EquestrianRN

EquestrianRN specializes in Psych/(L&D/NICU/LDRP)/OR/Med-Surg/CDU.

EquestrianRN's Latest Activity

1. How do you know that hospice is right for you?

   EquestrianRN replied to FlufferNutter's topic in Hospice

   I am an RN who returned to hospice about five months ago after having last worked in that specialty over six years ago. Interestingly, I happen to work with an RN whom I had also worked with all those years ago. Upon returning to work after my four d...

2. anyone working in Williston, ND??

   EquestrianRN replied to dez_455's topic in North Dakota

   My husband is making the boom town trek to Williston, N D in the next few weeks...I'm staying here for about six months until he gets settled in a job and his plan is to camp out while job hunting, then live in a "man camp" for a while, saving all of...

3. "Doing too much"

   EquestrianRN replied to futurenurseOB's topic in New Nurse

   My direct supervisor, at 35, is four years younger than I, has two children under age three and went from LPN school, worked as an LPN for seven years and then earned her BSN, got a supervisory position, has a happy marriage, a well-off lifestyle, an...

4. Am I the only one who hates 12 hour shifts??

   EquestrianRN replied to jdubs99's topic in General Nursing

   I worked night shift, 11p-7a for FIVE YEARS. WITH two small (grade school through middle school) kids, a very ill husband who required help with everything except childcare overnight while the boys were asleep, and as the lone charge/staff/licensed p...

5. Hospice nurse and bullying manager

   EquestrianRN replied to hospicern030363's topic in Hospice

   Honestly? Once you get to that "place" with a manager for whatever reason, sometimes it is truly just best to walk away...As Tewdels said, there can be a million reasons that a manager chooses to treat you that way and rarely does it have anything t...

6. Bossy Nurse Aids

   EquestrianRN replied to swirlo's topic in Relations

   Absolutely agreed with all above. Push the teamwork angle. I say this because it is true, you MUST BE A TEAM! Remind her, in private and respectfully, that in order for you each to provide pts with the best care possible, you simply MUST WORK TOGETHE...

7. Attending Dr not on board with hospice meds...

   EquestrianRN replied to smalltownLVN's topic in Hospice

   About 95%of our pts are taken on by our medical director at time of admission onto hospice services. I suppose we are very lucky, as she is tremendously knowledgeable not only about palliative TX modalities, but also about the ever most random, unexp...

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

   EquestrianRN replied to SuzieVN's topic in Hospice

   Arizona... Inpatient hospice unit, full-time day shift, (3 12's/week) with 16+ years exp (though returning from psych to hospice with a five year break since last working hospice = they get to start me LOOOOW)= $30/h; full-benefits at a "reasonable...

9. Hospice nursing with child(ren) at home?

   EquestrianRN replied to WellWornBridle's topic in Hospice

   Excellent comment above by "Goals in Transition"...I couldn't agree more! One major thing that hospice nursing has taught me: The sort of people whom we truly enjoy taking care of as patients are the ones whom even in death teach us the most about li...

10. Inpatient center patient load

    EquestrianRN replied to hospicernva's topic in Hospice

    We have a ten bed unit staffed with ONE RN and one HHA for up to seven pt's...if we have more pt's (8-10), we are given an additional LPN. USUALLY agency, usually hasn't been there prior, and legally, cannot perform admissions, obviously. Interesting...

11. Medicare Diagnosis Changes

    EquestrianRN replied to Stella1688's topic in Hospice

    As a hospice RN, I actually can appreciate how the overuse of "debility" is viewed. It really IS too general. It is a syndrome, certainly, and not a "disease", as it were. I have faced the same issues (obviously) regarding Medicare and their distast...

12. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Medications

    Yes, I prefer that sort of delineation myself...gives the nurse some freedom but also lets you know before you've run through your MAX for that patient (in meds that have no outlined "ceiling", such as opiates (& UNLIKE APAP!), while setting exac...

13. Old manager new in OB/GYN needs advice

    EquestrianRN replied to RezZenRN's topic in Management

    I could not agree more with your comments! Nurses, as a highly driven group of professional "perfectionists" (certainly a generalization, but I believe a true one, after having observed this in myself and my co-workers for my 15 years in the field), ...

14. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Medications

    Very good points, QueenJulie and Liveyourlife! We obviously have some excellent "critically thinking" nurses out there... I have often wondered these days, when, of the "new grads" coming through my facility; one-third are PHENOMENAL and they absolut...

15. Asking all nurses...need a consensus!

    EquestrianRN replied to EquestrianRN's topic in Medications

    The consensus thus far, as I see it, is that for OBVIOUS REASONS, TID is not often, or ever really, anymore, used for PRNs! And as a few have stated, computerized MARs are written by pharmacists to take any potential "guesswork" out of the times to a...