pmabraham

pmabraham BSN, RN

Hospice, Palliative Care

Follower of Jesus • BSN, RN serving others as a Hospice RN Case Manager • Lifelong Learner

Member

All Content by pmabraham

  1. Ethical Dilemma: Is it ever ok to mislead a patient?

    pmabraham replied to RNjuice's topic in General Nursing

    Then you go to the healthcare POA before you do anything which is unethical. Paternalism/Maternalism in healthcare should always be questioned. Also, nonmaleficence (as an ethic) comes before...

  2. Social Media and Doxxing - Your Thoughts???

    pmabraham replied to traumaRUs's topic in General Nursing

    1: Is it okay to post selfies regarding work situations? This is extremely high risk and very dangerous action to take. Are any patients in the picture? Are any belongings of any patient or...

  3. Rounds and patient expectations

    pmabraham replied to Matt8700's topic in Rehabilitation

    "At my facility the ratio is 1 nurse to 19 patients" My wife and I were recently at a rehab unit visiting a relative. Their unit has a ratio of 1 nurse to 5 patients on the worse of days and 1 nurse...

  4. Which specialties of nursing have more autonomy and less micromanagement?

    pmabraham replied to Naturally Brilliant's topic in General Specialties

    Home health and hospice visiting nurses; you drive solo the overwhelming majority of the time. My experience working in hospice, the doctors tend to take your recommendations either Carte Blanche or...

  5. Ethical Dilemma: Is it ever ok to mislead a patient?

    pmabraham replied to RNjuice's topic in General Nursing

    Yes, misleading is wrong and paternalism/maternalism (trying to put beneficence before nonmaleficence and patient autonomy) is never a good

  6. How long for license in different state to go through?

    pmabraham replied to kait1514833's topic in Pennsylvania Nursing

    Sadly, this is going on in our state: https://www.pennlive.com/news/2019/09/pa-nurses-fed-up-with-delays-and-rude-answers-dealing-with-state-licensing-board.html I do recommend calling the board...

  7. Hospice Placement

    pmabraham replied to GubbyScrub's topic in Hospice, Palliative

    As a hospice nurse, I focus on the patient and family in the most holistic manner possible which varies from patient/family to the patient/family. On the pure medical/healthcare side, we focus on...

  8. Home care pay

    pmabraham replied to LauraRn's topic in Home Health

    I would be reporting this to the labor board. This sounds

  9. Is Hospice nursing for me?

    pmabraham replied to ascty87's topic in Hospice, Palliative

    I used to work on a cardiac floor prior to making the switch to hospice. I just recently passed the 1.5-year mark in hospice, and love it for the most part; it's hard to imagine doing anything else...

  10. On Call versus Case manager

    pmabraham replied to TheMoonisMyLantern's topic in Hospice, Palliative

    Our weekend on-call nurse loves the job for the most part as our on-call nurses get a fixed minimum pay whether they go out on visits, take calls, or not. The work-life balance comes into play...

  11. Med/surg to Inpatient hospice empath health job

    pmabraham replied to BrendaH84's topic in Hospice, Palliative

    As a home-hospice RN case manager, an admission typically runs 1 to 2 hours in the pt/family home, then anywhere from 2 to 4 hours of charting time (office or home office). I get paid hourly, and it...

  12. Lasix for EOL secretions?

    pmabraham replied to kat7464's topic in Hospice, Palliative

    Oh my, I would check with the ordering doc. Over time, I've found patient positioning to work better than levsin or

  13. New NCLEX Exam to Replace Nursing Process With An Untested Clinical Judgment Model

    pmabraham replied to Rosalinda Alfaro-LeFevre's topic in Nursing News

    Why go from evidence-based practice to non-sense that doesn't happen clinically in the

  14. 3 Hospice Case Studies: LTC Facility, Hospital, and Home

    pmabraham replied to jeastridge's topic in Hospice, Palliative

    Depending on our agency's census we have anywhere from 80% of our patients being home patients, to as high as 90%. While I see patients where-ever they live (home, ALF, SNF, hospital under GIP), I...

  15. Looking into working in Home Hospice

    pmabraham replied to MrMango's topic in Hospice, Palliative

    I work as an RN case manager mainly dealing with home patients, and a small handful of facility patients (SNF, ALF, GIP in a hospital setting). 1. What are the hours like typically? M-F? Autonomy?...

  16. Advice, Applying for Home Hospice RN

    pmabraham replied to RNstat123's topic in Hospice, Palliative

    Hi: Join https://www.facebook.com/groups/HospiceNursing/ You will learn as you go. Remember, in hospice, we don't chase any numbers (i.e. abnormal vitals, abnormal labs, etc.). We work with the...

  17. Capella RN-BSN Flexpath-My experience

    pmabraham replied to DeLynn's topic in Online Distance Learning

    No, only because if I go for my MSN it will be in an area that Capella doesn't

  18. Hospice nursing not easy!

    pmabraham replied to benharold1's topic in Hospice, Palliative

    Done

  19. Capella RN-BSN Flexpath-My experience

    pmabraham replied to DeLynn's topic in Online Distance Learning

    Ask the source -- Capella. As a nurse, you should know the ask the patient questions, not the family members ? I graduated in 2018. Call and talk to the appropriate people at Capella if you are...

  20. Capella RN-BSN Flexpath-My experience

    pmabraham replied to DeLynn's topic in Online Distance Learning

    No group projects. 100% APA-based research papers and PowerPoints. Yes, community research which can be done 100% online. The capstone may have changed since March

  21. Harrisburg Area Community College Actual Clinical Locations

    pmabraham replied to TryingToBecomeANurse124's topic in School, College Programs

    I graduated from HACC. Sometimes it changes, so your best bet is to call and ask the source. As you follow your dream for LPN and RN school, know all questions are good questions, but you want to...

  22. Capella RN-BSN Flexpath-My experience

    pmabraham replied to DeLynn's topic in Online Distance Learning

    My employer cared about only that I had a BSN from an accredited

  23. Considering Hospice

    pmabraham replied to bryan_del's topic in Hospice, Palliative

    Sorry, I don't. I live and work in

  24. Considering Hospice

    pmabraham replied to bryan_del's topic in Hospice, Palliative

    I work as a visiting RN case manager seeing patients where they live; most of my patients live at home vs. a facility. I work anywhere from 6 hours per day (extremely rare) to 14 hours per day...

  25. Hospice nursing not easy!

    pmabraham replied to benharold1's topic in Hospice, Palliative

    I work as a visiting RN case manager with most of my patients living in a private residence (trailer, apartment, regular home, etc.). I appreciate that I have one-on-one time with each patient and...