nhelkhound

nhelkhound

hospice, home care, LTC

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All Content by nhelkhound

  1. case manager - what can you tell me about it?

    nhelkhound replied to abc987's topic in General Nursing

    Dear Thinking about Hospice case managing, I am an experienced Hospice case manager and a certified hospice and palliative care RN. Hospice is challenging. You better know your stuff; possess...

  2. HELP!! Why is this being done with my 2 week resignation ticking down?

    nhelkhound replied to SoCalRN1970's topic in Hospice, Palliative

    Are there any other case managers in your

  3. How to Deal With Ignorant Medical Professionals

    nhelkhound replied to tencat's topic in General Nursing

    I would speak to Dr. Horse *** personally, and remind him that slander is a serious charge. Do you have a hospice medical director who will give you orders in this scenario? How about asking the med...

  4. which specialty does this describe?

    nhelkhound replied to IHeartPeds87's topic in General Nursing

    This can be hospice, depending on how long your patient

  5. Escorted out of the patients home.........

    nhelkhound replied to AtlantaRN's topic in Hospice, Palliative

    Ah, yes, a day in the life of a hospice nurse. When a client elects hospice, they need to be informed that triage must be performed (needy family in immediate bereavement trumps 'I need my jammies...

  6. HELP! New grad, work nights, pregnant, depressed!!

    nhelkhound replied to Nikki.J's topic in General Nursing

    A fairly new grad, night shift, pregnant. Of course you're depressed. Talk to your ob/gyn ASAP re: depression and effect on your unborn child. You and your family needs your highest priority. Only you...

  7. Have you ever heard of vicodin making pt too sleepy so changing to fentanyl patch???

    nhelkhound replied to AtlantaRN's topic in Hospice, Palliative

    I smell something baaadd! This "administrator" is not a healthcare professional, obviously knows nothing about Vicodin or Fentanyl, and may be diverting meds. Hold your ground, continue to assess the...

  8. Nurses with depression

    nhelkhound replied to grandmawrinkle's topic in Health, Stress Management

    Have you tried Cymbalta? Ask your prescriber. Many have a very quick response time upon starting

  9. Skin prep on open areas...

    nhelkhound replied to gabrielle76's topic in General Nursing

    Skin Prep never goes on an OA. Also, this is a hospice patient. Hospice should positively be called in on this wound. They have expertise in dealing with EOL wounds and treating them for comfort. This...

  10. Hospice care nursing career options

    nhelkhound replied to sameasalways's topic in Hospice, Palliative

    By all means, if you feel a pull toward hospice, pursue it. I went to nursing school (in my 40's) to become a hospice nurse. You can make a huge difference in the final months (or,sadly, sometimes...

  11. atropine oph for excessive secretions

    nhelkhound replied to nminodob's topic in General Nursing

    As a hospice nurse I have administered atropine gtts SL to treat excessive orolaryngeal secretions. I agree that in this case it appears likely that the drops were administered to the

  12. Denial

    nhelkhound replied to SuesquatchRN's topic in Geriatric, LTC

    As a board certified hospice RN I have come upon similar situations many times. As the late Dr. Kuber-Ross has written, each individual works through their own stages of grief at their own pace....

  13. suspended

    nhelkhound replied to raindrop's topic in General Nursing

    Keep your head high, ignore all the "gossip" and remember that you didn't take any ****. A suspension does not spell the end to your career. Keep doing your best and keep your eyes open for a more...

  14. Quitting...are they all the same??

    nhelkhound posted a topic in Geriatric, LTC

    I am quitting my current position in a LTC facility because 1. I give meds for 7 hrs on a 8 hr shift. 2. I can't stay in compliance 3. I believe that 1/2 the LNAs I work with don't care about the...

  15. Where is your nursing niche?

    nhelkhound replied to jollyjenny's topic in General Nursing

    I am a new grad. I went to nursing school knowing that I wanted to work in palliative/hospice. I'm working in my dream job as a hospice RN case manager. I had worked as a PCA for a few years and have...

  16. Second-career? what was the first?

    nhelkhound replied to goldie66's topic in General Nursing

    Educator with multiple handicapped children. LOVED the kids. Was a wonderful job until there was a shake-up in the school heirarchy. New principle was heartless. Hubby took a re-lo offer. After the...

  17. Tested today 5-31-07

    nhelkhound replied to tx2007's topic in NCLEX Exam, Programs

    I PASSED!! Thank GOD! Thank you to my family and friends who have encourgaed and supported me. I'm an

  18. Tested today 5-31-07

    nhelkhound replied to tx2007's topic in NCLEX Exam, Programs

    I tested today also. No math, lots of prioritizing, very few med questions. Had 75 questions, feeling quite anxious. Any advice to get through 'til results

  19. When should enough be enough?

    nhelkhound replied to MelodyRNurse's topic in General Nursing

    At my alma mater (Rivier College) you can enter the ASN program as a LPN and not have to start at the beginning of the program. There is work here for LPN's (LTC). Standard of living is good and the...

  20. The best place

    nhelkhound replied to tutamkamom's topic in General Nursing

    Rent on a 4-bedroom house in NH can vary from $1500-1800 in the south end of the state (closer to Massachusetts border) and less the further north you

  21. The best place

    nhelkhound replied to tutamkamom's topic in General Nursing

    While Delaware may indeed have many good attributes, I must point out that New Hampshire is also a state income tax free state. There is also no sales tax here. I moved here from NYC ten years ago...

  22. safe patient handling--ceiling lifts

    nhelkhound replied to lee1's topic in Patient Safety Issues

    I had two ceiling lifts in my home; one in a bedroom, one in the bathroom. If the lifts have been properly positioned during the installation they are great. The only downside that I found is that the...

  23. trigger finger

    nhelkhound replied to frizzle's topic in General Nursing

    My husband who is a computer programmer has had one trigger surgically repaired and now has a second one and is planning on having that one repaired as well. He had total recovery and full range of...

  24. Jumping in as new Grad

    nhelkhound posted a topic in Hospice, Palliative

    I entered nursing school so that I could work in hospice. I'm about to graduate with a ADN and have been having some disappontments. Both in one interview and after resume submission I'm told to apply...

  25. Jumping in as new Grad

    nhelkhound replied to nhelkhound's topic in Hospice, Palliative

    The problem that I have with full codes is that the patients that I've had during NSG school are listed as full codes but when you communicate with them they don't REALLy want to be but have given in...