vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    lorazepam with morphine

    vampiregirl replied to Vtachy1's topic in Hospice, Palliative

    In hospice, this medication combination very appropriate for management of EOL symptoms. I work in the inpatient hospice setting and out in the field. From what I'm hearing (from friends who work...
  2. vampiregirl

    Nurse w/ MA Pastoral Ministry?

    vampiregirl replied to happypolarbear's topic in Spirituality, Religion

    I have 2 friends who are both nurses and have a pastoral degree; both work in hospice and I believe both also have done parish nursing. They are both very highly respected by their colleagues and...
  3. vampiregirl

    Nursing is Toxic Video

    vampiregirl replied to Emergent's topic in General Nursing

    Honestly, the title of this video probably wouldn't have prompted me to view this video. But wow - so much good perspective in that video! I'm not in the ICU environment but this content is so...
  4. vampiregirl

    nursing student with midfoot oa

    vampiregirl replied to liz maj's topic in Nurse Disabilities

    Are you under the care of a rheumatologist or podiatrist? If not, especially with your young age, this might be something to consider. Establishing a good plan of care now could be important to your...
  5. vampiregirl

    Is looking at a patient's chart on your floor a HIPAA violation?

    vampiregirl replied to PrettyPeachyRN's topic in HIPAA Challenges

    My thought process has always been that if the patient is on a unit which I am working on and my assistance/ care with a patient for whom I am not specifically assigned is needed, then it is...
  6. vampiregirl

    Questions for a nurse educator

    vampiregirl replied to Maggieinpdx's topic in General Nursing

    I don't have an MSN, I have a Master's in Palliative Care. I assist the education department at my agency as needed but work in another position full time. Not sure if my responses fit exactly what...
  7. vampiregirl

    Is this an unstageable ulcer?

    vampiregirl replied to coltonk1234's topic in Home Health

    I would agree this is unstageable:) The slough completely obscures the wound bed. Pressure injuries are either over a bony prominence or caused by pressure from a medical device/ something else....
  8. vampiregirl

    Pay per visit VS hourly

    vampiregirl replied to JS-RN's topic in Home Health

    You've gotten some great suggestions and perspectives from other posters... Additional information that might help your decision: How long a typical SOC takes at each agency (different...
  9. vampiregirl

    EKG order

    vampiregirl replied to cepr4's topic in General Nursing

    Another thought... if the patient was having an inferior wall MI an EKG could have made a huge difference due to the risk of hypotension with
  10. vampiregirl

    11 Best Nursing Shoes (Plus 6 Most Comfortable)

    vampiregirl commented on Julia Liou's article in Nursing Resources

    Alegria is the brand that works best for me! Comfortable, easy to clean and well constructed. I have flat feet - no aching. Recommended by a friend who is a hospitality manager for a camp/...
  11. vampiregirl

    Kyprolis Med Administration

    vampiregirl replied to Thisonenurse's topic in Patient Medications

    Kudos for investigating something further that you're not familiar with! Have you looked into the policy or procedure for administering Kyprolis at your workplace? If I can't find a specific...
  12. vampiregirl

    What should I do if I feel like I can never get a job outside of the SNF

    vampiregirl replied to dsaprog's topic in General Nursing

    I'm another nurse who got a good skills foundation in SNF. I encourage you to take every opportunity to learn. Look things up, take every training opportunity available. Don't discount all the...
  13. vampiregirl

    On Call Nurses - advice needed

    vampiregirl replied to Peachpit's topic in Hospice, Palliative

    Agree with above poster. Also recommend (if you haven't done so already) to get your scheduled hours and compensation in writing. Not sure what your caseload/ visit load is or your...
  14. vampiregirl

    Question on End Stage Parkinsons

    vampiregirl replied to pmabraham's topic in Hospice, Palliative

    Parkinson's patient's can be tricky to accurately assess if they meet the life expectancy criteria of 6 months or less if the disease process takes it's normal course! Some of the considerations...
  15. vampiregirl

    Struggling with med pass-LPN in LTC

    vampiregirl replied to Mariah Walker's topic in Geriatric, LTC

    It takes time to get faster. Learning to keep yourself organized and getting a process in place can help. Little things like figuring out a system for yourself to order refills. Making sure the med...
  16. vampiregirl

    Observations on boundaries between Nurses and Patients (Psych)

    vampiregirl replied to hppygr8ful's topic in General Nursing

    @hppygr8ful - Nope, I don't think you are old and out of the loop. Especially in the psych setting, professional boundaries are crucial as is following policies. Consistency amount staff is also...
  17. vampiregirl

    How do you assess a patient with lots of phlegm in their throat?

    vampiregirl replied to kate2827's topic in General Nursing

    Agree with above posters recommendations for most settings. I work in hospice though so "gurgly" breathing is not uncommon with some disease process progressions (either cardiac/ respiratory or...
  18. vampiregirl

    Where should I realistically be at this point in orientation?

    vampiregirl replied to cblossom78's topic in General Nursing

    Please be kind to yourself! Safety comes first. Making sure you are learning steps to ensure patient safety in the processes you perform is critical. As you build muscle memory, you want to make...
  19. vampiregirl

    Does peritonitis have to be drained?

    vampiregirl replied to Matthew89's topic in General Nursing

    Aspira drain is another system that can be used for recurrent ascites (as well as recurrent pleural effusions). Typically starts out with Home Care upon hospital discharge but I have had family...
  20. vampiregirl

    Responsibilities of RN in nursing home in NJ

    vampiregirl replied to Revolutionaryroad's topic in General Nursing

    I was in a similar situation years ago as a new grad RN in a nursing home! This was during a time when nobody wanted to hire new grads though so I was kind of "stuck". I quickly figured out...
  21. vampiregirl

    Admissions vs CM? New job considerations

    vampiregirl replied to nasr69's topic in Hospice, Palliative

    Regarding work/ life balance, that is going to depend on several factors. The most important one being is the company you work for. I'm fortunate to work for a company that promotes work life balance...
  22. vampiregirl

    Procedural Consent Problems

    vampiregirl replied to bubblern90's topic in General Nursing

    A couple of thoughts... Have you looked at said policy yourself? I've found situations where "everyone" thought something was an actual policy and we were all wrong! One person taught...
  23. vampiregirl

    14 Best Stethoscopes for Nurses (Plus 7 Best Accessories)

    vampiregirl replied to Melissa Mills's topic in General Nursing

    I love Littman's - I'm on my 3rd one! I've progressed from a lightweight to a Classic 2 to a Classic 3 through my career. I also really like the Ultrascope and find it as the most clear through...
  24. vampiregirl

    Summer 2023

    vampiregirl posted a topic in Camp

    This thread has been pretty quiet this year... I'm a volunteer camp nurse at a YMCA residential camp. I'm a hospice nurse so this environment change is refreshing and reenergizes me (although I...
  25. vampiregirl

    New to L&D and feeling low

    vampiregirl replied to purpdiam's topic in Ob/Gyn

    Everyone learns differently. If your charge nurse and preceptor see you taking the initiative to learn things and you are asking great questions to clarify/ increase your understanding, they may...