ShesanRN

ShesanRN

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All Content by ShesanRN

  1. I'm supposed to what now?

    ShesanRN replied to jojo489's topic in Geriatric, LTC

    Yes, a suggestion seems more like an opinion, and you know what they say about

  2. I'm supposed to what now?

    ShesanRN replied to jojo489's topic in Geriatric, LTC

    I do see your concerns and understand why it would seem unethical. There is much more to be considered, like the other posters indicated. Your goal is not to keep someone "knocked out" or compromise...

  3. Different Hospice Roles

    ShesanRN replied to Elle23's topic in Hospice, Palliative

    Well said! Your rock-solid nursing skills - assessment and critical thinking - will take you anywhere you want to go. Do consider pediatric hospice - it may be a perfect

  4. Which Hospice?

    ShesanRN replied to Elle23's topic in Hospice, Palliative

    I feel very blessed to have "fallen into" the hospice I have, and there are but a few in my area. Putting myself in your shoes, I would learn as much as I could about each hospice that has an open...

  5. Different Hospice Roles

    ShesanRN replied to Elle23's topic in Hospice, Palliative

    That might depend on the type of nursing you've done. If you were in acute care, I would think wading in as an admissions nurse may be an easier transition than taking on a caseload of patients (and...

  6. Hospice as 1st RN job after graduation?

    ShesanRN replied to Raviepoo's topic in Hospice, Palliative

    I went in to hospice from long term care, and even though I'd been a nurse for 3 years there were things I'd never done outside of clinicals: start IVs, draw blood, etc. I was great with wound care,...

  7. How do you do such a wonderful but difficult job?

    ShesanRN replied to DocRecon's topic in Hospice, Palliative

    It's actually the things you mentioned: 100% mortality rate and virtually no good news, that drew me to hospice, I believe. (Less money and longer hours, just bonus ha ha!) Having worked in long term...

  8. bad bad deaths

    ShesanRN replied to NC29mom's topic in Hospice, Palliative

    We've used Robinul 2mg tabs SL very successfully in patients with really excessive secretions. We make sure to do/teach oral care every hour, though, as it can be that drying. I agree, liver deaths...

  9. Assessing Anxiety, SOB, nausea in patients that can not rate the symptom

    ShesanRN replied to nashva's topic in Hospice, Palliative

    Our weatherbee forms are very specific on pain, not so much SOB/nausea and nonverbal indicators. I use a FLACC scale informally, and just "paint the picture" in great detail of what I see as the...

  10. Med/Surg, offered position in Hospice

    ShesanRN replied to Laicia's topic in Hospice, Palliative

    I would agree with all the posters above - you need a change of scenery, and fast! whether it's to hospice or a different specialty. I'm just a little partial to the

  11. Support for field RNCM

    ShesanRN replied to nutella's topic in Hospice, Palliative

    The case managers where I work are paid hourly, but I can tell you it hasn't kept some of them from catching up paperwork on their own time to avoid getting dinged for overtime... Can you share some...

  12. Different Hospice Roles

    ShesanRN replied to Elle23's topic in Hospice, Palliative

    At our hospice, an admissions nurse focuses primarily on admitting new patients, but may visit current patients if the need arises. Otherwise, the roles where I work are similar to what's described...

  13. Continuous/Crisis Care; CNA, Home Makers (??)

    ShesanRN replied to lifelearningrn's topic in Hospice, Palliative

    My hospice is the same as yours, in that we only do continuous care if/as long as a patient has an unmanaged symptom. We also do not provide that level of CNA care. I'm not certain how the other...

  14. So what's the one piece of advice you wish someone told you...

    ShesanRN replied to vampiregirl's topic in Hospice, Palliative

    Welcome to this sacred, always humbling specialty! I've got two pieces of favorite advice: 1) place a patient high on their left side (perpendicular to the bed) for non-pharmacological secretion...

  15. Just landed my first hospice job! How did I do?

    ShesanRN replied to dmatthewb's topic in Hospice, Palliative

    Sounds like you got a sweet deal! A Garmin (or similar) will be invaluable for finding your way to patients :) Hospice is absolutely sacred work and I hope you enjoy

  16. On-call hospice nurse

    ShesanRN replied to lwheatley's topic in Hospice, Palliative

    We have a census of around 150, up from 60 when I started 18 months ago. Our patients can be up to 90 minutes apart from one another. We have a weekday on-call nurse, salaried, who works M-Th 430p...

  17. How Do You Explain to People Why You Chose Hospice?

    ShesanRN replied to lifelearningrn's topic in Hospice, Palliative

    All of the answers above are great, relevant ones. Most people who know me weren't surprised I ended up in Hospice. If you're called to it, it makes perfect sense. When people ask me, I usually...

  18. Hospice triage books

    ShesanRN replied to Amy'sGrandbaby's topic in Hospice, Palliative

    Hi - I just joined but I too am not aware of any resources other than the HPNA site and Hospice certification texts. HPNA membership and journal are awesome & I think you'll get a lot of them