NightAngel2

I have been a Hospice nurse for 17 years. I can't think of any case where we indiscriminately discontinued all meds for no reason. There are too many questions that are not answered. In ES CHF there is a very delicate balance fluid volume overload vrs/hypotension. If she was hypotensive she would have to come off her HTN meds including diuretics. Was she aspirating? ES CHF often accompanies aspiration pneumonia. If this was the case any non-comfort meds would be discontinued. I have done this a long time, Hospice nurses don't stay in Hospice for the paycheck. It's hard, emotionally and physically draining. I would certainly hope that ANY nurse would leave a position if they were expected to anything that was ethically and morally wrong. That is certainly not what Hospice is about.

We are a hospital-based not for profit hospice our census varies between 60-80. I am one of two on-call nurses who work mon-sat morning 4:30p-8:30a (80 hrs). We are paid a part time salary. How do I and help my director understand it's not the number of hours actually out in the field that we are being paid for, but being available for 80 hours a week.