chopwood carrywater

chopwood carrywater

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All Content by chopwood carrywater

  1. Too tired to do anything on days off

    I refer to those types of days as my "zombie
  2. Questions about post mortem care.

    It's fine, just leave it. The important thing is to show respect as you do postmortem care. He mortician will typically take care of the mouth and eyes if needed. I often ask the family if they wish...
  3. G - tube

    Here is one of the documents I mentioned earlier of SL vs PO administration of morphine. In any case one should definitely not give it buccally as it does not allow for effective absorption of the...
  4. G - tube

    Our hospice NP has brought in articles that show that it is as effective if not more so when given PO and swallowed i.e. Get it to the GI system. And if given buccally, it is poorly absorbed. It's...
  5. Standard med orders for dyspnea

    Perhaps the family did not understand - or was not told- that those meds are given q hourly until the symptoms have been managed. And yes, it seems like the morphine, and possibly the Ativan as well,...
  6. Charting when you are no longer able to obtain vitals.

    Sometimes more is less: Taking VS q hourly is more about details and less about giving comfort. I think that doing all of that vs assessment - especially every hour - interferes with the nurse's and...
  7. Charting when you are no longer able to obtain vitals.

    Very good advice! I might chart by symptom mgt; are there s/sx of pain or anxiety and then what did I do to help to control or lessen them. Same goes for terminal secretions or agitation. If they are...
  8. What's your spiel?

    I work at an inpatient hospice facility. Several parts of my spiel would not work for general situations. one that I use and builds trust and respect quickly is "if you are not sure if you should...
  9. How important is your 'look' as a nurse

    Perhaps, but I truly and absolutely like folks with minimal to no makeup on. They still should be clean and kempt. But that's my bias, and I try to avoid assuming that a person might be more...
  10. How important is your 'look' as a nurse

    Perhaps, but I truly and absolutely like folks with minimal to no makeup on. They still should be clean and kempt. But that's my bias, and I try to avoid assuming that a person might be more...
  11. How important is your 'look' as a nurse

    Spelling might be a factor as well as a person's weight. I remember getting a packet of orientation materials from my nursing program telling me several important things that I will be evaluated on. I...
  12. So to further explain the paddling reference, I am looking for best practice information for treatment of blisters and other stage 2 and 3 wounds to the buttocks d/t the constant pressure and friction...
  13. Evolution and Nursing

    Sorry I can't help my self..... ... Do mean to say before it 'devolves' Had to get that out of my system. Ps thanks FSM for the meatballs, you've got my vote - now pass those bananas over here (insert...
  14. What constitutes "comfort care" at your hospital?

  15. Any Jewish nurses?

    just curious, nothing more. As for me, at most a 'cultural Jew' but not raised in the
  16. Evolution and Nursing

    Evolution only; but if the FSM is willing to throw in a side of meatballs I'll consider throwing my
  17. Any Jewish nurses?

    Define your parameters... Practicing Birth Cultural
  18. Esme I don't often disagree with you but I do feel that many of us have a right to be insulted by her statement that a nurse would be a better nurse if he/she believed in jesus. On the other hand I...
  19. I do not. Relieve in god. I do have many friends who do: to each their own. But I do feel sad for anyone who believes that we start off our lives I sin/being bad... And that includes any deities out...