vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    Paracentesis on hospice

    vampiregirl replied to paphgrl's topic in Hospice, Palliative

    Our agency will cover paracentesis for symptom management under the circumstances you described above. It is decided on a case by case basis by members of our IDT team (including the hospice manager...
  2. vampiregirl

    I don't thnk these patients are appropriate

    vampiregirl replied to Raviepoo's topic in Hospice, Palliative

    Assessing an Alzheimer's patient for eligibility under the CMS guidelines is the most challenging type of patient to accurately assess, at least for me. Often times I end up consulting with another...
  3. vampiregirl

    Before Hospice

    vampiregirl replied to Guest941822's topic in Hospice, Palliative

    I was a SNF nurse for 4 years prior to becoming a hospice nurse, including 1 year in SNF management (staff development). I also had 17 years experience in EMS, 6 years phlebotomy experience and 6...
  4. vampiregirl

    tips for a new hospice nurse

    vampiregirl replied to amys4304's topic in Hospice, Palliative

    Welcome to Hospice Amys4304 and Jay S! You've already gotten some great advice from the above posters. A couple of additional suggestions I have is to get to know the other members of your IDT team...
  5. vampiregirl

    Hospice nurses charting on facility forms

    vampiregirl replied to oomalava2's topic in Hospice, Palliative

    This may be another area where the laws vary from state to state. Then you add in the policies and procedures from your hospice organization AND the policies and procedures from each individual SNF....
  6. vampiregirl

    Scanning in the supply room

    vampiregirl replied to elizabeast7's topic in General Nursing

    Different environment, but this is how billing is done for the EMS service where I work part time. Works well for us, I've always wondered why it isn't the same for
  7. vampiregirl

    Reinfusing gastric residuals

    vampiregirl replied to Rach4231's topic in MICU, SICU

    As you can see from the responses, everywhere has a different policy:) Where I worked (SNF) we reinstilled manually. I think our cut-off was 300 mL per policy but we also had several patients with...
  8. vampiregirl

    Annual Competency Fair Suggestions

    vampiregirl replied to kristinc312's topic in Nurse Management

    I think you've already identified the key to a skills fair success - organization:) I've done skills fairs at a LTC - so probably some of the same challenges you are looking at, some different. Take a...
  9. vampiregirl

    Magnet Designation: What's the Attraction?

    vampiregirl replied to ElizabethStoneRN's topic in General Nursing

    Valid question, I've worked at places before that have meetings about meetings. Not a productive use of time:) I don't have an exact response for this question because it occurred before I was
  10. vampiregirl

    Magnet Designation: What's the Attraction?

    vampiregirl replied to ElizabethStoneRN's topic in General Nursing

    Wow. Thankful that I do not work this hospital. I'm guessing any visitors who witnessed this were not impressed by the professionalism (or lack there of) demonstrated by this
  11. vampiregirl

    Magnet Designation: What's the Attraction?

    vampiregirl replied to ElizabethStoneRN's topic in General Nursing

    Several other posters referred to extra committee work and projects - we have those too, they are on the clock/ scheduled time within our normal workday. There is a clear process in place that then...
  12. vampiregirl

    Magnet Designation: What's the Attraction?

    vampiregirl replied to ElizabethStoneRN's topic in General Nursing

    There is huge difference between achieving magnet status and embracing magnet status. I think it also depends on the motives of the administration of the hospital, from the top down. I work for a...
  13. vampiregirl

    Even the Stoic Have a Breaking Point

    vampiregirl replied to Rose_Queen's topic in General Nursing

    Thinking of you and your co-workers Rose Queen. Take care of yourself as you process through this
  14. vampiregirl

    Working in LTC... Transition to NP

    vampiregirl replied to Zyprexa_Ho's topic in General Nursing

    Not sure about specific requirements for NP programs, but I will tell you that working LTC can allow you to gain a lot of skills. Prioritization, triage, delegation, assessment, documentation, wound...
  15. vampiregirl

    can I work as a CNA if my RN license is inactive??

    vampiregirl replied to AniraP's topic in General Nursing

    Good luck to you! It sounds like you've had a long journey to become a nurse so far. Being a CNA is hard work, but I think being a CNA before I was working as a nurse has made me a better
  16. vampiregirl

    Ethics: Brain bleed sign out AMA

    vampiregirl replied to Kbig2's topic in General Nursing

    Just a thought - the OP stated the patient refused transfer to the "contracted" facility. I'm hoping that someone verified that the patient wasn't refusing transfer to a particular facility. I've...
  17. vampiregirl

    Hospice: What You Don't Know Can Hurt

    vampiregirl replied to jeastridge's topic in Hospice, Palliative

    Well said OP! As a hospice nurse, I've had this conversation many times. There are so many misconceptions about hospice, it's so important to provide this education. I usually start hospice consults...
  18. vampiregirl

    Moving away - is it ok to give coworkers a moving away gift?

    vampiregirl replied to 1Jessie86's topic in Patient, Colleague Relations

    It's awesome that you are taking the time to acknowledge those that have provided support as you've started your nursing career! I'll bet that even a hand-written note would be greatly appreciated. I...
  19. vampiregirl

    First Incident Report

    vampiregirl replied to gemmi999's topic in General Nursing

    I'm not an ER nurse, but I can identify with your feeling conflicted and your frustration as to patient's not receiving the care that you thought they should. A couple of things that come to mind:...
  20. vampiregirl

    Buying a new car for a new nurse ??

    vampiregirl replied to gabriela1993's topic in General Nursing

    Regardless of what vehicle you decide on, I still vote for getting kitty litter just in case. Make sure it's the non-clumping kind though! No matter what kind of vehicle you drive, you still may...
  21. vampiregirl

    Co-workers mad that you're going to school

    vampiregirl replied to futurearmynurse25's topic in Patient, Colleague Relations

    Granted I work for a company that requires that ASN degree RNs must attain a BSN within 5 years of hire... I've gotten great support from my co-workers and managers as I work toward my BSN. There is...
  22. vampiregirl

    New job as a Hospice Nurse

    vampiregirl replied to nurseontheway's topic in Hospice, Palliative

    Welcome to Hospice! The above posters offered great advice. I definitely agree with the recommendation to join HPNA, while the cost may seem a little expensive the information available is...
  23. vampiregirl

    CVC dressing change

    vampiregirl replied to drdonna's topic in General Nursing

    As other posters suggested, I would begin by looking up the facility policy. If the facility policy does not conform to the current evidence based practice recommendations, then I would approach the...
  24. vampiregirl

    RN in LTC

    vampiregirl replied to the nurse who lived's topic in Geriatric, LTC

    Good Luck! I started my nursing career in LTC and learned so much. It gave me a great foundation. Organization, critical thinking skill development, learning delegation, exposure to lots of different...
  25. vampiregirl

    ADN to BSN Schools on Campus

    vampiregirl replied to Lilacs For Mom's topic in Diploma, ADN, BSN

    Check with local colleges to where you are. With a little research, I discovered that several had options but one fit my schedule and interests (in respect to classes included) best. I did an online...