mebeafrn

mebeafrn

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All Content by mebeafrn

  1. STUDENTS: what do you want out of staff nurses? NURSES: vice versa....

    mebeafrn replied to HappyNurse2005's topic in General Nursing

    students in Mental Health rotation-please dress appropriatley,not sloppy or seductive- good 'ole middle of the road. Please don't be offended when I tell you not to go out of sight for a 1:1...

  2. This was a first: a nursing student approached me about my patient

    mebeafrn replied to christvs's topic in First Year After Licensure

    Well,some learn that lesson better than others lolololo or maybe it's not that funny....I'll confess after 25 years I still get a thrill when I get to teach/share knowledge w/ a peer or student AND it...

  3. Has a patient asked you to help him/her die?

    mebeafrn replied to Brian's topic in General Nursing

    same here as with Angio- as a Hospice nurse I've had the request many times when pain/symptom control was out of

  4. Venting frustration

    mebeafrn posted a topic in General Nursing

    I have spent the last three years developing a territory and establishing credibility and professional relationships with physicians and nursing facilities for Hospice. Census has been terrific,we...

  5. Codeine for analgesia

    mebeafrn replied to NurseFirst's topic in Oncology

    We use subq cont infusion pumps with bolus option or if the pt. has an access device we run an infusion that way. If the drugs aren't compatible,short stability etc.... we run more than one pump or...

  6. Codeine for analgesia

    mebeafrn replied to NurseFirst's topic in Oncology

    Chemical Dependency-CD,if we have pt.s going thru withdrawl,esp. if have been self medicating at home or end stage liver disease and still using. As with the other feedback,we usually crush,mix w/few...

  7. Final days:AGITATION

    mebeafrn replied to JamiRN's topic in Hospice, Palliative

    We have used subq Ativan up to 3 mg. hr. for terminal deliruim. Also have used subq Haldol up to 3 mg. hr.. We use a butterfly,flush with 0.5-1 ml. normal saline,push in the med then flush again. The...

  8. Would you go PRN at 2 hospices?

    mebeafrn replied to Nurse 1991's topic in Hospice, Palliative

    Educate me please wise ones...are these a place/building pt.s go to? I'm a HOS RN,but we do only in home. If our pt. leave home it's to a Nursing Facility ie nursing home 'cause they don't have 24 hr....

  9. Typical Day For A Home Health Nurse | Life of a Nurse

    mebeafrn replied to hoolahan's topic in Home Health

    I work a very rural midwest territory,about 5 counties. I'm not able to predict when I'll be home. My husband is the one with the set hours. Call is feast or famine. There are 3 of us to split call...

  10. Typical Day For A Home Health Nurse | Life of a Nurse

    mebeafrn replied to hoolahan's topic in Home Health

    we are a small rural non-profit and do HH/HOS & HIP-dialed in and updated laptop -tiny thing,4x6x1-love it! about 7AM out the door @8A 10 mi. to first call at 8:15A- 2&1/2 hr. visit-infusion...

  11. decubiti redux...

    mebeafrn replied to NurseFirst's topic in Patient Safety Issues

    wow,amazing how communication can break down,even when written. Let me try to clarify. The common theme I see IS support for basic skin care i.e. repositioning,pressure reduction,the skin prep or...

  12. decubiti redux...

    mebeafrn replied to NurseFirst's topic in Patient Safety Issues

    I thought this was a HOSPICE/PALLITIVE care....why are we quoting acute/critical care,talking curative and interventional vs the reality of

  13. decubiti redux...

    mebeafrn replied to NurseFirst's topic in Patient Safety Issues

    Yes,repositioning,even if it is just a few degrees, is the gold standard,along with good basic Nursing 101 skin care. Pressure reduction mattresses do play an integral part in decub prevention/tx. as...

  14. decubiti redux...

    mebeafrn replied to NurseFirst's topic in Patient Safety Issues

    Hospice Medicare Benefit-HMB- if this is the payor source for your precious one in question-if the rules are the same from state to state- can elect to supply fully elec, bed w/ pressure reduction...

  15. Codeine for analgesia

    mebeafrn replied to NurseFirst's topic in Oncology

    so true! the s/e are such a barrier too w/ codiene ie n/v,itching,constipation. I really like a q 12 hr. long acting w/a q 2hr. break thru narcotic or synthetic narc and add an NSAID for deep or bone...

  16. Codeine for analgesia

    mebeafrn replied to NurseFirst's topic in Oncology

    oxycodone- or hydrocodone-- can be very effective for Ca pain control plus no acetaminophen for the liver to try and manage. Fentanyl patch if she has enough subq tissue is good and there are fentanyl...

  17. Questions Air Force Nursing

    mebeafrn posted a topic in Government, Military

    15 yrs. RN,BSN w/ANCC Board Cert in Psych/Mental Health-just saw the 1-May -05 change in age guidelines-now up to age 47. I was ready to be comissioned 15 yrs ago,death in fam changed plans..is it...

  18. Roll Call for all Military and VA Nurses and those considering the Service

    mebeafrn replied to RNPATL's topic in Government, Military

    I am so apprecative of what all you military healthcare,and over all military are doing. The AF has been a dream of mine for many years and it looks as though it may become a reality due to the age...

  19. Roll Call for all Military and VA Nurses and those considering the Service

    mebeafrn replied to RNPATL's topic in Government, Military

    RN,BSN w/psych certification-considering Air Force. I was ready to be commission 15 years ago(no 15 is not a typo :-) death in family caused change in plans,by chance I saw the 1-May-05 change in age...