tencat

tencat

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All Content by tencat

  1. Have you ever had a pt have sex...

    Have to agree with THAT. Yet again I'm glad I don't do labor and
  2. I did my program with a 2 year-old, and it was not easy at all, but certainly doable. It was intense and required that my husband take a huge portion of the childcare and home care duties. It was...
  3. Natural remedies at end of life???

    I had a patient who was exactly like that, and he told me that morphine is actually a relatively 'pure and natural' drug. Did he take it? No. But that was his choice. He had a pretty bad death,...
  4. Prescribing narcotics to drug seekers

    I have to question what 'wanton' prescribing of narcotics means.....in order to curtail what some may feel is a 'wanton prescription of narcotics' YOU WILL BE PROHIBITING THOSE THAT NEED IT FROM...
  5. Prescribing narcotics to drug seekers

    How do you know they are all drug seekers? Sometimes frequent fliers use the ER as primary care, and if they have a chronic pain condition, then you WILL see them all the time. There are people with...
  6. Discharge a patient because they go to er?

    Our company would discharge if he got admitted to the hospital from the ER. Otherwise, I don't think we'd
  7. MORPHINE and Dying Patients

    Be gentle with yourself and take care of yourself. You've been through a horrible ordeal. :redbeathe Morphine did nothing to your mom but make her comfortable while she was dying from a disease...
  8. heartless DON or reality check?

    A FAMILY MEMBER DIED. What kind of 'consideration' does that situation need??? If there was no 'back up for this person going home' then the evil DON should have gotten her happy behind OUT of her...
  9. Time for some introspective criticism perhaps?

    By agreeing to so much overtime, a nurse is NOT helping the issue or other nurses. The issue is with management and their lack of planning and staffing. By agreeing to come in on our days off, we...
  10. Yes, she DOES have the right to refuse. Is she being weighed because she has CHF? If that is why, then that's a good reason to insist she do it as it can tell how much fluid she's retaining, but she...
  11. It must be a pleasure to work with a doctor like this

    A good aide is a lifesaver as well! If we all could work together and respect each other, how nice it would be! I work with a great doc, and I work with great aides! I think I'm pretty lucky...
  12. Oh, yes they DO. Just in different ways. I'm not seeing what was so horrible about the mistakes you made that they feel the need to report you to the
  13. You are not a failure, and you've learned something. Sorry that you had to learn a hard, hard lesson. Facebook is NOT the place to talk about work. Period. It can, and WILL be used against you....
  14. New Grad - Surg floor blues - needs encouragement

    Rough start for you and I'm so sorry! But look at the bigger picture: the facility sounds like it has FAR bigger issues that have nothing to do with you. Leaving radiology equipment under a patient...
  15. good appetite, bad intake

    Is this man a candidate for hospice? It sounds like he's maybe declining significantly. When people's bodies are starting to shut down, eating and drinking makes them physically ill. And as to...
  16. Parents not giving ADHD meds...how far should we go?

    And that is reason #153 as to why I left teaching.........no accountability for kids or parents with schools being left to be responsible for everything, even things they obviously have no control...
  17. Thoughts on patients and pain?

    Aaaannd....the insanity continues. Someone needs to set the FNP straight, and that someone needs to be the physician. I understand that there are people out there who do seek meds. Heck, I had one...
  18. So the family asks me "Is Mom dying?"

    357maggie: Don't you have a nurse you can call if you need quick advice? We have a new nurse new to hospice and fairly new to nursing, and actually I bug her frequently just to make sure she's ok...
  19. 100 year old stroke patient

    Nope. Isn't a requirement for my hospice, at any rate. I just lost one recently who was a full code. Of course, CPR, etc. did no good....but it was what the patient wanted. If that one issue...
  20. Is it better working in a larger community? Is there a place where physicians actually embrace the idea of palliative care and hospice and where the rest of the medical community at least is willing...
  21. Why HH nurses quit

    My job is NOT more important than my family, and if I have to make a choice, the paperwork is NOT going to get done in a 'timely' manner. Asking someone to put their job before all else IS...
  22. having a boyfriend vs. nursing studies

    Really. REALLY???? Oh, puhleeze......I'm in a seriously 'upside down' marriage, and guess what? We're happy with it....he stays home a lot to care for his children; I make more than he does, and he...
  23. Extubation in the home hospice setting

    In my situation the patient would have to be extubated in the hospital, and if he/she survived, then transported home, though my company probably wouldn't do it as they would have to pay for an...
  24. You were right to decline it. You CANNOT just willy-nilly admit someone to hospice without signed consents, and if the patient cannot sign, a POA has to. The hospital cannot discharge without having...