coffeetalker

Latest Activity

1. What else could I do?

   coffeetalker replied to AvaRose's topic in General Nursing

   When it comes to sitters, there are really good ones, and others who see there job as sitting (and watching tv/reading but not really interacting with the pt). I always look for opportunities to educate them on what they can do to help the patient. A...

2. Really hard choice

   coffeetalker replied to Nurseannieb's topic in General Nursing

   I would take the position, as this is a great opportunity for you as a new nurse. As other folks have said, I think that your dad would be upset with you for passing an opportunity for your life, even as his is ending. The drive will be do-able. I ...

3. Am I nuts for leaving a job I love?

   coffeetalker replied to coffeetalker's topic in General Nursing

   (the new position is about 5 miles from my house)

4. Am I nuts for leaving a job I love?

   coffeetalker replied to coffeetalker's topic in General Nursing

   There's only one other hospice in my area and it's 45 minutes away (not acceptable commute for me). Unfortunately in my area, there are not a lot of home health agencies- (and because I briefly worked for one in the fall last year PRN)- I know that t...

5. Am I nuts for leaving a job I love?

   coffeetalker posted a topic in General Nursing

   I work in a 26 bed Inpatient Hospice, I have been here for 2.5 years, prior to that did Home Hospice for about 6 years. I left home hospice due to being on salary and my days consistently being 10-12 hours long. When I took the Inpt hospice position,...

6. Is nursing REALLY that difficult?

   coffeetalker replied to lilythorburn's topic in Pre-Nursing

   You've just opened a huge can of worms. Nursing is changing a lot , even from where things were with the profession since I started my RN career 12 years ago. I enjoy being a nurse and I think that it gives you a whole new outlook on your fellow hu...

7. Which job should I take?

   coffeetalker replied to Emmers4's topic in Career Support

   There is nothing wrong with changing your mind especially as you are two months out from your start date. I tend to go with my gut a lot and yours certainly seems to be telling you to take the cardiac floor. Your first job will be an eye opening ex...

8. EXTREME Wound Odor Hospice, please advise

   coffeetalker replied to Raicho's topic in Wound

   Dakin's is good, continue Flagyl in wound bed, can also put kitty litter in a container under the bed to soak up odor, and of course, my favorite old standby, few drops of peppermint oil on a tissue in med cups strategically placed around the room.

9. 12 yrs RN, changing jobs, going before Nurse Council at wanna be Magnet Hospital

   coffeetalker posted a topic in General Nursing

   I will be changing jobs from full time at an inpatient hospice to a pulmonary/med-surg. unit at a local hospital. The hospital is attempting to get Magnet status (and has been for some time). During my interview, I asked if due to achieve Magnet cert...

10. Realistic explanation of CPR

    coffeetalker replied to Kteichow's topic in General Nursing

    One of my favorite MD's I use to work with (when I did home hospice) when discussing code status with patients and families use to ask " So, what do you think would happen if your heart stopped, or your lungs quit working and someone did CPR on you?"...

11. Constipation in a cancer patient

    coffeetalker replied to blackribbon's topic in Oncology

    I think that the first thing that needs to be done here is a Goals of Care discussion and revisit having Palliative Care or Hospice see this patient. One of the great things about hospice (and palliative care) is our ability to control symptoms and ...

12. comfort care order med dilemma

    coffeetalker replied to adra's topic in Safety

    I totally agree with Double- Helix and would add that comfort care is a part of end of life care; DNR/DNI status can mean that up until the moment when a pt stops breathing/ heart stops, everything else is done to treat the medical condition. Also, i...

13. FAST scale in patients with dementia as hospice diagnosis

    coffeetalker replied to elsbets's topic in Hospice

    FAST was specifically designed for Alz. dementia. If RNs and MDs are not scoring the pt the same, perhaps more education is needed for them. Generally it is used at the end of every certification period. At my organization I rarely see differences ...

14. GIP Criteria

    coffeetalker replied to SWBQACRN's topic in Hospice

    the 48 hours for observation---- to be honest, I don't know exactly where that is in guidelines, but at my inpt hospice we are told by our MDs that we do have 48 hours to observe (which makes sense esp as some hospitals have "clinical observation a...

15. GIP Criteria

    coffeetalker replied to SWBQACRN's topic in Hospice

    GIP level of care means that there is something that needs to be managed- ie- pain/agitation/anxiety/ nausea/ bleeding issues/ need for new route of medication/ LOC changes/ seizures/ ongoing constipation/ diarrhea/ extensive education needs of fami...