AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. A blessing in disguise?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Thank you, pammyf, YES, I am the fall guy on this one for the nursing home. Marketer states my company was at risk for the nh going with another company. Everyone at IDT seemed to be actually nice...

  2. A blessing in disguise?

    AtlantaRN posted a topic in Hospice, Palliative

    I'm just so upset right now, but I know I need to look at this as a blessing in disguise. I work for a national chain hospice that has a local nursing home as a client. I was told by the facility...

  3. A blessing in disguise?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    dementia AND emotions! It is EXACTLY as debblynn13 stated, the facility needed to provide that 1 extra bedbath a week (since 2007!!!!). IDT was today, and STILL to appease the social worker at...

  4. A blessing in disguise?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Thank you for your kind words. What i have learned is it's more important for the customer to be happy than for the nurse to be right. What has ended up happening is another nurse is taking that...

  5. Do you attend viewings? or funerals?

    AtlantaRN posted a topic in Hospice, Palliative

    I've just gotten to where I can't bear going to funerals. I guess I eat sleep and breathe decline and death, that I just need to pull away from the funerals and viewings. What is a good way to...

  6. Do you attend viewings? or funerals?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    thank you all for your responses. I just feel like I am consumed by death and I just can't attend the funerals of my patients.

  7. Obtaining CII meds at local pharmacies questions

    AtlantaRN posted a topic in Hospice, Palliative

    I work for a for profit company. They have tried going from one compounding pharmacy delivering medications to patients' families obtaining medications in the past ( to save money) , and starting...

  8. I need help with smells

    AtlantaRN replied to BlessedRoseRN's topic in General Nursing

    Wear a mask with vicks on the inside. If the patient says anything, just say you "have a cold..." linda I just breathe through my mouth. Smells don't really get to me, but one time I had one...

  9. updating plans of care

    AtlantaRN replied to nursebitback's topic in Hospice, Palliative

    My former employer, yes, we left a copy of the MAR and careplan in the home. My new employer, we only leave a copy of MAR (but I believe we should be leaving a copy of the care plan).

  10. What is wrong here???

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    just an update, she passed yesterday morning. My boss went out and destroyed medications.

  11. What is wrong here???

    AtlantaRN posted a topic in Hospice, Palliative

    I have a patient with lung cancer with mets to brain and spine and initially she was on lortab 10/500 qid in december. Her affect is flat, there is never any moaning or any indication of increased...

  12. Some days I just can't take it.....

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    The family member is doing better. There is a night sitter that stays with the mother so daughter can get some sleep. After much counseling, she has opened up to the strained relationship they have...

  13. Hospice charting (Neg- Charting) ?

    AtlantaRN replied to Joebrown's topic in Hospice, Palliative

    my hospice is the same way...they tell the nurses to NEVER document that they are improving in any way, but you can say "patient states having a good day, ate 100% breakfast...."

  14. updating plans of care

    AtlantaRN replied to nursebitback's topic in Hospice, Palliative

    Each IDT meeting is a Care Plan Meeting. Each nurse reads through the care plan and goals and interventions we are using to meet the goal. Essentially, we date and initial the heading of the care...

  15. Almost finished and want to quit

    AtlantaRN replied to misplaced1's topic in General Nursing

    Whatever you are going through now is temporary. DON"T QUIT!!!! YOU will regret it! My son quit after the first semester and he surely regrets it now, especially in this economy. Yes, at...

  16. Obtaining CII meds at local pharmacies questions

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    YES!!! Thank the good LORD!!! There is a law that allows pharmacies to dispense with a faxed prescription. Also, we are able to use our previous compounding pharmacy and they will deliver, for...

  17. HELP!! What to put on resume after being unjustly FIRED?

    AtlantaRN replied to AngelsWings09's topic in General Nursing

    I always thought that the only thing your former employer may devulge are the dates starting and ending employment.

  18. New guy trying to fit in

    AtlantaRN replied to jaf0066's topic in Hospice, Palliative

    First of all, obviously you are sensitive to your co-workers or you would not be posting your concerns on the forum. It's like walking a tightrope at times, trying to figure out co-workers. I too...

  19. On A Roll

    AtlantaRN replied to rngolfer53's topic in Hospice, Palliative

    not only are you exposed to carcinogenics, but it seems when we are placed in homes with heavy smokers; we inevitably are asked to go to a home where there are NONsmokers who (after your visit is...

  20. Should Patient be Revoked???

    AtlantaRN posted a topic in Hospice, Palliative

    Im at a loss for this one. Alzheimers patient, still ambulatory, but declining intake. Started on Bactrim 3 days ago for foul urine and scant output... Saw him today at 9am, stayed til...

  21. Should Patient be Revoked???

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    AN update: The wife signed revocation papers, the patient stayed inpatient for 7 days, ended up with a peg tube. While inpatient, the family interviewed every home hospice agency in the state, it...

  22. Question about LPNs in Hospice

    AtlantaRN replied to curiousauntie's topic in Hospice, Palliative

    I work for Healthfield Hospice. There are currently 2 LPN's that see patients on a bimonthly basis. RN's are the case managers, and they fill in secondary to high census. (one additional LPN does...

  23. Documentating what you have not witnessed question

    AtlantaRN posted a topic in Hospice, Palliative

    Regional chart auditor is at my office this week. We have been instructed to not only document "spoke with attending who agrees with hospice admission," and "spoke with medical director who agrees...

  24. Documentating what you have not witnessed question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    My manager misunderstood. We are being asked to document that WE have collaborated with attending and medical director. That is fine. I'll document what I have witnessted.

  25. Did anyone's spouses/partners etc...... have a problem with you becoming a RN?

    AtlantaRN replied to ~Mi Vida Loca~RN's topic in General Nursing

    Just my first husband had a problem with me becoming an RN, and that is why he is my EX.... Hospital work is nothing like on TV....