Butterflyxx0621

Butterflyxx0621

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All Content by Butterflyxx0621

  1. LPN SCHOOL NEEDED: PA or Delaware

    Butterflyxx0621 replied to nurse2beomoola's topic in LPN, LVN Corner

    The only LPN programs in Delaware that I have heard of are either at adult ed technical schools or through Delaware Technical and Community College, though I'm sure there is more. I am an RN and went...

  2. Does your hospice use standing orders?

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    You are exactly right. Apparently standing orders are not "individualized" and hospice care is supposed to be individualized to the person. In my opinion, having the orders allows the nurse to use...

  3. Does your hospice use standing orders?

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    I don't think it's a matter of whether they have confidence in this policy, so much as our hands are tied. Our continued JCO accreditation is dependent on quite a few necessary changes, and this was...

  4. Does your hospice use standing orders?

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    We actually do not have a policy for how long a physician has to respond so at times yes we do contact the medical director. The problem is, our medical director has his own practice outside of...

  5. Fear of failing? reason to not enter nursing program?

    Butterflyxx0621 replied to Infofreak411's topic in General Nursing

    "Courage is not the absence of fear, but rather the judgment that something is more important than fear. The brave may not live forever, but the cautious do not live at

  6. Greatest weakness ?

    Butterflyxx0621 posted a topic in Job Search, Interview, Resume

    The greatest weakness question is always one that people struggle with. In actuality, my greatest weakness is that I'm too critical of myself and Doubt myself when I shouldn't. What would be an...

  7. Greatest weakness ?

    Butterflyxx0621 replied to Butterflyxx0621's topic in Job Search, Interview, Resume

    Thanks for the help... 3 weaknesses and I am being completely honest. Experience, there's certain things I have not had an opportunity to do often in my about 2 years of nursing. As a result my...

  8. Greatest weakness ?

    Butterflyxx0621 replied to Butterflyxx0621's topic in Job Search, Interview, Resume

    I've probably read about 50 of them. I understand about being honest and upfront about your weakness which is why I always have been, but I'm not always the best at phrasing things in a politically...

  9. Problem solving for a nursing interview

    Butterflyxx0621 posted a topic in Job Search, Interview, Resume

    I am looking for some guidance for giving an example for problem solving in a nursing interview... I use critical thinking and problem solving all the time but for some reason I feel like I'm drawing...

  10. Interview with current employer ?

    Butterflyxx0621 posted a topic in Job Search, Interview, Resume

    I work for a home hospice agency as "PRN". While I have been a PRN I have actually managed a case load my entire time of employment (1 yr) and worked PRN, nights, weekends, holidays etc. Recently I...

  11. Injured on the job?

    Butterflyxx0621 posted a topic in Nurse Disabilities

    Long story short I got injured at a patients home a few days ago, sprained my spine .. By far the worst pain I've ever had, even over broken bones. Went to the MD and for a follow up apt today. The MD...

  12. Approaching tough subjects with the boss

    Butterflyxx0621 posted a topic in Hospice, Palliative

    I really could use some input because I am struggling and lacking the support needed at work. I am a PRN employee and after orientation I was temporarily asked to carry a case load for a few weeks......

  13. Safe transfers/hoyers

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    Those are great suggestions, especially spinning it to focus on the positive and how a fall can effect that. I have one particular patient that I actually really enjoy on a personal level but he does...

  14. Safe transfers/hoyers

    Butterflyxx0621 posted a topic in Hospice, Palliative

    How do you get your patients to understand why you set them as assists with transfers or why a Hoyer is not a good idea(if it isn't) ? The issue comes up every now and then where the patients want to...

  15. Approaching tough subjects with the boss

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    Thank you for the input, it's really nice to get a perspective on things. I'm the youngest employee, so I think a lot of times people think that they can talk and treat me like they are my mother and...

  16. Looking for some tips/input

    Butterflyxx0621 posted a topic in First Year After Licensure

    Hi, so I have now been practicing as a RN for a year. Unfortunately it was not completely in one setting because I had to quit one position for personal reasons unrelated to the position.. I have been...

  17. Caseloads question

    Butterflyxx0621 posted a topic in Hospice, Palliative

    Case managers, how many days do you work and what is your current caseload? How often do you see each patient on

  18. Caseloads question

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    That's interesting about required visits. Our company does not require nurses to make a certain number of visits per week, we like to visit each patient once per week and as needed. Case loads are...

  19. Caseloads question

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    That's interesting about both policies. How long is a typical visit

  20. Tips for a new home health hospice nurse

    Butterflyxx0621 posted a topic in Hospice, Palliative

    Hi all! I desperately need some guidance! I am a newer nurse, I have worked in LTC and office nursing for a total of about a year... I started hospice homecare a couple months ago. I came to hospice...

  21. Tips for a new home health hospice nurse

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    We are the only not for profit hospice in our state and surrounding areas... Also were currently $2 million in the red from my understanding. I suppose if anything they are trying to get out of debt....

  22. Tips for a new home health hospice nurse

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    Well I have improved since my original post. I was familiar with a lot of nursing care, I just don't feel the answer to learning how to flush a port or take out a picc line for the first time should...

  23. Tips for a new home health hospice nurse

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    WOW!! Thank you for sharing that, it definitely helps me realize that it is a challenging field. I just have tried to do my best to take it one day at a time and realize I am only one person so if I...

  24. Tips for a new home health hospice nurse

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    We don't have a program for new nurses unfortunately. The answer is that because we are not for profit we cannot afford

  25. Tips for a new home health hospice nurse

    Butterflyxx0621 replied to Butterflyxx0621's topic in Hospice, Palliative

    I did have about 3 1/2 weeks of orientation. But there's really no one we can other than the other staff nurses. Since this post originally I have gotten better acclimated and feel more comfortable,...