HillieRN

Latest Activity

1. Not sure if I should switch....

   HillieRN replied to HereInTX's topic in Hospice

   I work on call and my schedule is very flexible. I used to work critical care, but I also hate 12 hour shifts. Sometimes I will have a really long on call shift, but I do not get as tired as I did working 12 hr nights in critical care.:) I love ho...

2. How much is too much morphine?

   HillieRN replied to Neomikeyboy's topic in Hospice

   We once had a pt on 1000mg/hr.

3. homecare homebase

   HillieRN replied to NC29mom's topic in Hospice

   Wow, that software sounds awful!! Our Hospice uses Healthwyse and we have laptops.

4. Antibiotics and gray area

   HillieRN replied to HillieRN's topic in Hospice

   Thanks NC for the reply. :) I have difficulty discerning if an antibiotic is appropriate or not, in some situations. One example could be an Alzheimer's pt who is unable to communicate and has a vaginal discharge. She does not appear to have pai...

5. Sepsis as Hospice Diagnosis

   HillieRN replied to lpoore's topic in Hospice

   We have never used Sepsis where I work. I am going to have to inquire about it tomorrow.:):)

6. Antibiotics and gray area

   HillieRN posted a topic in Hospice

   I would love to hear some commentary from experienced RN's RE antibiotics. There seems to be a lot of gray area where I work. Do some agencies have protocols or algorithms for this they can share?

7. On-call hospice nurse

   HillieRN replied to lwheatley's topic in Hospice

   I realize this is an older post, but is there anyone who works without any backup at all? This is my current situation and I am very concerned.

8. Harassment by pt or families?

   HillieRN replied to MimiRN2013's topic in Hospice

   Where I work I've been told we are to call the local police for an escort if needed. It has been done once or twice but not since I've been there.

9. Frustration with providing supplies

   HillieRN replied to NC29mom's topic in Hospice

   We are not having that problem , but we are part of a hospital. We also have a foundation that assists. I'm not saying this couldn't change however ... I wonder what Medicare would think? That would be annoying about the supplies. It is sometimes...

10. Let's talk $$ for hospice. (Idea lifted from Agency nursing)

    HillieRN replied to SuzieVN's topic in Hospice

    OMG RN NC 10 yrs Rn in ICU, 1 yr hospice 25/hr during office hours 36/hr on call 2/hr on call to carry beeper !!!!!!!!!!!!!!!!!!! No benefits as it is a "temporary position"....

11. Role of Hospice RN at a death.

    HillieRN posted a topic in Hospice

    I feel I could be more helpful to families when their loved one dies then I am. I would love some insight on what others say and talk about with families, when attending a death. I am new to Hospice, and a quiet person. I want to do my best for th...

12. On call calls

    HillieRN replied to HillieRN's topic in Hospice

    We do not have any handouts or emergency plan. Thank you for your help- ill talk to the the about that. That would be very helpful for us and make taking call a bit easier- especially for the full time nurses .:). Great suggestions.:). We have CHF ...

13. On call calls

    HillieRN replied to HillieRN's topic in Hospice

    Supplies, constipation, CVC dressing changes, medications not helping pt for over 24 hours, things that the family could take care of easily or could wait until the next morning, etc. that's a good idea about the Friday visit, or increasing the vis...

14. On call calls

    HillieRN replied to HillieRN's topic in Hospice

    Thank you for the response. I agree with you. I don't want to be 'that nurse' either- . Some nights it can be frustrating when I am driving long distances...:/

15. On call calls

    HillieRN posted a topic in Hospice

    I work mostly on call. My question is are there calls that you receive from pt's or families that want you to make a visit when it isn't an urgent situation or if its for something that could be solved over the phone or taken care of by a family me...