ShesanRN

ShesanRN

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All Content by ShesanRN

  1. Mouth sores caused by Roxinol

    ShesanRN replied to CoffeeRTC's topic in Hospice, Palliative

    Can you tell us more about what the sore looks like? I've not yet seen that caused by Roxanol,

  2. Hoping for some professional feedback on a product.

    ShesanRN replied to EllyW's topic in Hospice, Palliative

    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

    ShesanRN replied to CapeCodMermaid's topic in Hospice, Palliative

    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. What are keys questions in a interview for Hospice Nurse?

    ShesanRN replied to lumbarpain's topic in Hospice, Palliative

    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

    ShesanRN replied to cd365c's topic in Hospice, Palliative

    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?

    ShesanRN replied to EmilyLucille523's topic in Hospice, Palliative

    $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

    ShesanRN replied to Nursemichellern's topic in Hospice, Palliative

    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

    ShesanRN replied to rubysasha's topic in Hospice, Palliative

    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

    ShesanRN replied to Butterflyxx0621's topic in Hospice, Palliative

    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

    ShesanRN replied to Tenebrae's topic in Hospice, Palliative

    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

    ShesanRN replied to kayleen4246's topic in Hospice, Palliative

    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

    ShesanRN replied to FrancineRyan's topic in Hospice, Palliative

    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

    ShesanRN replied to Mahogany Queen's topic in Hospice, Palliative

    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

    ShesanRN replied to RNRN_DAY's topic in Hospice, Palliative

    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

    ShesanRN replied to drem7116's topic in Hospice, Palliative

    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...

  16. Would you ever ask another nurse to give your pt a suppository?

    ShesanRN replied to iluvgusgus's topic in Patient, Colleague Relations

    I agree with those that encouraged you not to feel put-upon or taken advantage of. The patient benefited most by you giving the suppository then and there, and their needs should come first. If it...

  17. calling all on-call nurses

    ShesanRN replied to NightAngel2's topic in Hospice, Palliative

    I don't have a way to advise you to explain it, except as you have just done to us. You don't really have the option to seek additional employment lest it interfere with your ability to take calls....

  18. Dating a former patient

    ShesanRN replied to thepsychtech's topic in Psychiatric

    I can't see myself ever crossing this boundary; my career means too much to me. There are many more ways to find potential dates that won't put your career at

  19. Hospice Nursing Question

    ShesanRN replied to stirfried's topic in Hospice, Palliative

    Sometimes that help means discontinuing medication, other times continuing medication for all the reasons you've mentioned in your posts. The patient's desires and quality of life drives everything we...

  20. Hospice on call setupd

    ShesanRN replied to NursieDP's topic in Hospice, Palliative

    Our census is hovering around 150 currently. We have two dedicated on-call nurses, one for weekdays 430pm-8am and one for weekends (me!) from Friday 430pm-Monday 8am. Our RNCMs serve as backup to the...

  21. Getting a job in private hospice/rehab facilities with a misdemeanor battery conviction

    ShesanRN replied to chicagornstudent's topic in Licensure: Criminal History

    May I ask the circumstances of your case? I'm sure any employer that may give you a chance in the future would want to

  22. Seeking Opinions on End of Life Care

    ShesanRN replied to herecomestreble91's topic in Hospice, Palliative

    Everything everyone above said :) plus, if I understand your question correctly, one of the most important steps to promoting ethical clinical practice is communicate, communicate, communicate with...

  23. CHF alzhemiers difficulty

    ShesanRN replied to Kerber's topic in Hospice, Palliative

    We've used both Haldol and ABR (ativan-benadryl-reglan) gel as well as AHBR (ativan-haldol-benadryl-reglan) gel topically with patients like these. It is very, very challenging for everyone when the...

  24. I'm supposed to what now?

    ShesanRN replied to jojo489's topic in Geriatric, LTC

    Based on what we know, I'm not seeing the nata for the prn dose overnight. The patient sleeps soundly without s/sx dyspnea; the med is given routinely during the day but not at night, and the pt had...

  25. Cut Throat Competition Makes Me Sick

    ShesanRN replied to westieluv's topic in Hospice, Palliative

    Sounds like a marketer! Fortunately, I haven't seen ours try to weasel in unqualified patients - they seem to know better, and the nurses always seem to have the last say. The most ours do is try to...