softrbreeze

softrbreeze

Member
  • Content

    149
  • Visitors

    7,148
  • Followers

    0
  • Likes

    6

All Content by softrbreeze

  1. Question from non-nurse

    Some of these responses may be what he/she was told to say to people also. Healthcare agencies do not want to be held liable for a decision that you make that turns out poorly. At my agency, for...
  2. Linguistic Pet Peeves

    People can't spell "too" and "to"! They are not interchangeable! I get if English isn't your first language or if you dropped out of school in 7th grade but wth is it with the COLLEGE graduates...
  3. Ugh...in the same sitch but from the other end. I just found out they're paying my male coworker who is a new ADN (with previous LPN experience) more than they are paying me with a BSN and 10 years...
  4. The link seems to be inactive. What were the recommendations? Do you remember? Thanks! I'm about to enter the field
  5. "You're too smart to be a nurse. Be a doctor"

    I'm ashamed to say I was one of those people who didn't think nurses had a very good medical knowledge base. I thought of them as the wait staff of the medical world, just following orders. I was...
  6. EMTs Ever Look at You Like You're Dumb?

    EMTs aren't always as smart as they think they are. When my MIL died at my home several years ago, they tried to tell me she had been dead for hours. Her HR had been in the 40s just a few minutes...
  7. Hospice in DFW

    My advice as a hospice case manager for the last 10 years is to avoid the large national hospices, take notice of any warning bells in your head when you go for an interview, and keep in mind that...
  8. Frequent Falls

    Yikes! We're required to get all the same info but fortunately we're still on a paper system so those fields we can't fill out don't keep haunting us. One of the many reasons I don't look forward to...
  9. I don't thnk these patients are appropriate

    The ENTIRE picture must be taken into consideration. Does this person have frequent UTIs or falls? Does he/she have a lot of comorbidities? Lost any weight recently? Any change in ADLs? Careful...
  10. Nurses: How far is your commute?

    25 miles and 30-35 min commute each way BUT I work home hospice so I could be ending my day anywhere, usually no more than an hour from home but I try to see the patients closest to home in the...
  11. I think they're going to look more "dead" anyway because more time has passed. Most of the time the funeral home arrives within 1-3 hrs. I have never in 10 years had a body stiffen to the point the...
  12. Anyone entered PICU nursing already a parent?

    For me there certainly was. I had an infant and a toddler when I started PICU nursing- went home crying nearly everyday. I called it quits after 3 months. But everyone is different. It may be your...
  13. Getting a handle on things

    I know EXACTLY what you mean. It can make a big difference! I hope the new staff is well-trained and things are running more smoothly for
  14. M9bile phone use in home hospice

    We have occasionally had a pt or PCG call our personal cell after hours. I have a voice message on my personal cell directing callers to call the after-hours number if after 5pm on weekdays or on...
  15. Was my "initial" reaction wrong?

    Find yourself a smaller hospice, sweetie. I don't know why for-profit hospices get thrown under the bus so often but I wouldn't let that be a determinate. I've worked for 2 hospices, both for...
  16. Patient care question

    Hospice focuses on comfort care as you said and, depending on prognosis, preventing pressure ulcers. If a person seems to be pre-active, I would focus on keeping them comfortable even if that meant...
  17. Is nursing school really "that" bad?

    It is very difficult but I had a toddler and was pregnant with my 2nd child starting nsg school. Without my husband to get up for feedings at night and watch the kids while I did my study time, I...
  18. Go into nursing for the money?

    Yes. I was making $11/hr working with the state as a case manager at the food stamp office with my 4 year degree. I could almost have been on food stamps myself. I saw nursing as a promise of a...
  19. PASSED NCLEX-RN in 265 Questions

    Congratulations!
  20. ER to hospice and the difference

    So glad you're enjoying it! I previously worked ER as well but have been settled in hospice for 10 yrs now. I have been considering a move to case management as well recently- hospice is a pleasant...
  21. Is It odd that I am excited

    Yes, self care is very important. As far as boundaries, just make it clear that patients should call the office number after hours even if they have your personal number. Some companies provide...
  22. IV Skills for Hospice?

    Once a month x a few months, I may have to flush a port. Occasionally, I have a patient/family that insists on IVF for "dehydration". We teach but also try to accommodate. Blood draws maybe 2-3...
  23. Torn between the two

    Productivity expectations vary hospice to hospice. A previous nation-wide hospice I worked with required at least 20 visits per week but there was SO much other stuff expected that I was working...
  24. The HESI was used as a diagnostic tool at my school as well. Those that didn't pass were offered remediation though. If your school is not working with you to help you pass this test and prepare for...
  25. Methadone analgesia.

    Methadone is excellent pain control for most people as long as they are not opoid-naïve. It can be given prn for breakthrough also but must be carefully monitored with daily visits during the 1st...