IVF for stomach cancer patient on 2 diuretics

    AtlantaRN posted a topic in Hospice, Palliative

    I am frustrated. Does the patient condition warrant directing the plan of care or does the family. It is a sad, sad situation, a fairly young woman only diagnosed last month with stomach cancer,...

  19. Why IVF for stomach cancer patient on 2 diuretics

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    The GOOD thing through this, she tolerated 1500ml fluids. I almost rolled my eyes when I got out there and found she hadn't vomited one time since I took her out a 2 week supply of phenergan. I...

  20. The right car

    AtlantaRN replied to RN1981's topic in Hospice, Palliative

    Drive it til it drops, but when it comes time--NEVER LEASE, always buy.....((even if you don't buy new, i hear the subaru wagon is one of the best pics, according to car & driver, and clark...

  21. Why IVF for stomach cancer patient on 2 diuretics

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    we have had patients in the past where their primary care physician would "schedule" palliative paracentesis once a week.... I wouldn't even begin to know how to set this up over the weekend. I hate...

  22. Why IVF for stomach cancer patient on 2 diuretics

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    med director has his own internal med practice, and has been our med director for a couple of years. Goes back to the customer is "always" right....but it isn't the customer at all driving this, it's...

  23. Ativan with a blind patient with hx glaucoma

    AtlantaRN posted a topic in Hospice, Palliative

    In our ekit, i've sent out ativan and abh for a prostate cancer patient, who also is blind secondary to long hx of glaucoma (don't know if wide angle or narrow angle). Package insert says not to use...

  24. Long Acting Morphine for Resp Distress in Hospice Pt

    AtlantaRN replied to jsdrn's topic in Hospice, Palliative

    long acting would help. also nebulized morphine is great especially for copd patients.

  25. needing some advise

    AtlantaRN replied to spoiled28's topic in Hospice, Palliative

    If the flies are attracted to an odor, they make charcoal dressings that you can cover her 4x4's or abd pads. Pad the area liberally with gauze and papertape. Charcoal dressings--Granted, they are...