I have also seen situations in LTC where they are just not comfortable giving the medications and dosages that we give. I think it is a lack of understanding the hospice philosophy as well.
I went straight into Hospice nursing from school. I had a greater learning curve than most. I work with wonderful nurses that have taught me a lot. I work on an inpatient unit so I am not out there alone. I am also 50 years old and have life experie...
PomMom65 replied to 1wellnessnurse's topic in Relations
I'm very sorry that this happened to your dad and I am sorry that your family is going through this. My dad is also ill and I live far away. It is really tough. I hope that you all can have a good Thanksgiving dinner together.
I was a Park Ranger then Park Manager. I moved across country to a snowy area and realized jobs like I had just were not available. Then I realized that I needed to do something different. I always wanted to be a nurse and my situation allowed for ...
I work inpatient hospice and our patients come in because of a crisis (pain, agitation etc..) When we get the symptoms managed, they go home. Many of our patients and families just want to stay with us. I think a lot of it is fear of another crisis ...
Hi; I am in an LPN - RN bridge program. I have written a paper on treating breast cancer during pregnancy. Let me start out by saying that my paper is written and turned in. I did a lot of research and cited 8 different sources. I discussed surger...
PomMom65 replied to brownbook's topic in Relations
My supplies consist of things that I have brought home in error from work in my pockets. I have a few 10mL saline flushes, quite a few alcohol wipes, tape, 4x4s, barrier cream, gloves (tons of gloves). If I cut myself now I would have to use that 4...
PomMom65 replied to nurseontheway's topic in Hospice
I work on a 12 bed Hospice inpatient unit. It was my first job out of nursing school and I love it. When we have a full house I have 4 patients. We get just as many full admission (not on Hospice services) as we get level of care changes. MissyWrite...
Thanks Rose Queen; Most of the studies that I read state that there is not any "better outcome" for mom by termination unless the cancer is late stage and requires immediate aggressive treatment; however, a lot of breast cancer diagnosis in pregnancy...
Hi; I am an LPN and I work on a 12 bed inpatient unit. When we are full I will have 4 patients. Last night I only had three patients. Our staffing on an overnight consists of 2 RNs, 1 LPN and 1 CNA. We do use IVs or SQ lines quite frequently. There ...
I am in an LPN to RN bridge program. They strongly encourage you to get a flu shot. If you do not, you need to comply with whatever facility policy you are doing clinicals at. That could mean wearing a mask during flu season, having your temperatur...
PomMom65 replied to vampiregirl's topic in Hospice
I agree with you ShesanRN, on our inpatient unit I work night shift. Family members often ask if they think that it is okay for them to leave for the night or should they stay. I always tell them that if I see any change I will call them asap but th...
PomMom65 replied to lifelearningrn's topic in Hospice
We rarely do continuous care because we have a general inpatient unit. If symptoms cannot be managed in the home they come onto the unit for symptom management. Continuous care would be done in the event that our unit is full AND the patient has unc...
We give a lot of medication via SQ line. We do not infuse fluids that way, but we rarely infuse fluids. Our facility guidelines state no more than 3mL per hour via SQ line. Almost any of the medications we use can be given via SQ.
I worked with my hospice organization as a CNA. I am an LPN now. I graduated and my boss hired me on our inpatient unit as a brand new nurse. I love my job. I am now in the LPN - RN bridge program and will graduate in 9 months. I will continue to w...
I work on a hospice IPU as well. Our charting is electronic with the exception of the MAR. We chart our initial assessment in a flow sheet and write a clinical narrative. If I have charted a part of my assessment in the flow sheet, I do not duplica...
PomMom65 replied to Emergent's topic in Stress 101
I love my night shifts, but I only work 3 of them per week. I work 2 with one off and then 1 with three off. It does take me a day to recover from the 2. My only complaint is that my sleep is very fragmented.