AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

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All Content by AtlantaRN

  1. Unstable crazy situation-Help!!!

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    grandchildren have been removed by dfacs, adult children are impaired as well, i will have to ask social worker if aps has been contacted....thank you for your help. some folks just wear us

  2. Tell me about your continuous infusions

    AtlantaRN replied to ErinS's topic in Hospice, Palliative

    http://www.hopweb.org/ this is a good conversion website--johns

  3. Tell me about your continuous infusions

    AtlantaRN replied to ErinS's topic in Hospice, Palliative

    we use oral and rectal preparations.....if we use iv anything it is to appease family members-usually ivf, 1liter or 2, run real slow like 30-42ml/hr.... we have used morphine drips--usually for...

  4. So tired of the enept manager. Please give me some good sound advice.

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    KEEP WORKING THERE, BUT PUT OUT RESUMES AND FIND ANOTHER JOB.... Life is too short to stress at a job where they don't know what they are doing.....This is the place where you are just 1/4 mile from...

  5. Suicide

    AtlantaRN replied to Vtachy1's topic in Hospice, Palliative

    Wow------Bless you! Without violating Hippa, what happened and how did you find out that if a client attempts suicide, their DNR is null and void..... I've never run into this, but it doesn't mean i...

  6. leaving a job r/t it's toxicity and lack of team-work: framing for an interview

    AtlantaRN replied to pinkiepie_RN's topic in General Nursing

    dont talk negatively about your current boss....use the buzz words "time for a change," "up for a new

  7. Hate to discharge a patient that is hospitalized

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    she was on for a year, 3 years ago and she was discharged because no decline....then she was on again with another company and was discharged because no decline, then she came back to

  8. Hate to discharge a patient that is hospitalized

    AtlantaRN posted a topic in Hospice, Palliative

    I know patients are supposed to call hospice first......i have a patient that family continually calling 911. I am charged with the task to have them sign a discharge form today. She is end stage...

  9. NO, my husband is not in pain. Or is he?

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    is her desire to stop vicodin because he is sleeping more or is more sedated?? I get that alot from family

  10. Hospice Oncall Staffing

    AtlantaRN replied to Rhawnda's topic in Hospice, Palliative

    one on call nurse and one backup....then we do a phone tree, manager of clinical practice, then branch director backs us up....our census is

  11. Discharge a patient because they go to er?

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    pt is a full code, and wishes to remain so. going to renal doc on monday to have an av graft placed, and going to cardiologist on wednesday for a followup visit. he has been a cardiac pt since 2002....

  12. Whose patient is this???? assistance please

    AtlantaRN posted a topic in Hospice, Palliative

    My manager evaluated a patient at a local hospital on friday, patient appropriate for rectal cancer. pt had had home health x2 weeks (with physical therapy and occupational therapy each twice a...

  13. Whose patient is this???? assistance please

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    UPDATE ON THIS SITUATION: Doc did not call patient. Doc said that "patient will be back in the hospital soon enough with vomiting and diarrhea...we will revisit hospice at that time". The bad...

  14. Shocking mistakes by "new supervisor". Staff losing respect.

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    if new supervisor isn't going to listen to you, all you can do is sit back and watch the sparks fly with this train

  15. Whose patient is this???? assistance please

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    nurse for oncologist said she would be sure he called patient monday morning, to encourage her to accept

  16. Whose patient is this???? assistance please

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    thank you. i don't know what my manager spoke with patient about. i would have thought scope of services would have entered into the conversation--as in pt had physical therapy and occuational...

  17. Do you as a Hospice Nurse use a pulse oximeter?

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    i own one because my husband had a pe 12 years ago, i purchased one on ebay. last year, my agency gave each ease mgr a pulse ox to use. we use them at admission and recerts for copd patients, or any...

  18. Free Reign for Hospice Orders?

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    That is such a bunch of crap.......i wouldn't have called the doc to change the order to from pain to respiratory distress.... frankly, a doc that wants to be called for every little change, has no...

  19. Marketing VP wants contacts at employees' church

    AtlantaRN posted a topic in Hospice, Palliative

    Marketing VP asked us monday morning to provide him with contact names and numbers for our personal home church to market hospice to our "60 and over" clubs at our home church. I spoke up and stated...

  20. The "older" Hopsice Nurse

    AtlantaRN replied to lakewin's topic in Hospice, Palliative

    I'm 47, I do weekend call 5pfri-8amonday and prefer this to case management m-f we need seasoned nurses to do this

  21. HAVE YOU EVER THOUGHT? " I should write a book about my adventures in Hospice".

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    sounds like a great idea...... My title would be "you aren't gonna believe this

  22. Was I right to decline this? Admission with no consents.

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    cannot TOUCH a patient without consents. if dpoa was out of town, they could have been faxed to dpoa and faxed

  23. So the family asks me "Is Mom dying?"

    AtlantaRN replied to 357maggie's topic in Hospice, Palliative

    "gone from my sight" is a little blue book that comes in the admission packet our familes get when they start hospice....we encourage folks to look through it on admission, and we revisit the book...

  24. Admitting patients for the sake of admitting?

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    it is what it is......I've worked for a company in the past that would admit anyone for anything it seemed.....If someone admits the patient, and you are a case manager, you can't legally document a...

  25. The frustration of the Functionally Dysfunctional... aka family members.

    AtlantaRN replied to SoCalRN1970's topic in Hospice, Palliative

    i too am an on call nurse....i have found that i'm not sucked into the craziness like the m-f case managers are. I tell people my job is to fix a problem, and move on to the next