vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. Management of pain and dyspnea can be tricky at end of life. Having worked inpatient hospice I've cared for some patients that have required much larger than typically normal doses of opioids for...
  2. vampiregirl

    Repositioning end stage of life hospice pts

    This is one of those topics for which there are several different perspectives. Also, it comes down to what is best for an individual patient and their unique circumstances. In most cases I find the...
  3. vampiregirl

    IV Fluids Infiltrated w/o pain?

    A couple of thoughts... I agree with iluvivt's explanation and recommendations. Another consideration is blood clots. While this isn't a common senario, I have encountered this once. I cared for the...
  4. vampiregirl

    ACHPN exam?

    For the CHPN exam in 2015 (different exam/ certification, same credentialing agency), I used the candidate handbook and purchased the core curriculum. I also purchased practice tests from HPNA, which...
  5. vampiregirl

    Patient tracker app

    I'm not familiar with an app that does this. I've just used the data/ views available in the EMR to reference what I need. For me, entering this info in an app would be a redundancy. I do use...
  6. vampiregirl

    Anybody wear Natural Uniforms?

    Has your place of employment given you any guidance other than the assigned color? I've worked for places that specify the brand(s) of scrubs and I've talked to people who have even been assigned...
  7. vampiregirl

    As seen on TV

    My friends have officially banned me from watching medical tv shows in public places as I cannot refrain from "providing education" (i.e. talking to the tv) about incorrect procedures. It's always...
  8. vampiregirl

    Favorite school nurse resources?

    These are great! I'm a volunteer camp nurse for a week in the summer and I'm adding many of these links to my
  9. vampiregirl

    Therapy dogs and Allergies

    Great educational, thought provoking thread! I'm not a school nurse but school isn't the only setting where animals are potentially a benefit to patient care (well, and the healthcare staff too!) but...
  10. vampiregirl

    Dr Google scares me

    Exactly! Sometimes patient's are receptive to education about to find reliable sources on the web. And appropriate sites can be a great resource for further information about a diagnosis, especially a...
  11. vampiregirl

    Getting more wound care Experience.

    The typical goals of hospice wound management (drainage management, odor control, comfort) are different from those in other settings but the assessment of a wound is the same. I would recommend...
  12. vampiregirl

    New nurse and I had a breakdown at work

    To the OP... You've gotten so much great insight and suggestions from others. The tough part will be figuring out what will work best for you. This would be one of those times that a crystal ball...
  13. vampiregirl

    I want to try camp nursing

    The Association of Camp Nursing website (campnurse.org) might be a good place to start for information about camp nursing. Also, maybe consider contacting your local YMCA or YWCA to see if they offer...
  14. vampiregirl

    "Green House" model

    That's a different concept, I think that is more popular somewhere in Europe. But that one sounds fun
  15. vampiregirl

    "Green House" model

    Good questions! I already asked about behaviors - they have a psych provider contacted but it doesn't sound like they have many behaviors. I didn't see any when I toured. This model has better...
  16. vampiregirl

    "Green House" model

    Glad to know I'm not the only one not familiar with this concept! The facility is a state licensed SNF with the beds certified either Medicare/Medicaid or Medicare (for the rehab homes). They also...
  17. vampiregirl

    Oh, my aching feet!!!!

    Another idea for a foot roller is a tennis ball. Works great for me. A purchased a Dollar Store 3 pack - which I share with my
  18. vampiregirl

    How to pick yourself up after bad day

    Looking back, I think I had more "bad days" when I was newer nurse. Until I figured out a good routine, how to prioritize, and time management. Having said that though... every once in a while I...
  19. vampiregirl

    Forced meds?

    Sounds like a tough situation. What suggestions/ input does your supervisor/ manager offer? Is there an ethics committee that you could collaborate
  20. vampiregirl

    Forced meds?

    Right of refusal can get complicated with intellectual disabilities. Even in situations when another individual (legal guardian or in the appropriate circumstances, a provider) has directed that the...
  21. vampiregirl

    Issues getting Epi?

    Ran into this while ordering supplies for an EMS service earlier this year. Pharmacist explained to me it was a change in laws that prohibited retail pharmacies from selling scrips unless issued to a...
  22. vampiregirl

    RN-BSN (Affordable!)

    I was actually surprised to discover that the most affordable RN to BSN program was a local private. It was one night a week, very well organized, great professors and accredited. So, you may want to...
  23. vampiregirl

    Stylish Shoes for Male Student

    Agreed. Although I think keeping shoes clean and in good repair is important. However comfort (and good support for your foot type) is really the bottom line. Cute doesn't count if your feet hurt so...
  24. vampiregirl

    I Desperately Want Out

    Great suggestion - good managers care about their employees and often have suggestions or can present options that the employee may not be aware of. Just getting some support can make a huge...
  25. vampiregirl

    I Desperately Want Out

    Great thread!!! OP- you mentioned you are feeling burned out. In addition to the other awesome suggestions in this thread I want to throw out there to suggest you look at whether you are practicing...