cardiacfreak

I'm salary and work on call 7on 7 off. I normally average 25-30 hours per work week. So for me salary is better than hourly or visit pay.

Bringing smelly food like tuna and then throwing it in trash for everyone to smell....ugghh.

I have used "explosive" before. The patient was having diarrhea and when he went to sit on the BSC it just came out full force, spraying all over the room. As a hospice nurse we are taught "to paint a picture of decline" explosive was as descriptive as I could be!?

I have only been fired once and it wasn't a nursing job, I was working in my husband's detail shop, he fired me!

If I need my derriere cleaned I would appreciate a delicate hand instead of a rough hand. If I need CPR PLEASE don't be delicate, I need you to push fast and hard. Most little ol' ladies say, "You're being to rough!". So they would probably love you!

Kids and babies scare the H E double hockey sticks out of me! When I worked Progressive Care I was assigned a 6 y/o that got into Grandma's metoprolol and amiodarone, I traded her for the trach patient in isolation who was on the call light every 1/2 hour. The kiddo was fine all night but I wasn't taking any chances and didn't regret my trade at all!

I've had a few epic fails, but the most memorable was with a bottle of mucomyst. I was a new nurse and was trained to inject air into the vial and then draw back medication....nobody told me not to inject air into the mucomyst vial....Yep, mucomyst shot out all over me. I changed my scrubs but it was still in my hair, and nobody wanted to sit next to me for the rest of the night. Another epic fail, I was the only nurse in the nurses station and had eaten ham and beans for supper, just as I let out a loud long sound a GI doc walked around the corner and said, "That was impressive!". I no longer where scrub pants that don't have elastic, I was running to a code (back when we actually ran) and my scrub pants came untied, of course I was leading the pack.

I have no insight or advice, I understand your situation. I think you did what was right for you and please don't feel guilty. I do adult hospice as an on call nurse, I had a death visit for an 18 y/o boy and that is the hardest visit I have ever had to take. I have much respect for all of the pediatric hospice nurses out there, I know I couldn't do it. Hope you have a better week. (Since this is a public forum you may not want to use your real name.)

1. Definitely a maintenance issue unless it's just unplugged 2. Depends if you work nightshift or dayshift. I have plunged many a toilet in my time. 3.Again maintenance unless it's unplugged. 4-6 Call maintenance. 7. Hand them the remote unless they are unable to push the buttons in which case do it for them. 8. I try to troubleshoot 9. I'll do it if I have batteries.

Me too! I grew up in the 80s and I hope some one will play Prince, hand me a Coor's, light me up a Marlboro and let me reminisce!

1990-1992 LTC #1 1992-1995 LTC #2 1995-1998 Private Duty and part time LTC #2 1998-2017 Acute Care Hospital same floor the entire time but became ANCM the last 8 years. 2017 to present Hospice.

Any changes in taste or smell, poor appetite, changes in her nails, hair, or skin?

When your patient states he can only take meperidine.

I don't know if I should respond to Davey Do or Silverbells or maybe Daveybells or Silver Do.

Maybe you should see a therapist.

My sister in law was diagnosed at the age of 18 after her 2nd TIA. She had two surgeries, has right sided weakness, has a slurred speech, and tires easily. She is now almost 40.

I don't use pet names often, because I hate when it is done to me. Everytime I go through a drive-thru and the kid handing me my change says "Have a good day sweetie". I first want to yell, "I am not sweet!". And I often have visions of throwing my drink back through the window just to prove I'm not sweet! Deep Breath, maybe I need counseling from Davey Do.

Yes, there is a chance for a hemorrhage, you will see signs and symptoms, that is why frequent scheduled neuro checks are normally ordered. Are you the nurse for this patient or are you checking up to make sure the nurse did her job? There is a difference there. If you are just following up and another nurse is in charge of this patient you should assist the resident with their meal. I was in management once upon a time, I was the Assistant Nursing Care Manager of a Progressive Care Unit. My assignment consisted of 3-4 patients, I was also part of the code team on top of management duties (chart audits, payroll, scheduling, etc).. I did it all in my 12 hours shift, sometimes 13 hours. It can be done if you don't micromanage everyone and everything.

Yes, you would be right in this case! Making sure a resident has his/her meal far exceeds "follow up" of a fall. Would the nurse on the unit not notify you if there was a change In condition? Would you want your loved one waiting for assistance to eat while someone went and "followed up" on something that happened yesterday? Correct me if I am wrong, I get the sense you like paperwork and hate hands on care. If that is the case maybe you should look into quality management or MDS positions.

I'm going to be honest, it seems to me you were being insubordinate. I understand your shift was over at 6, however, in the time you spent arguing with the nurse and reporting the said incident to a supervisor, you could have had the trays picked up, the resident back in their room and out the door before 6:30. Take the weekend and try to relax and reflect, is this a job you want to keep? If you and the nurse have a less than desirable working relationship, and you will have to continue working with her, can you do so professionally even if she is not? I hope the best for you.

I have 2 HMDs. Both have private practices. Dr. M is an Internal Medicine practitioner and a board certified Hospice physician, Dr. D is board certified pulmonologist. Both of my docs are very knowledgeable and helpful. Before I worked for hospice I dealt with Dr. D at the hospital, I really did not like him, he hated being called in the middle of the night. I have never had an issue with him when I call him at any hour of the day when it comes to his hospice patients.

There is absolutely nothing wrong with working in long term care.

Start keeping a journal. Include new learning experiences, the great job you did, the mistake you made, etc... At the end of 6 months go back and reread it. I guarantee you will see how much your skills have improved.

Absolutely run! 17-18 patients is a lot. You have to be very careful as salary paid. I'm salary paid but I'm also the on call nurse and I average around 30-36 hours a week. As a case manager you will be working 40 hrs a week not including IDG preparation.

Have you tried to become active in shared governance or volunteered for committees? I know it sounds silly, but when I was an assistant manager at a hospital we often looked to see how active someone was within their unit even if they didn't have experience. It showed initiative, accountability and desire to learn.