softrbreeze

softrbreeze

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All Content by softrbreeze

  1. advice young new grad (adn)

    Let your supervisor and fellow RNs know that you will need to "pick their brains" from time to time as you orient to your new job and try to get a sense of who feels most comfortable with that. We...
  2. need input, want to start Hospice Nursing

    After 8 1/2 years in hospice, I can still say I have never felt emotionally depleted from dealing with the death and dying aspect of the patients. If I feel stressed or disheartened, it is invariably...
  3. homecare homebase

    I am so glad my company has stuck with paper documentation! We have 1 page to fill out for our routine visits! The state surveyor has said there is nothing wrong with our forms. I can't imagine why...
  4. Tips for a new home health hospice nurse

    So do I understand you correctly? You are working FT AND going to school FT? No wonder you are wringing your hands! That is too much to take on for even an experienced nurse! I hope your employer...
  5. on call

    Right now we have a PRN nurse who takes call on weekends and another PRN nurse who takes call during the week. So except for holidays and when they have some days scheduled off, the RN case managers...
  6. I just asked my coworker, a social worker with hospice for 10 years, if he was aware of any such rule and he said no. Sounds like you are being
  7. Laser Hair RN pay in Ohio. 20% commission/no hourly

    The plus side is getting experience and breaking into the field. Once you can put that on your resume, you can take your experience elsewhere for better pay after 6-12 mos (if that is an option for...
  8. Questions about post mortem care.

    As much as we may try, sometimes there is simply nothing to be done about open eyes and mouths. One mortician did tell me that a little Vaseline on the lower lid can help the eyelids stay closed but...
  9. Panic attacks triggered by rapid position change

    I have a pt right now that has the same response to position change. Mine has COPD and an undiagnosed lung mass as well as a h/o CVA, MI, and open-heart surgery so I'm guessing it is related to...
  10. essential oils

    Actually, "alternative medicine" USED to be just medicine until it got railroaded by the AMA, pharmacy companies, etc. After those money-grubbing entities were done brainwashing the public, there was...
  11. Unrestrained pittbull

    A fellow field RN of mine was bitten by an unrestrained Rottweiler and I have been bitten by a small chi-terrier mix myself. You are completely within your rights to make decisions regarding your own...
  12. Putting myself at your mercy...

    My hospice has a similar census with 2 FT Field RNs, 1 FT Field LVN, and 2 on-call RNs for evenings and weekends. The FT Field RNs also take call occasionally. Most of the time, this works out great...
  13. Our hospice pays 70% of the federally recommended mileage rate, we do a FAST scale on dementia pts only and we do provide nutritional supplements IF we have them for a related diagnosis such as...
  14. Heartland Hospice

    I've never worked for Heartland but we're a small hospice company in an area saturated with hospices and competition is rough. Out of all the other hospices in this area, I've probably heard the...
  15. The Infamous Cab-ulance

    You are so right. I had a hospice patient about 6-7 months ago that was a chronic abuser of the ambulance service. The EMTs were quite frustrated with her and confided that she had called for the...
  16. Need help with updating my resume

    Also be sure to include a statement saying further details available on request and have your info organized to hand over- just in
  17. Home health vs med surg

    If you have a job offer, go for it! I've been in my current position (home hospice) basically 8 years after working for 9 months in the ER straight out of nursing school. It suits my personality...
  18. Nursing in a Third World Country

    Thank you all for your excellent advice. I've often thought about doing some volunteer nursing in Africa or maybe South America myself. Will probably have to wait for retirement
  19. Average Patient Ratio

    I work for a small company that has 2 FT field nurses (RNs) and 1 FT LPN (at this location). We also have a PT RN. This is usually more than enough for us to get everyone taken care of. We haven't...
  20. Frustrated with Case management

    What is the number of required visits per week for each case manager? What is your case load? This may just be a case where the company has devised some ridiculous requirements and is making...
  21. Experience needed for Hospice Nurse

    TammyG said it perfectly. You sound like a perfect fit for hospice with the experience you have. There is very little peds experience with most hospices, I think. Thankfully, too. Everybody at my...
  22. medical director

    Our current medical director allows us to call for orders (when we are unable to get a response from the attending MD), guidance, etc. She is pretty good about working with us, although we don't...
  23. Pain medicine and bone mets

    Many physicians know very little about adequate pain control and will ask OUR opinions on the matter since we actually spend more time bedside and (in many cases) know what will work better for the...
  24. med/surg to hospice..on-call position

    That sounds doable. But do you mean 80 hours per 2 week pay period or 80 hrs per week? It has a lot to do with the patient census for the company and how much support the RN case managers have- but...
  25. Just received a call from the daughter of an elderly pt (Mrs X) on hospice with diagnosis of kidney cancer. The daughter had taken her mother to a routine appointment with her cardiologist and the pt...