ShesanRN

ShesanRN

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About ShesanRN

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  1. Mouth sores caused by Roxinol

    Can you tell us more about what the sore looks like? I've not yet seen that caused by Roxanol,
  2. My initial reaction is I'd still prefer to use my own gloved fingers/hand. In some procedures, there is no substitute for the sensory feedback, because of the high perforation risk, as newhospicern...
  3. GIP regulations

    We can take move our GIP patients to a snf we are contracted with for that purpose, but most of ours are cared for in the hospital. We either get the referral from the hospital for one of their...
  4. I agree - I'm not sure how you could've known not to call 911 not having worked in hospice. That's intuitive for most people. In my agency, we knock, sometimes at an alternative entrance, attempt to...
  5. Taking Patients down to the Morgue

    Our patients are in multiple settings, and the ones who pass at the hospital (that is our inpatient setting) do get taken to the morgue, although by hospital staff, not me. I wouldn't mind it, though....
  6. How Much Does a Hospice Nurse Make?

    $28/hour x 40 hours salary for weekend on-call RN in the Chicago-Detroit cradle, logging an average of 35 hours/weekend including travel time, all hours of the day and night. There are times when I...
  7. Hospice symptom management medication list

    Our standard comfort med orders are for sublingual Roxanol, Ativan and atropine drops every 2 hours as needed and Tylenol and phenergan suppositories prn. We adjust and substitute from there with Oxy...
  8. alternatives to morphine

    I haven't used nebulized Dilaudid, but we routinely get orders for Oxycodone IR 20mg/mL (OxyFast) as a substitute for morphine when there's an
  9. Approaching tough subjects with the boss

    I think your boss' responses to you so far have told you where she stands on the issue. I agree with the above poster, and the fact everyone else is looking for an out is a big red flag. The month I...
  10. General rant

    I'm curious, too, as to the details of the situation. Was the patient at home, with family monitoring symptoms? Or was it in a clinical setting? It seems there would be, as others mentioned, more...
  11. How to transfer into hospice

    Your med-surg experience will serve you well, as all the basics like I&Os, ADLs, med management, catheters, wound care, drains and trachs, are all relevant depending on the needs of your...
  12. I want to be a Hospice Nurse

    Like vampiregirl, I was introduced to hospice nursing working in LTC. I loved what I was doing there, and began to especially love the extra time, care and attention I was able to give patients and...
  13. LPN Hospice Nurse

    At our hospice (not inpatient), the LPNs conduct patient visits under the supervision of the RN/case manager (they see the RNs patients and report in to them any condition changes/new orders). When...
  14. PRN--ON CALL

    This sounds like a bad deal all around. Our PRN nurses do not have to participate in the on-call rotation. When a nurse is on call, they make $2/hour beeper time, then hourly rate + mileage "door to...
  15. Care for surviving family

    You may also consider contacting the American Cancer Society to see if they have recommendations for your situation/area. Somtimes even being willing to use the word "cancer," is a needed step in...