coffeetalker

coffeetalker

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All Content by coffeetalker

  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...

  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,...

  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

  4. 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...

  5. 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...

  6. Is nursing REALLY that difficult?

    coffeetalker replied to lilythorburn's topic in Pre-Nursing Students

    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...

  7. Which job should I take?

    coffeetalker replied to Emmers4's topic in Nursing Career

    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...

  8. EXTREME Wound Odor Hospice, please advise

    coffeetalker replied to Raicho's topic in Wound, Ostomy, Continence

    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...

  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...

  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...

  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...

  12. comfort care order med dilemma

    coffeetalker replied to adra's topic in Patient Safety Issues

    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...

  13. FAST scale in patients with dementia as hospice diagnosis

    coffeetalker replied to elsbets's topic in Hospice, Palliative

    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...

  14. GIP Criteria

    coffeetalker replied to SWBQACRN's topic in Hospice, Palliative

    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...

  15. GIP Criteria

    coffeetalker replied to SWBQACRN's topic in Hospice, Palliative

    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...

  16. Very emotional nurse considering going into hospice nursing- good idea or not?

    coffeetalker replied to RN416's topic in Hospice, Palliative

    If you are thinking of doing hospice- you need to honestly ask yourself if you can learn to have better boundaries - and I'm not sure what you mean by 'the spiritual connection"- one of the big things...

  17. Dress code for continuing education

    coffeetalker replied to nursejenjohnson's topic in Scrubs, Uniforms, Gear

    Probably business casual (assuming this will be in a classroom schedule)- my employer a few months ago made a policy that for all CE classes "no jeans, no open toe shoes, business casual only"....

  18. Struggling with grief

    coffeetalker replied to Nursekim82's topic in Hospice, Palliative

    There is a reason why a lot of nurses who do hospice only do it for a year or two. (I've been doing it for 8 or 9) - my pseudo mantra has become " these good folks are going to die- there is nothing...

  19. ADN not nationally accredited, BSN is

    coffeetalker replied to KellyVT's topic in General Students

    A nursing license is a nursing license, a BSN is not required to have a nursing license. Some hospitals are requiring that new grads sign an agreement hat new RN hires will complete a BSN within a...

  20. If you could speak your mind...

    coffeetalker replied to GSDlvrRN's topic in Patient, Colleague Relations

    Mind you I work Inpt Hospice- ' normal pulse, respirations, appetite and LOC are NOT a normal part of the dying

  21. Brain Death/Support

    coffeetalker replied to critcarequeen93's topic in Critical Care

    Gotta make sure that you are doing your own self care- and making sure that you are keeping your boundaries; also the fact that you were able to help with organ donation is an amazingly positive...

  22. Med error advice

    coffeetalker replied to JessicaLPN1's topic in Patient Medications

    Med errors happen- if it continually happens it becomes an issue- there is no real need to worry about loosing you license and job over one incident. Since you only 'think' you made an error, next...

  23. TPN in hospice?

    coffeetalker replied to Stcroix's topic in Hospice, Palliative

    Been doing hospice for coming up on 9 yrs- in all that time one pt on TPN- and she was young with 2 small kids; seems like either the hospice MD or you should be asking 'what is the goal of the TPN'-...

  24. white scrub tops and jackets

    coffeetalker posted a topic in Scrubs, Uniforms, Gear

    So, my employer has decided that RNs should wear navy blue scrub pants and a white scrub jacket, white undershirt, white jacket. I work at an inpatient hospice where we commonly have all kinds of...

  25. 6 months in... and I had a fall...

    coffeetalker replied to rosyariana's topic in First Year After Licensure

    One of the keys to not being overwhelmed is to ask your co-workers for how they stay organized through a shift- and take the things that work for you and incorporate those into your shift. Also keep...