coffeetalker

coffeetalker

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All Content by coffeetalker

  1. always so tired

    Are you doing days or nights? If you are doing nights, try to get on some kind of routine for it. And there are always the standard things- diet, exercise..... and I'm wondering have you ever had...
  2. Warning about scrubs and beyond

    I have ordered from them several times in the past, will probably be ordering again soon, never had a
  3. Question ladies...

    I do not think that this should be an acceptable practice-------does the school not have a simulation lab? I would call the director- because it is more than a little
  4. Patient Boundaries

    One of the keys to doing hospice for a long time (I've been at it for 7yrs) is keeping focused on the fact that you are there to do a job- keep your patients and their families as comfortable as they...
  5. sneakers/shoes

    love my New Balance, also love Sausany (I think I spelled that wrong)- also love Dr Scholl's inserts with all of those little raised bumps on them- I find that my feet and back are much happier if I...
  6. End of life liquid meds vs crushed

    part of hospice care is providing PRN visits per family request- if the family has not opened the comfort kit, a visit should be done to provide instruction on how to utilize these meds. I also would...
  7. I'm terrified to be a nurse...

    I'm not sure what you are 'terrified' about- anywhere that you work will be giving you an orientation, and no one will be expecting you to know everything on your first day. You will have co-workers...
  8. When to report?

    Yes, we are mandated reporters- but based on your post, not sure what you would report- not disciplining your child or being lazy is not a reportable thing. If you see that the child is being harmed-...
  9. Sharing too much?

    Remember that families and pt's will only be on your calendar for a certain amount of time- when the pt dies, you want the family to grieve that and think about how glad they are that they chose your...
  10. Mission Asheville????????

    I used to work there (9 yrs ago) and know lots of folks who used to work there- employees are treated as if they are easily replaceable (which they are as there is a community college literally a...
  11. Coverage for incontinence supplies

    Any supplies needed to provide care for the pt are covered under hospice- hence all the hoopla about wound care supplies and not using a $4.oo dressing if a 75 cent dressing will do the
  12. Mission Asheville????????

    you can look on glass ceiling and find mission hospital nc and read comments that former employees have
  13. Paracentesis on hospice

    Yes we do as it is a symptom management issue- in cases that fluid is building up quickly and pt is requiring multiple paracentisis a month, I use to talk with the MD about starting aldactone (which...
  14. First Neonatal Death

    As a hospice nurse, just wanted to say that this was a nice post to read, a lot of folks in acute care rarely get to the place where they can see the beauty and care that goes into End of Life care...
  15. Supervisor Loves to Micromanage

    Sorry to say that it sounds like when you talked with the HR supervisor and HR director you' ve burned this bridge, I think at this point you should put in a very nicely worded formal notice and move...
  16. Long term care and hospice

    I left hospice for a grand total of 89 days before turning in my resignation at the LTC facility that I was working at and accepting an inpt hospice position (had been previously doing hospice home...
  17. I think you should look into less physically demanding work- (even if you want to work with babies)- nursing is hard- lots of lifting/walking, and not so ergonomically designed desks)- as someone else...
  18. Career change from ICU to Hospice

    For about the first three yrs of my nursing career, I worked cardiac stepdown and critical care, I have now been a hospice nurse for about 6 yrs, 5 of that doing homecare and ALF/SNF, a little over...
  19. Lacking compassion?

    As others have said, boundaries are hugely important in healthcare- and that means knowing (and sometimes making a conscious effort) to remind yourself that your pts are just that- your pts. They are...
  20. Finger oxygen saturation monitor?

    Gift certificate to a scrub or shoe store and several pairs of bandage
  21. Depression from nursing, looking for input?

    I certainly think that it may be worth you while to change to another unit. At the same time, I gotta 'fess up to being a hospice nurse- did home hospice for about 5 yrs and have been doing Inpt for...
  22. Resigning from first RN job

    I agree with the 'resignation letter needs to be gracious' ideas- you never know what will happen and I'm always in favor of keeping as many options open as possible. Give a copy to the manager and to...
  23. I used to do inpt physical rehab and loved it, but that was after 2 1/2 yrs on a cardiology stepdown unit, so I would say take the medical job- it will give you a lot more experience and give you good...
  24. I would really try to change clothes- it helps you look professional and shows that you care about the
  25. When a patient signs out AMA...

    I think elkpark has it --- one of the hardest things for me to learn as a nurse is that "people have the right to make bad decisions'- all we can do is educate- and tell the pt what to do if symptoms...