vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    HH general questions

    Home health can be tricky without a solid skill base and some experience. I know a couple people who have successfully navigated it... with great orientations and accessible mentors. These people also...
  2. vampiregirl

    Socially distant home visit

    Hospice nurse here so a few differences in visit format but many similarities... I try to position myself 6 feet from the patient/ caregivers except when performing hands on assessment. This can even...
  3. vampiregirl

    The fate of camp this Summer

    The camp I volunteer with is currently in the process of creating a plan for the logistics and activities for the campers that confirm to current state and CDC recommendations. Basically they had to...
  4. vampiregirl

    MSN-Is it too late to go back?

    In response to your question, if your life circumstances will allow you to pursue further education and this is what you need to achieve your goals... it's never too late to go back to school! Have...
  5. Great strategies! Lots of little ways that these ideas can be incorporated into daily life for "mini retreats" even. I've been working with many of my patient's and their caregivers on self-care. My...
  6. vampiregirl

    Hospice on call 7 on 7 off experience?

    Hospice is an amazing area of nursing! Of course, I'm probably a little (lot?) biased because I'm a hospice nurse... In answer to your question, there are multiple things that factor in to "what it is...
  7. vampiregirl

    Age vs Years Nursing

    45 years old, RN 10 years. EMT since age 21, still keep my cert
  8. vampiregirl

    Coccyx wound left open to air?

    Agree, with the previous poster. I've seen some great results with appropriate product selection in some patients! Years ago I was a CNA at a facility that stopped using briefs at night except under...
  9. vampiregirl

    Caring for COVID as visiting/hospice nurse

    I'm a hospice nurse with what sounds like a similar case mix to yours. I'm also the designated nurse IF we get any Covid positive patients or suspected positive. As of now, we do not have any COVID...
  10. vampiregirl

    Would like therapy, need advice

    Agree that the stigma with seeking assistance for mental health is detrimental. As other poster's have discussed, these are unprecedented times in general even if one doesn't have additional personal...
  11. vampiregirl

    Digital watch recommendations?

    I prefer analog watches so this may not be helpful... I have had great success with clip fob watches (the brand I have is NW pro -I got it amazon for less than $20). I've got the watch attached to my...
  12. vampiregirl

    Breakdown at work

    Do you have any grounding techniques that have worked for you in the past? Sometimes it's really easy to forget things that have worked in the past when you are experiencing acute anxiety symptoms....
  13. vampiregirl

    Who wants to hire a graduate nurse at 55?

    There are many areas of nursing that may appreciate you, you just may have to look off the beaten path. I would encourage you to think about where your passion lies. What type of environment do you...
  14. vampiregirl

    Criteria for GIP

    GIP = General Inpatient level of care for hospice. Most hospice patients are "routine" level of care which provides for hospice care in their residence (home, group home, SNF, ALF etc). Other levels...
  15. vampiregirl

    Wound care

    Wound care in hospice typically has different goals than other environments such as PCU. The focus on hospice wound care is typically on management of drainage and odor as well as patient comfort/...
  16. vampiregirl

    Dismissed from a Nursing Program (Need Advice)

    I'm sure there are some private schools like this. However, there are some fantastic private schools as well. Some private schools are reasonably priced and are very supportive of their student's...
  17. vampiregirl

    Criteria for GIP

    I can't think of circumstances where discontinuing pressors would automatically qualify a patient for GIP. GIP eligibility requires not only a terminal diagnosis but symptoms of discomfort that cannot...
  18. vampiregirl

    On Call: Vsit or Not?

    On call hospice can be tricky at times. All we can do is make recommendations/ assessments based upon the information we have available at the time of any call interaction. From the information...
  19. vampiregirl

    Advice for new hospice admissions RN

    Lots of great advice in Katillac's post! I typically inquire what they understand about their diagnosis and it's expected progression. This gives me a barometer of their understanding (or...
  20. vampiregirl

    Ohio Hospice

    The short answer is yes, hospice is available in home in Ohio. Hospice eligibility requires a terminal diagnosis with a life expectancy that is less than 6 months if the disease process runs it's...
  21. vampiregirl

    Mailing Medication

    As a camp nurse, we frequently get a request to return "forgotten" meds by mail. Several years ago, we became aware that only prescribers and pharmacies can legally mail meds. Not sure about...
  22. vampiregirl

    Continuing Education

    Have you considered joining a professional association relevant to your area of experience or pursuing certification? I have found professional associations to offer so many learning opportunities and...
  23. vampiregirl

    I keep getting my fingerprints rejected.

    When I needed digital fingerprints for a previous job, I was able to get them done by a company called Identogo which in my area (Indiana) performs this service at local Goodwill Career Centers. I...
  24. vampiregirl

    Panic Attacks

    Makes me wonder whether the parents influenced the student's view on mental health treatment. Sad that the stigma regarding mental health
  25. vampiregirl

    Panic Attacks

    Not a school nurse, but have encountered an increasing number of kids in the camp setting who have anxiety attacks that aren't listed on the medical and/ or confidential forms submitted prior to camp....