AtlantaRN

AtlantaRN RN

Med Surg, Hospice, Home Health

Member

  • Content

    763

  • Visitors

    11,913

  • Followers

    0

  • Likes

    7

All Content by AtlantaRN

  1. Patient with a vas cath..........care question

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    oh yeah, we would never flush a vas cath. it's one of those things, when i'm tired, i can't think straight............its just we have to visualize and document "no s/s infection...no redness, etc"...

  2. Patient with a vas cath..........care question

    AtlantaRN posted a topic in Hospice, Palliative

    Admitted a patient with a right subclavian vas cath. She is getting dialysis 3x/week. I know we don't flush or anything like that, but do you all write, like you would any other invasive item....such...

  3. What do you wear to work?

    AtlantaRN replied to GhostsWerePeopleToo's topic in Hospice, Palliative

    I do weekend call friday 5p-monday 8am. Jeans and scrub shirt....or a plain shirt with a scrub jacket.......I always keep a set of scrubs in the car, just incase.....If I pick up extra doing...

  4. On call nurse

    AtlantaRN replied to NightnurseinHawaii's topic in Hospice, Palliative

    i've done weekend oncall for a year now for a south atlanta, GA for profit agency. I start at 5p on friday and i'm on til monday 8am. I have a backup nurse, should two emergencies or deaths occur at...

  5. case manager turnover

    AtlantaRN replied to mimiv123's topic in Hospice, Palliative

    as for continuous care, we pull from 4 other offices to staff for continuous care...other locations have more prn nurses than our location does...We have only had a few continuous care cases-most opt...

  6. Morphine Protocol

    AtlantaRN replied to caliotter3's topic in Hospice, Palliative

    usually if the patient is in end stage-we order the roxanol on admission the 5-20mg sl q2h prn breakthrough pain or dyspnea..... Better to have it and not need it, than to need it and not have it....

  7. case manager turnover

    AtlantaRN replied to mimiv123's topic in Hospice, Palliative

    No is a full sentence. You have to set boundaries or you will burn out quick. I went to the weekend shift and most weekends it is better for me that the regular staff nurses...They are not only...

  8. do any home hospices provide linens 4 hospital beds

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    Alot of our new admits have some wrong ideas of what hospice is.....Last week, I went to admit an end stage copd patient, and she is a & 0 x3--family thought I was staying the night (NO.....)...

  9. Morphine Protocol

    AtlantaRN replied to caliotter3's topic in Hospice, Palliative

    in the home, morphine sulfate 20mg/ml 5-20mg sl/po q1-2 hours prn breakthrough pain or dyspnea.......at least that is how we do it in the

  10. do any home hospices provide linens 4 hospital beds

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    I agree with all the posters, and it's good to know it doesn't just make MY blood boil. It does seem the patients with the greatest means are most expectant for everything to be provided. With...

  11. Co-worker switched hospices, now poaching our pts.

    AtlantaRN replied to curiousauntie's topic in Hospice, Palliative

    bad form. legally, she has no right to approach pts or families now that she is no longer working 4 ur agency.

  12. Crazy med pass +

    AtlantaRN replied to NamasteNurse's topic in Geriatric, LTC

    don't walk.....RUN out of there........I couldn't do it. I was a hospital nurse for 10 yrs before leaving for hospice....the max I had was 7 patients/shift. I couldn't do what you are expected to...

  13. Procedure when family or pt does not answer phone or door.....

    AtlantaRN posted a topic in Hospice, Palliative

    For home hospice nurses--does your company have a procedure when family or patient does not answer phone or door... Hospital sent a patient home by ambulance who, on report, nurse was told patient...

  14. Pain Follow-up

    AtlantaRN replied to tewdles's topic in Hospice, Palliative

    we don't use electronic charting............so it's paper

  15. Pain Follow-up

    AtlantaRN replied to tewdles's topic in Hospice, Palliative

    If pain level is 4+ on arrival, and 2 is an acceptable level---we have pt take meds, or add roxanol, until pain level is "2". THEN, a phone call the next day document pain level. usually an...

  16. Unmanageable COPD situation----HELP!!!!!!!!

    AtlantaRN posted a topic in Hospice, Palliative

    70+ yr old patient, lives at home with daughter, who is also an alcoholic. Both smoke 3+ packs of cigarettes/day...... Situation is, he smokes a cigarette, then has an albuterol treatment........then...

  17. Unmanageable COPD situation----HELP!!!!!!!!

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    the doc wasn't allowing patient this much albuterol..........patient was obtaining from hospice, and when he would run out, his daughter would call and say "well, i'll have to call 911...." to which...

  18. No Colostomy Output X7 days....stomach cancer

    AtlantaRN posted a topic in Hospice, Palliative

    Patient with colostomy since 2006, months of nausea and vomiting, then it is controlled with levsin q4h. stoma is beefy red, stomach is not distended.....intake has declined, he is now...

  19. No Colostomy Output X7 days....stomach cancer

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    decreased levsin to 1 sl q4h prn as this causes gi motility slowing (he has been on 2 sl q4h for about 10 days with good results).....ordered a colostomy irrigation set today, should arrive tomorrow....

  20. Weekend Hospice Nurse

    AtlantaRN replied to abbeyscottage's topic in Hospice, Palliative

    The area that I work in is pretty wide open spaces, and it may be nearly 100miles to get to a pt. Bless you!!! How do you manage such a large area? With my job, we have to be within 60 minutes of...

  21. Weekend Hospice Nurse

    AtlantaRN replied to abbeyscottage's topic in Hospice, Palliative

    I am a weekend on call RN. I'm on friday 5p-monday 8am. Some weekends are awful, and some are great. I have one RN as backup and then my clinical manager. If i have 2-3 patients going at the same...

  22. No Colostomy Output X7 days....stomach cancer

    AtlantaRN replied to AtlantaRN's topic in Hospice, Palliative

    partial, I believe. He had some stool coming from his stoma yesterday. He has good color and doesn't feel bad, considering,

  23. How many patients are you "expected" to see in an 8 hour day?

    AtlantaRN replied to 4eversail's topic in Hospice, Palliative

    charting is expected at bedside, average visit is 45minutes to one hour. As for number of patients, it is expected that a nurse that has a nursing home facility with several patients, you would be...

  24. Fair salary offer?

    AtlantaRN replied to Marshall1's topic in Hospice, Palliative

    I did the math and for 123hr/week, it roughly figures out to be $8.50/hr.......... granted, some nights you won't get any calls, and some nights you will be out all night.... $55-$70K is the going...

  25. Hospice Directors/Administrators please answer

    AtlantaRN replied to Marshall1's topic in Hospice, Palliative

    smart move. One big cue would be why it wasn't offered to persons already working within the company. It would be prudent to move a manager of clinical practice to such a position, or someone with...