RnRatchet

RnRatchet

Hospice, BMT / Leukemia / Onc, tele

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All Content by RnRatchet

  1. Hospice and Palliative Nurse Cert. Exam

    RnRatchet replied to LadyBugLass's topic in Hospice, Palliative

    I had 4 years of experience when I took the exam. I studied the core curriculum and used the quiz book alone and with a study partner. The exam was more challenging then the RN boards for me.. just...

  2. Can a Sticker on my car = Hippa Violation?

    RnRatchet replied to AtlantaRN's topic in HIPAA Challenges

    Our agency did give out window clings with our logo on them to anyone that wanted them. BUT they were also available to the public and our volunteers. (Free advertising..lol) Our company saw it as...

  3. 'Real' nurse's kit for toddler play?

    RnRatchet replied to ladybugsea's topic in General Nursing

    Looks like you can get this from a european toy store..

  4. Question about CHPN Exam test prep

    RnRatchet replied to Genista's topic in Hospice, Palliative

    When I took it last year, I felt like a large chunk of it came from my past experiences and relating it to the questions. There were several case scenarios that asked "what would you do next?" So, the...

  5. J&J Tribute to Nurses Videos--MUST-SEE!

    RnRatchet replied to RDH-NrsgStudent's topic in General Nursing

  6. How long are your IDT mtgs? And content?

    RnRatchet replied to Cing_angels's topic in Hospice, Palliative

    Well.... if we have students or a resident that has stopped by to observe.. he likes to show off..lol He sometimes gets off on a tangent too..

  7. How long are your IDT mtgs? And content?

    RnRatchet replied to Cing_angels's topic in Hospice, Palliative

    we do a weekly report with the nurses and the CSM (clinical services manager) then acts as voice for the nurses during IDT.. it has really cut down on staff having to cram all their patients in to be...

  8. If there is such a thing as a beautiful death.....

    RnRatchet replied to TazziRN's topic in General Nursing

    How very beautiful. Good for you and your co-wrkers to be with this gentleman as he left this life. I too believe no one should die alone. We have vigilant volunteers that work with our hospice that...

  9. medicine or wives tale????

    RnRatchet replied to leigh21's topic in Ob/Gyn

    LOL.. my sister is PG with her 2nd baby. When she went in for the ultrasound the Dr. told her husband he was sexist for wanting a boy..lol.. After he told her it was indeed a girl (what she was hoping...

  10. Hospice Houses

    RnRatchet replied to Curious1alwys's topic in Hospice, Palliative

    For what you would be willing to pay for him to stay at a hospice house (even though this particular one doesn't do residential) maybe you could look into a senior community of sorts? We visit several...

  11. Any ideas for unrelieved N/V

    RnRatchet replied to spoiled28's topic in Hospice, Palliative

    We also start with Phenergan and then go from there. One combo that we commonly use for any type of cancer involving the abdomen is a BRD.. Benedryl, Reglan, Decadron.. I've also seen variations with...

  12. lpn's in hospice?

    RnRatchet replied to greenbean's topic in Hospice, Palliative

    in our agency it's just the sop - it's a blanket statement i think to cya for the

  13. lpn's in hospice?

    RnRatchet replied to greenbean's topic in Hospice, Palliative

    at our hospice an lpn can do almost everything a rn does. the things lpn's don't do: hha sup visits, lab draws, admission assessments. good

  14. Anyone else get good news in the mail?

    RnRatchet posted a topic in Hospice, Palliative

    got my chpn results today... i passed! good luck to all waiting on their

  15. Hospice patient receiving TPN ?

    RnRatchet replied to Blackcat99's topic in Hospice, Palliative

    regarding hospice and dnr.. if the hospice accepts medicare.... eligibility-medicare hospice benefit 1. the patient must be entitled to medicare part a (hospital payments); once the patient decides...

  16. Scenario:What would you do?

    RnRatchet replied to Happy-ER-RN's topic in General Nursing

    how very true. several times we've spoken with families that got scared and called 911.. but by the time they realize what they did they call hospice and the nurse gets to the house shortly after the...

  17. Hospice patient receiving TPN ?

    RnRatchet replied to Blackcat99's topic in Hospice, Palliative

    yeah! amen to that! that's why we always say patients and families first. sometimes what we know would be best clinically for a family and patient isn't what they are ready for emotionally. often...

  18. Scenario:What would you do?

    RnRatchet replied to Happy-ER-RN's topic in General Nursing

    We do our best to keep patients at home until they die with our hospice too... BUT there is always the occasional patient that doesn't WANT to die at home. In that situation, when time is getting...

  19. Scenario:What would you do?

    RnRatchet replied to Happy-ER-RN's topic in General Nursing

    I'm a hospice RN, This is a common opinion of many nurses who aren't hospice nurses. We have several patients that aren't DNR's. You cannot force a family to choose DNR just because they are on...

  20. calling all hospice nurses!

    RnRatchet replied to lesrn2005's topic in Hospice, Palliative

    I'm an admission nurse, I work 830-5pm M-F. We take turns taking call for admissions.. once every 5 weeks. Some days are longer.. some are shorter.. it all evens out

  21. What does it take? Direction please

    RnRatchet replied to NCINDASUN's topic in Hospice, Palliative

    We suggest the same at our hospice that they do at CANRN's hospice. Maybe you can volunteer as a patient care volunteer to get your feet wet. We have vigilant volunteers that stay with patients and...

  22. Hospice patient receiving TPN ?

    RnRatchet replied to Blackcat99's topic in Hospice, Palliative

    We don't require our pt's to be a "No Code" to be in our program. Often times though, after education of the patient and family and showing them how the body is slowing down they change their minds...

  23. Does anyone love their job?

    RnRatchet replied to Lisa CCU RN's topic in General Nursing

    i was in a couple different types of nursing before i found my niche.. hospice. i love it! i don't think you could pay me enough to ever go back to the hospital. a hospice house maybe.... i work with...

  24. whats best to study for CHPN

    RnRatchet replied to Tonita's topic in Hospice, Palliative

    i had both of the books offered for study for the chpn - the core book and the study guide. the study guide was usefull to get you in the mindset of how the questions will be worded. good luck and...

  25. working on Christmas?

    RnRatchet replied to scrmblr's topic in General Nursing

    growing up we were always celebrating christmas whenever we could all be together.. sometimes early.. sometimes the day after.. my mom is a nurse so we sometimes stayed with our grandma on christmas...