AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Should Patient be Revoked???

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Thank you for your input. I spoke with the daughters at the hospital, the mom, who is POA was not present... I'm still not able to get POA on the phone and she is not at the hospital with the...

  2. It's 4pm, who does the 5pm admission?

    AtlantaRN posted a topic in Hospice, Palliative

    I am a full time hospice nurse, and we have a couple of prn nurses. Well, tonight I'm not on call...Marketing person calls to say there is an admission, 40 miles away...well I can't get there in 40...

  3. What is in your bag?

    AtlantaRN replied to jill48's topic in Home Health

    in addition to what is in the nursing bag, I have 2 big rubbermaid containers with pull ups, chucks, diapers, wipes, fleets enemas, gauze, tape, everything including the kitchen sink.... Better to...

  4. It's 4pm, who does the 5pm admission?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    The on call nurse just called me for like the 10th time...She had finally had a family member come back up to the NH to sign legals...She said the facility was upset that we hadn't provided all of the...

  5. Question about Respite at an Inpt Facility

    AtlantaRN posted a topic in Hospice, Palliative

    On friday, one patient went into respite so wife could go on a cruise. (now we had an arrangement with a local nursing home, and I had encouraged wife to go check out the nursing home a month before...

  6. Question about Respite at an Inpt Facility

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Because we don't have an inpatient unit, we have a contract with a facility that is 40 miles east of our office. We prefer our patients go to a local Nursing Home...but family of this patient was...

  7. Question about Respite at an Inpt Facility

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    yes, I went to see him Friday, he had been there for about 2 hours, as I stated this is a market competitor and the manager I had worked for at a hospital about 5 years ago. This patient has...

  8. Question about Respite at an Inpt Facility

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    yes, it is "respite", but frankly I always thought respite was for "caregiver breakdown", not for a cruise....I'm new to this so I'm learning. My boss said it was fine for the 8 days when it was the...

  9. Question about Respite at an Inpt Facility

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    thank you! I remember seeing the patient at the nursing home setting everyday, but the administrator at this hospice said because this is a freestanding hospice, and their nurses do nursing...

  10. Question about fentanyl patch

    AtlantaRN replied to sukichaz's topic in Hospice, Palliative

    my best friend, Ruth is 91 this month, and she is still independent. She is a pip.

  11. How often are you on-call; scheduled weekend visits?

    AtlantaRN replied to Caffeinated's topic in Hospice, Palliative

    I think we work for the same company... We now have 4 nurses, I'm the only full time other than the administrator who doesn't take call. We split the call up between the 4 of us. In the past, I...

  12. Productivity. Does corporate have a clue?

    AtlantaRN replied to wonderbee's topic in Hospice, Palliative

    our time starts when we get to the office, or to our first patient. we are on the "clock" figurtavely, because we don't punch a clock... from the office / or last patient to home, we don't get our...

  13. Why can't I work for 2 hospices?

    AtlantaRN posted a topic in Hospice, Palliative

    Hey! REcently took a prn position with a new hospice near my home, great folks, all about the patients, really a great crew and I love it there. $28/hour, 44 cents a mile (going up to 48 cents...

  14. Hospice Nurse Burnout

    AtlantaRN replied to weatherby's topic in Hospice, Palliative

    I'm with you. We have to stand firm and TELL THEM what WE are going to do. For instance, as of 5:30 tonight, I have 30 hours under my belt, i'm salaried...therefore they have one of two choices a....

  15. How Do I Know If I Can Handle Hospice?

    AtlantaRN replied to tencat's topic in Hospice, Palliative

    Goal is comfort, not cure. We're all dying, from the moment we are born, it's just a part of life. I comfort patients and help to keep them at home until they die. That is my goal, comfort. Of...

  16. HELP! Nosy pt family member driving me crazy

    AtlantaRN replied to RN4ustat's topic in Hospice, Palliative

    when she asks about the neighbor, or where you are going say "i'm sure you are concerned about her/him/them, etc....." "but i'm not at liberty to

  17. Irritated

    AtlantaRN posted a topic in Hospice, Palliative

    I said in a previous post how I just "tell them"" when I will be off...maybe this should be under "hospice burnout", anywhoo... as of Thursday morning at 2:30am; I've worked 33 hours...We just got...

  18. Irritated

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    one of my coworkers called me today, and she feels the same way... When we are not busy, it's great...you can chart and cross t's and dod i's, but when it's crazy, and we don't have the staff, it's...

  19. Hospice Nurse Burnout

    AtlantaRN replied to weatherby's topic in Hospice, Palliative

    I have learned, like tonight, I had already worked my 8 hours, and i'm on call, got a call at 10:40pm to go to see a patient and I called my administrator to say "I won't be in tomorrow to train the...

  20. End Stage Parkinsons Questions

    AtlantaRN posted a topic in Hospice, Palliative

    Pt takes amatadine and permax...one can cause hallucinations if you take too much, the other, you can get hallucinations if you stop abruptly. I have a patient that in the last 2 days has had...

  21. End Stage Parkinsons Questions

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    he died monday morning at 4am...

  22. End Stage Parkinsons Questions

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    family has been giving him 40mg morphine, 2mg ativan, 2 crushed levsin via peg every 2 hours. I put each dose in one of those little glad plactic containers with the plastic lids...the family was...

  23. End Stage Parkinsons Questions

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    update, he IS now a DNR. Daughters said "we just want him comfortable" it took 80 morphine and 4 ativan to relax the rigidity.... It was more distressing to the family than the patient. Good...

  24. End Stage Parkinsons Questions

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    he's been declining. He still isn't a DNR, i went out and gave him 20 morphine via peg and 1mg ativan, that slowed his heart rate down to 130 irregular (he was 300 when I got to the house). Oxygen...

  25. State is at my Hospice!!!!

    AtlantaRN posted a topic in Hospice, Palliative

    We are getting certified and the state evaluator is at my hospice right now!!! I'm asking the good Lord to give us His Grace, the right words and skills to pass with flying colors!