AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Husband Doesn't Get It...

    "he comes in and out of accepting it" yep, today he was talking about chemo again. Again I educated that in her current state, soooo debilitated, gut slowing down, more lethargy; there is absolutely...
  2. Whacked Family Dynamics

    I have a sweet little elderly patient, ovarian ca w/mets. Husband is primary caregiver and appears to be extremely attentive. he now understands the purpose of hospice is comfort, and not...
  3. Whacked Family Dynamics

    Went to see my dear patient today. Two daughters are now present, and one of those daughters has taken a leave of absence to help take care of patient. :)
  4. Husband Doesn't Get It...

    btw: she's been ill since
  5. Whacked Family Dynamics

    found today, daughter has POA, but it's related to financial matters; not healthcare..... It's just AWFUL when NO ONE TALKS...dysfunctional family dynamics + terminal illness = greater dysfunctional...
  6. Learning Needs Assessment Tool

    http://www.chcr.brown.edu/pcoc/TOOLKITCONCEPTS.PDF pages 50-73 really helped me. It's more designed to evaluate the perception of quality hospice care, but it has excerpts from families comments...
  7. Husband Doesn't Get It...

    just got back, saw patient weak and sedated, but no longer nauseated :) Spent 2.5 hours there with patient mostly sleeping off and on, spoke mostly with husband. Talked about supportive care,...
  8. What to do?

    Today, I went out on my first referral. Met a sweet patient today, year 3 of fighting lung cancer; she is now stage III-IV. Hubby at bedside. She verbalized she just wished someone would put...
  9. What to do?

    fianally got patient admitted on the 21st. husband signed most critical paperwork. patient refused assessment at that time. She did let me take her vitals on the 22nd, and she verbalized...
  10. I've been on call all weekend. I have a patient in a nursing home 30 miles north of my home, he has a feeding tube and gets cyclic feedings. He is end stage dementia, only responds to vigorous...
  11. Why can't I work for 2 hospices?

    I got an email from a pulmonary group I interviewed with on dec 6th, i've been offered a position on weekends, rounding a couple of hours before the doc gets there, making sure labs have been drawn...
  12. ***************that is just nuts, I always say "work smart, not hard" that is the sign of a nurse that has it together.....sheesh......
  13. New grad - hanging blood

    I see what you are saying, because less blood is entering the patients system, if they are going to have a reaction it won't be as severe as if they had it at a rate of 125............ I guess I never...
  14. Comfortable as a Case Manager

    "About the stigma... we are perceived as having a "cush" job, push a pencil all day, blah, blah".....that is so true! i've been a floor nurse for 10 yrs, and I guess because the floor nurses don't...
  15. Why it takes so long to get approval for a job !

    You will find too, i've made folks wait a week to talk to me, and I was open about other interviews, and where they were at. I still haven't heard back from the last one, a hospitalist nurse to round...
  16. Why it takes so long to get approval for a job !

    one more thing, if you go to a facility and hand in your resume, and they don't offer you an interview; go to each floor and ask who the manager is, go to thier office and introduce yourself. If you...
  17. Why it takes so long to get approval for a job !

    I went through the same thing in 1996. Before you go on an interview, find out as much about a facility as you can, you can get that from their website, how many beds, the new expansion on the Mother...
  18. Your Favorite one liner used with patients

    I'll tell folks, because I usually do a 3 day stretch...."i'll be your nurse for the next 3 days, unless i hit the lotto, then you'll never see me again."
  19. Your Favorite one liner used with patients

    I always tell my patients "see you at the walmart, because no matter how nice I've been, you never want to see me again." it's always good for a chuckle.
  20. Why can't I work for 2 hospices?

    I am concerned about this, I was thinking the same thing. The hospice part of Health***** was bought out by gent**a, and there is already a health***** location in said city she was saying they were...
  21. Why can't I work for 2 hospices?

    they really didn't give me a reason. I've always worked at least 2 jobs, pulling 60 hours a week. i've done this for 10 yrs. Of course, I have the luxury of a retired husband that does all the...
  22. Am I Being Unreasonable? Please Give Me Your Opinion!

    i'm part time at a hospital, and my requirement is 2 minor holidays and 1 major a year; for full time it's 2 major holidays, and 4
  23. Why can't I work for 2 hospices?

    they've only been open a few weeks, and I don't think financially they can take me on as a full time employee. about the "trouble" part...when I called about the position she said she wanted to...
  24. AMEN, and pass the biscuits!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! It's just too darned late to call my director, and we have an IDT meeting in 7.5 hours and i'm just too *issed off to sleep!!!!!!! I don't...
  25. Why not question pts about their eating habits?

    probably because we don't want people to feel bad....it's like kids in school that get ribbons on field day because we don't want them to feel bad because they didn't win...just a thought. I posted on...