BerryhappyRN

BerryhappyRN MSN, RN

Nursing Leadership

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All Content by BerryhappyRN

  1. This isn't the hospice I used to know

    Ohhhh jeannepaul how right you are! It is NOT the same! I am a hospice case manager for ALF's and boy do I get BS calls!!! Scabies, dry eyes, foot fungus, dandruff, EVERYTHING but what is related to their terminal illness. And to top it all off, 7...
  2. End stage glioblastoma

    I am a hospice nurse. Unfortunately difficult deaths do occur. I have been in this exact situation and very often, sadly, it has been with young patients. Sometimes hospice can do as much as possible, 20mg morphine qhour, dilaudid, lorazepam, hald...
  3. How do we do what we do?

    Because you have had significant personal death experiences, please work hard to not be a "grief thief". If you feel your own emotions rising while working with a hospice family, excuse yourself and go dry up. Their experience is not your experienc...
  4. Hospice Admissions nurse

    I have heard really rough stories about working hospice admissions. You must have excellent assessment skills, strong counseling skills, work well independently, and have the tenacity of a used car salesman. Our admissions nurses may work on one ad...
  5. CHPN Certification

    Hi there! I used the online study guide but didn't like it. There is a time window and my test fell about 3 weeks after my online study guide window closed, leaving me to finish up my studying without the online practice (plus it was expensive!). I...
  6. Do you have a BSN? Was your RN program for your RN with an AA/AS or RN with a BSN??? Assuming you are graduating with your BSN then definitely you can. If you are a graduate RN with your AA/AS then no you will need to earn your Bachelor's of Nursin...
  7. BSN MBA

    I am struggling with the same thoughts. All of the RN BSN/MBA nurses I have ever worked with were employed as VP's, Director's, Department Heads, etc... I have had the best experiences working for nurse manager's with their MBA, as opposed to manage...
  8. Case Load and Productivity

    Yup too much! I am struggling to keep 16 patients compliant with wound care, charting, and weekly communication with each family. At my company the "ideal" case load is 12 but we rarely see that number, when we do it doesn't stay that low for long....
  9. Are online RN to BSN/MSN programs legitimate?

    In my experience it doesn't matter. All people care about are the letters after your name. I earned my LPN at a local technical school, my ADN/RN online with Excelsior and will finish my BSN at a local brick and mortar state college. All anyone re...
  10. Can I just tell you the third interview included the ENTIRE team of 15 people?! Me all alone on one side of the room, and them 15 strong on the other three sides of the room. I was so terrified that I do not remember one single question. I do reme...
  11. What age did you complete your BSN or ASN?

    LPN 38 ASN/RN 43 BSN 46 MSN ASAP DNP Eventually... Luckily I am picking up speed!
  12. How old is too old?

    I too am an "adult" RN. I started LPN school at 37 and am now almost finished with my BSN at age 46. Not quite where you are, but when it comes to being back in school we might as well be twins! Anyway I hate for you to doubt nursing simply based o...
  13. General rant

    Unfortunately, sometimes we don't get them to where we want them to be before they go. Realize that will happen sometimes, but also realize if you weren't part of his care his death may have been much worse. I think it is important to recognize the...
  14. How Much Does a Hospice Nurse Make?

    OMG those are crazy numbers!?! Maybe it's because you are in NY. In Florida we make almost half as much but I suspect our cost of living is also about half as much.
  15. How Much Does a Hospice Nurse Make?

    I live in southwest Florida and make about $45k salary plus mileage, benefits, bonuses etc. I am thinking about going to PRN with the same company and would make $30 per hour plus mileage but no benefits (64 hours per month minimum). Also, we are on...
  16. Tell me about the Liasons where you work.....

    OMG you must know my company's liaisons!!! Yes, they are horrible monsters of the universe! I think they even make commissions off of hospice referrals! There is plenty of death out there without liaisons trying to drum up new business. It is so ...
  17. Duplication of services

    Nope. No biggie. Hospice nurse handles everything having to do with the terminal diagnosis, you will handle the rest. Believe me (coming from a hospice RN), your hospice nurse will be thrilled to have you, and you to have her. I ABHOR getting der...
  18. Nurses have an Attitude Problem

    Nursing is hard, sometimes we come off rude. That's the side effect of being responsible for someone's life or their death. Deal with it.
  19. thinking about dropping out of MSN WGU

    Hmmmmm you've got lots going on. I agree quitting is generally not a good idea, but your child is at an age where you are very involved in his/her day to day life, and that will not change for quite a few more years. I know this because I have twi...
  20. Nurses in: Fla, Tenn, NM, TX--help needed

    Hello there! And welcome to sunny Florida! The ZERO income tax state! The state with 1,300 hundred miles of coastline! Nothing against Texas, but if you want a life of flip flops and tank tops (aside from your scrubs) this is the place to be! I ...
  21. Hospice Case Management

    Oh yeah, by the way, all of my patient's are in assisted living facilities! There is usually at least a med tech around if not nurses to provided support and education. Good point Tammy G! Home Care RNCM's have a MUCH longer day. Sorry, I forgot t...
  22. Hospice Case Management

    Hi there! I am a RNCM (hospice RN case manager) in Florida. When I first started this job other nurses told me I will have "Princess Hours" and they were correct. I RARELY work past 4p or earlier than 8a. My case load varies from 12-17 depending ...
  23. Just landed my first hospice job! How did I do?

    NICE DEAL! I'm a Hospice RNCM in Florida and have about the same deal. We don't have to work weekends but we can volunteer to pick up a triage shift for some extra $$$. Here is another quick tip: Last thing to do before you step out of the car is ...
  24. Hospice DX not dementa

    Doesn't your MD have to sign the order to change the Dx? Consult with the MD. Also, at 100 there must be some vascular issues.
  25. Does this sound like a good job?

    I have worked night shift in homes. My hours were 12am-8:30am. As much as I love Hospice, I HATED going to strange address in the middle of the night! It is very dangerous driving around in strange neighborhoods at night, I felt completely vulnera...