AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. State is at my Hospice!!!!

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    I had to take my husband to the ED this am, anxiety attack....he has a hx of a PE, so when he says something is wrong, I listen. Another nurse will have to do the visit with the evaluator today....

  2. Anyone work for Shephard Center?

    AtlantaRN posted a topic in Georgia Nursing

    I have an interview monday for the spinal rehab unit... does anyone out there work there? I've heard they are great to their nurses...

  3. 12.5 Hr Days/4 Consecutive Day Work Weeks??

    AtlantaRN replied to JSCOOBY's topic in Hospice, Palliative

    we have 11 patients that are seen once a week (we have one new patient that will be seen on tuesday & friday...and 1 patient I see monday for his regular visit then tuesday-friday for just a few...

  4. IV therapy

    AtlantaRN replied to jacjon's topic in Hospice, Palliative

    ive only drawn pt/inr & ptt on one patient since doing hospice. Although I have a patient with a chest port, and I access it every 8 weeks to flush and hep lock it (i got an order from her former...

  5. How is your medical director?

    AtlantaRN replied to ShayRN's topic in Hospice, Palliative

    excellent. He trusts all of our nurses. Pretty much call him and tell him what you need....

  6. Patient doesn't tell she is getting cataract surgery

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    thank you for the responses. I haven't been in hospice that long, and I can remember years ago that if medicare paid for one ongoing service, it wouldn't pay for another. i'm glad things have...

  7. Pay for old timers

    AtlantaRN replied to GerryG's topic in Hospice, Palliative

    $29/h; $2/h on call; .44 a mile... south of Atlanta....

  8. How Would You Handle Pt Anger r/t Wait?

    AtlantaRN replied to UM Review RN's topic in General Nursing

    crashing patient takes priority over

  9. Don't want to do this anymore

    AtlantaRN replied to AtlantaRN's topic in Medical-Surgical

    i just had a really busy day yesterday, usually by at least 9am after meds are passed i get SOME of the charting done, but 2 NH patients transferring before lunch just put me way behind...especially...

  10. Don't want to do this anymore

    AtlantaRN replied to AtlantaRN's topic in Medical-Surgical

    jhaco hasn't outlawed the crocs, my facility has. my hospital has just gone whack a mole in the last few months. I took a mental health day off

  11. home hospice interview

    AtlantaRN replied to debblynn13's topic in Hospice, Palliative

    I can't think of any. Mine was a straight forward interview... I suppose a question regarding curative vs palliative is expected. I was asked "why do you want to do home hospice." My response was...

  12. "You need to learn to tolerate abuse"

    AtlantaRN replied to anynurseanywhere's topic in General Nursing

    If you tolerate abuse, you are accepting the behavior.... No, abuse is unacceptable, from patients, or coworkers... wrong is

  13. Do you like team nursing?

    AtlantaRN replied to RN1263's topic in Medical-Surgical

    I don't like it...they have micromanaged my facility to the point, each nurse has 6 patients, one tech has a whole hall, up to 18 patients....they have just implemented a "bath team" consisting of 3...

  14. Noncompliant Caregiver Woes...

    AtlantaRN posted a topic in Hospice, Palliative

    Have had a patient for 6 months, end stage alzheimers, not oob for 6 months. Developed shingles 3 weeks ago, ordered acyclovir-5 tablets a day. Caregiver is noncompliant, says even with crushing,...

  15. About to embark on a Career in Hospice- Need Advice

    AtlantaRN replied to medicine121's topic in Hospice, Palliative

    its all about symptom control...not trying to cure the disease now, just trying to live well til the end. Yes, more laid back than home health. More profitable to get paid hourly, than by the visit....

  16. Phenergan IV changes in policy

    AtlantaRN replied to RNKPCE's topic in General Nursing

    yep, vesicant; plus super ultra sedating, esp if patient is on a pca of anyform...in fact, phenergan and scopolamine have been removed from our pca orders....just the standard zofran now.

  17. Noncompliant Caregiver Woes...

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    our social worker is a great person, and she will support NH 100%. Dear hubby is burned

  18. Hospice On Call Compensation Structure

    AtlantaRN replied to Katillac's topic in Hospice, Palliative

    $2/h on call 5p-8:30a m-f, then $2/h on call 8:30asaturday morning through monday morning. $30/h with mileage-door to door. In essence, if you are called at 9pm, your hourly rate starts then, even...

  19. Recommended Reading for Hospice Nurses

    AtlantaRN replied to introspectiveRN's topic in Hospice, Palliative

    There is a red book at the office called Symptom control in Hospice & Palliative care. IT's $35 online at http://www.hospiceworld.org under the bookshop. Worth the money...most books i've found...

  20. Should I take this job? Please help!

    AtlantaRN replied to RiaRN's topic in Hospice, Palliative

    1:12 is more acceptable as a ratio of a home hospice nurse...not a stepdown unit. My stepdown unit was 1:4 with a nurses aid.

  21. What to do??????????secretions.....

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    all in all, the family was quite thankful that I was there, especially when she was so gurgly and loud...they were calmer as she became more quiet...

  22. What to do??????????secretions.....

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    what is difficult for me is i've done hospital nursing for 10 yrs, and everything is available...quickly. on saturday, my administrator didn't want me to get the scop patches, she said "the comfort...

  23. New grad just got fired

    AtlantaRN replied to rn2day's topic in General Nursing

    It's not you. Trust me and the others here on this forum. That is why we take report and write the information down. I've been a nurse for 10 yrs, and I can't FUNCTION without my "cheat sheet."...

  24. question about ng insertion

    AtlantaRN replied to dayshiftnurse's topic in Medical-Surgical

    high fowlers, roll a towel behind the head (not the neck), so patient will be in a chin to chest position. best if you can put bed in a "chair position". I take the ng tube and just slightly bend...

  25. Hospice Calls when I'm NOT on Call

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Clarification: I DO love the patients, and I love helping the families. I just don't like to be on call 24/7, when i'm only on call from 5pm-8am a couple of days when i'm not working my hospital...