missninaRN

For some reason I can't seem to figure this one out. Perhaps I'm overthinking here. If the client has a positive reponse to Homan's wouldn't that be subjective because it is based on the client's perception of pain? Or is it objective because I obse...

Got this in an email from the OK BON this week: "Effective January 1, 2014, Registered Nurses and Licensed Practical Nurses licensed in the State of Oklahoma must meet continuing qualifications for practice, by completing one or more of the followi...

I'm doing a care plan based on a case study, and one of the meds listed is Lasix 80 mg PO, o.d. What does "o.d." mean? I've read that it can mean right (or was that left?) eye, or overdose, but obviously it has something to do with frequency in this ...

I am down to my last few prereqs for my chosen online RN-BSN program through Southwestern Oklahoma State University. This semester, I'm taking A & P II, Dev Psych, and Public Speaking through Edukan. This summer I will be taking World Geography-...

I've just completed my first year in nursing and have decided that hospital shift work is not for me. I'm ready to start looking for something in home health or hospice, or perhaps a doctor's office. I'm not sure about what to put on my resume. One y...

I averaged 12 patients when I was working at my last agency. The agency did not consider travel time when scheduling my visits. I had patients up to 1 3/4 hours away from me that required daily visits and often drove over 200 miles daily. I was requ...

I worked a long day yesterday. I went in early, stayed late, and barely had time to eat lunch. If one patient hadn't declined a bath, I would have still been working at 7:00 p.m. (Yes, the nurses are giving baths because we lost our CHHA last week. I...

Thanks for the link, will check it out. My community college doesn't offer it online and the online school I'm taking classes with right now doesn't have it either.

Some kind of stress management program/services for nurses. Maybe a package deal from a day spa specifically for nurses at a significant discount: a massage every week, aromatherapy treatments, yoga classes, organic/natural food discounts, etc. That ...

In both the current hospice I work for as well as the one I was with previously, we were not permitted to carry O2 sat meters. As the post above mine explains, we will use O2 for comfort in terminally ill patients regardless of O2 sat readings. And, ...

Hospice-love it. More time with patients, less time spent charting, and having weekends and evenings off is great too. I was formerly on med surg Hated it. I hated being inside for over 12 hours, never seeing the sky, I ran the whole time, spent more...

I started in the hospital on the day shift, working 3 twelves. It was nice to have 4 days off every week, but it took some planning and paying attention to my physical health to ensure that I had the energy to enjoy my free time. Working 12 hour shif...

I worked on a neuro med/surg floor for 16 months with pt load of up to 7. I didn't find caring for neuro patients to be any more stressful than the medical patients (pneumonia, COPD, GI bleeds, etc). What I found stressful was the constant flow of d...

Your post reminded me of the RN who mentored and trained me in hospice. She works 60-70 hours a week, both as clinical coordinator of a hospice and DON of a LTC facility. She has more nursing knowledge than the rest of her staff combined and has been...

I started nursing school when I was 43 years old. I excelled in my nursing clinicals and ranked at the top of my class on every exam. By my second year, I was being paid by the school to tutor underclassmen and assist the faculty during clinicals che...

I CLEP'd Humanities with very little prep time. I think it is doable if you are already very familiar with a wide variety of art forms, musical styles, and literature. My childhood was steeped in those things. My father is a musician and orator and ...

I've been an RN for approximately 11 months and am not sure that I want to keep doing this. I'm a good nurse. My manager and coworkers keep telling me that I'm doing a great job. But the day to day stress of working a Med Surg floor is really getting...

I've only been in hospice nursing for 2 months, but one thing I know for sure is that terminal cancer is painful; controlling the pain of terminal cancer patients is one of the greatest challenges of comfort care. The fact that the POA didn't want t...

Tewdles, do you make all nursing visits on those 12-15 patients, or do you also have an LPN? I'm just trying to figure out what to expect at my new job. (I also need to learn to assert myself with my new employer so I don't end up in a situation sim...

Thanks, Tewdles. I'm serving a rural area of Oklahoma. I've already made the decision to leave this company and have accepted a position with one that is local to my area. I will have an LPN and aid as well as several other hospice RNs nearby. The ...

I've had up to 13, usually12, but do not have an LPN and, in some cases, no aid either, which means I do all pt visits and bathe some of them as well. I've averaged 7 visits per day until this past week; I've recently had some revocations and deaths...

I know. It's amazing to me too. I keep a couple of bottles of water in the car and drink frequently while I'm driving and have already located the cleanest gas stations/travel stop shops in the towns where I will be working. Thanks for the tips, eve...

By way of introduction, I've been a nurse for 18 months; I was in Med Surg before starting in Hospice 2 weeks ago. I'm still on orientation but am starting to go out on my own to see some of the patients. One area that has not been covered by my prec...

I'm taking chem online. It's pretty much self-taught. There is no lecture, though the instructor does include power points in the online materials. I have an A average right now, but it's not been easy for me. The calculations aren't that bad-just ba...

I just finished reading this and have tears in my eyes. I've been an RN for 16 months and have spent that time on a Med Surg floor much like the one you described. Many of patients have been total care, but they are only one of the seven I was requir...