tencat

tencat

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All Content by tencat

  1. What's Your Best Nursing Ghost Story?

    tencat replied to steffck's topic in General Nursing

    I had an interesting experience last night. I am a hospice nurse, and I had been waiting for a patient to pass for several days. Last night I was home, and I woke up at 2:00 with a start. I was...

  2. High Blood Pressure At End Of Life?????

    tencat posted a topic in General Nursing

    I am SOOO stumped. I have a patient who is end-stage congestive heart failure with +2 edema in both lower legs and some ascites. Patient is already mottling on feet and elbows, breathing is wet and...

  3. High Blood Pressure At End Of Life?????

    tencat replied to tencat's topic in General Nursing

    Thanks so much for all of your help

  4. High Blood Pressure At End Of Life?????

    tencat replied to tencat's topic in General Nursing

    Respiration rate 24-28/minute. Would you get an order at this point for morphine more often or at a larger dose? Just

  5. High Blood Pressure At End Of Life?????

    tencat replied to tencat's topic in General Nursing

    I've taken the BP with both machine and

  6. High Blood Pressure At End Of Life?????

    tencat replied to tencat's topic in General Nursing

    Hey, Leslie! I was hoping you'd drop in. I have seen the spikes in temperature, but not the spike in blood pressure. I guess I haven't seen enough deaths yet to have seen that particular symptom...

  7. High Blood Pressure At End Of Life?????

    tencat replied to tencat's topic in General Nursing

    Thanks for responding. She is being medicated with liquid morphine 5-10mg every three hours and lorazepam 1 mg every six hours. She is not actively moaning or grimacing unless someone talks to her...

  8. Navajo warriors, men & women - fight domestic violence

    tencat replied to Thunderwolf's topic in General Nursing

    Wow, this is an article that should be running in newspapers in and around the Navajo Nation. It's not just a 'Navajo' issue. The other tribes in our area also battle the same demons (as do the...

  9. Navajos continue to battle AIDS and HIV despite cultural taboos

    tencat replied to Thunderwolf's topic in General Nursing

    Interesting article. I hadn't thought much about it before, but yes, the Navajo Nation does not really talk about ANY health issues related to a terminal diagnosis. It is interesting and challenging...

  10. my classmates HATE me

    tencat replied to hpynurs2b's topic in General Nursing

    Good for you for standing up to that chick. It takes a lot of guts to confront someone and call them on their bad behavior. Tweety's advice was great. I just let a lot of stuff slide, myself,...

  11. What kind of health-related job can you get when you have nothing?

    tencat replied to spicychickensandwich's topic in Nursing Career

    Nursing assistant comes to mind. Sometimes you don't have to have the CNA to do it. I didn't have one when I was an aide, and I learned on the job. Unit secretary comes to mind,

  12. Lets do this differently for a change.

    tencat replied to teeituptom's topic in General Nursing

    Which one were/are

  13. my classmates HATE me

    tencat replied to hpynurs2b's topic in General Nursing

    Darlin', you've got to rise above it. Life does not continue to mimic high school for everyone forever, I promise! True, some people never get beyond it. But there are enough out there that do. So...

  14. Feeling blue about new job

    tencat replied to MelissaJaneRN's topic in School

    Welcome to the world of education! I know nurses are not respected and deserve better, but boy, having been both a nurse and a teacher, I find that nurses receive WAY more respect than public school...

  15. LPN job in Hospice entails not much, why?

    tencat replied to kstec's topic in Hospice, Palliative

    It's really silly because the LPN's I know in my job are WAY more knowledgeable than I am. I am constantly asking them questions about managing symptoms. I'm not sure what our company's official...

  16. Care at the Time of Death

    tencat replied to NRSKarenRN's topic in Hospice, Palliative

    I don't know if anybody else is still reading this sticky, but I feel moved to post this morning. I've been lurking. I suppose I don't post in a forum because I feel I have nothing to add that would...

  17. Spouse of Home Hospice Patient Makes Me Feel "Ookie".....

    tencat posted a topic in General Nursing

    Hey all. I'm a hospice nurse who visits patients in their homes in a rural area. I have a patient now who has a really bizarre spouse. First of all he answers all the questions I ask her and she...

  18. Spouse of Home Hospice Patient Makes Me Feel "Ookie".....

    tencat replied to tencat's topic in General Nursing

    Thank you all for your great replies! You guys rock! I'll document what I've heard and witnessed and talk it out with my supervisor on Tuesday. I just feel that it's not a good situation as it...

  19. Spouse of Home Hospice Patient Makes Me Feel "Ookie".....

    tencat replied to tencat's topic in General Nursing

    Wow. I didn't expect so many replies! Yes, my instincts are telling me that it's probably not such a good situation to go in to. Hmmm....now how to handle this with my supervisor. She has been out...

  20. Terrible night--mean, mean nurses....

    tencat replied to Annebug's topic in General Nursing

    You need to stand up to the nurse who berrated you in front of a patient and kindly, but firmly, tell him/her that you will not accept that kind of behavior. I worked with a bully charge nurse, and...

  21. so far, love the job, hate the culture

    tencat replied to firstyearstudent's topic in General Nursing

    Whenever a group of people feel that they are handed a lot of responsibility with little control over the situation, they lash out where they can. As we know, it's not safe to lash out at management...

  22. Going Down With The Ship...Advice?

    tencat posted a topic in Hospice, Palliative

    Hi, all. I know there are a couple of you hospice nurses out there. I live in a rural area that is having a heck of a time getting nurses in any area, let alone hospice. For some reason the...

  23. Hospice case management

    tencat replied to All_Smiles_RN's topic in Hospice, Palliative

    Sheesh! I wish I had time to 'fluff and puff' patients and their families. I work for a for-profit hospice, and they are always looking to increase our patient loads as much as possible to make more...

  24. My nightmarish experience

    tencat replied to Anona's topic in General Nursing

    Darlin', you are NOT incompetent. You are NOT a dangerous nurse who should never be nursing again. Yes, you made a mistake. If I had a quarter for every %$&%$ mistake I've made during this...

  25. Can a patient be a full code and a Hospice patient in NY?

    tencat replied to UM Review RN's topic in General Nursing

    Patients can be full code and hospice (Yes, I think it's weird, too....). We have a BUNCH on our service who are. I've understood that if they get admitted to the hospital for anything related to...