vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    Hospice interdisciplinary care plan

    I've collaborated w/ several facilities on their care plans for hospice patients. One of the items to include on the care plan will probably be a statement about collaboration and communication...
  2. vampiregirl

    Most common meds in Hospice/Palliative care?

    Typically the meds mentioned above. Also knowing what symptoms these meds address. For example - roxanol can be used for pain, dyspnea, and restlessness. Ativan is used for anxiety, restlessness, air...
  3. vampiregirl

    LTC emergency...sorry no meds today

    Some LTC facilities don't have a supervisor on evenings, weekends etc. When I worked in a LTC, I was often considered the "supervisor" by default if I was the only RN in the building, in addition to...
  4. vampiregirl

    Facebook nurses and patients

    I'm another one who does not accept Facebook requests from former patients or their family members. We have social networking policy at work, but that only applied to current patients. The choice to...
  5. vampiregirl

    Holiday gifts for your staff

    Awesome to be thinking ahead! What specialty & environment (hospital, physician office, home care etc) of nursing are you in? We might be able to give you some more specific/ personalized...
  6. vampiregirl

    Med Error by CNA

    Indiana has a curriculum to train staff in group homes and waiver sites to administer medications to the residents of these facilities. I believe it is (or used to be) called "Medication...
  7. vampiregirl

    IV Skills for Hospice?

    We don't do peripheral IVs. We access ports and PICCS, sub-q is another option. Have you asked your company what methods of med administration they use? We do some blood draws - mostly PT/INR,...
  8. vampiregirl

    Are care plans valuable?

    In Hospice, our care plans are beneficial. If I'm seeing a patient that I'm not primary nurse for, the care plan gives me a good idea of what the patient's goals are as well as the major ongoing...
  9. vampiregirl

    Scripting sounds patronizing

    And so many times it's not what is said, but how it's said and the non-verbal communication that goes along with it... People can sense whether something is said in a patronizing manner or in a...
  10. vampiregirl

    New grad in hospice = doomed?

    I went from LTC to Hospice, it's been a successful transition. Just like any type of nursing, take every opportunity to learn about hospice nursing. Apply whatever knowledge you came in with. Ask...
  11. vampiregirl

    How can I increase the morale on my unit?

    Is there a committee at your hospital that addresses employee morale? If so, find out who is on it and approach them to find out more about it. If there's not, maybe consider talking to your manager...
  12. vampiregirl

    What nursing specialty interests you the most for the future?

    I too am an EMT who thought ER would be the direction I wanted to head. Where I've landed very happily.... hospice. They were a little hesitant to hire an RN who still works part time as an EMT -...
  13. vampiregirl

    Medicinal Honey

    Saw some amazing results with it when I worked LTC. I remember reading some research on it when we first started using it, I was a little skeptical but was very reassured by what I read. Also, it's...
  14. vampiregirl

    New to Hospice

    Welcome to Hospice Nursing! I hope you have a wonderful Hospice team to work with... The Hospice I work for provides all of our nurses a book called the Primer of Palliative Care (I have the 5th...
  15. vampiregirl

    My Very First Day...

    Awesome attitude! Don't lose your enthusiasm for learning. So glad you have a wonderful preceptor and role model. It's funny to me to look back to when I was a CNA and realize how much I DIDN'T know...
  16. vampiregirl

    Respect from patients as a Registered Nurse?

    Part of what determines how much respect an RN receives falls to the individual RN. Skills (both technical and interpersonal) play a huge role in how much respect one receives, regardless of the...
  17. vampiregirl

    Meds and a G-T patient

    Depending where you work and what medications are being administered, it may be acceptable to obtain a physician's order to allow medications to be mixed w/ a specified pre and post flush. This was a...
  18. vampiregirl

    G-tube pulled out by patient

    Where I worked w/ g-tubes, we used the corresponding size foley as the temporary solution. Just curious, what is the best way to secure an in and out foley used as a temporary g-tube
  19. vampiregirl

    G-tube pulled out by patient

    This was very unnerving for me the first time one of my patient's pulled out his g-tube. He was twirling it around and smiling at me when I walked in the room. Does your facility allow nurses to...
  20. vampiregirl

    Grade of compression stockings

    I've worn thicker socks over my compression knee-high hose. No one notices and it makes my tennis shoes much more
  21. vampiregirl

    suspended for doing the right thing...

    Not being able to have contact w/ the parents (responsible party)... that would be frustrating for me in regards to caring for any patient. It would be difficult to formulate any type of workable...
  22. vampiregirl

    Need help with vomiting patient

    The data I've read on topical administration of these meds is conflicting. I've had a couple of patients in the past that it was very effective for, but some that didn't seem to get much relief. The...
  23. vampiregirl

    AED'S....What brand do you like and why?

    Something you may want to consider is check with your local EMS service to see what brand defibrillator they use. It's a little different situation, but when our county outfitted our law enforcement...
  24. What has worked for you in the past? Do you do better with bite size bits of studying/ blocks of time with activities scheduled it between? Does a timer work for you? Are you able to focus better with...
  25. vampiregirl

    What kind of kids do you see in your PICU?

    I didn't realize that VAD are being used w/ pediatrics. Learned something new today! Just curious - do these patients get released to home or stay hospitalized as long as they have the VAD? Now...