I work on a very busy Tele floor and can have up to 5-6 patients a night. What kills me...is when I have a patient that is DNR. Seriously? Like what is the point? So far, the DNR's are usually on their last leg, disease processed has moved to the final stages, yet you come to the ER with SOB, and admitted to my busy floor, and I have to now treat you as if I would treat one of my patients whose a full code - but, if you suddenly become pulseless, I cannot do anything anyway...grrrrrrrrr. How time consuming - why? I had a patient admitted from HOSPICE onto my floor for SOB - seriously?
Please help me understand you all. I am a new graduate nurse - 3 months - and when I get a DNR patient, I instantly get turned off. Sometimes these are the most time consuming patients with overbearing family members and in my mind I am like, the hospital is for saving lives if something lethal happens, I am not doing anything anyway. sigh.
I had a patient admitted from HOSPICE onto my floor for SOB - seriously?
The Hospice that I work for does not have a hospice house. If we have a patient that were are unable to manage symptoms in any other environment, then our hospice medical director can give an order for patient to be admitted to our hospital for symptom management. This doesn't happen often, but it does happen. Typically we use our oncology unit, but we have had to admit patients to other floors depending on bed availability.
If we do admit a patient to hospice, one of our hospice nurses visits daily. If you have access to the hospice nurses, don't be afraid to ask them what the goals of treatment for the patient are or any other questions.
I won't apologize for anything I say and okay. I'm a 23 year old male with an associates degree and I will have my BSN in December of this year. You call me ignorant really? I've been called worse.. I've been called ****** and much more at the clinical site so the term ignorant doesn't hurt me. It's sad how you can't express your opinion without being hounded so yes I said it and I'll say it again. I would not want any of these nurses on this thread to care for me. I may just delete this AN profile. I guarantee when I become a nurse I will give my opinion on the matter and not bash people for what they believe. The good book says..."what you do unto the least of mine..you do unto me." Now you remember that ruby vee.
Actually I don't see rudeness in most of the replies to the OP. I can actually sense many of the posters taking the figurative "deep breath " before replying considering the "flammability " of the topic.
And to the OP - I do commend you for sticking around when the replies became critical. That shows you have the ability to profit even from negative feedback.
Well OP, I had a scathing reply ready for you but as I read through the replies I see that you are willing to admit the error of your previous view and make appropriate changes from the feedback you have received. I commend you for that. Good luck in the rest of your career.
Ruby Vee is one of the most amazing teachers on this site and helps anyone who asks without any reason or profit from it. She is knowledgeable and giving if as opinionated as anyone else. I rarely (if ever) have been as shocked to hear anything she said as I am from what you have posted. This is a professional site, regardless of differing opinions.
We do not condone personal attacks. I suggest you keep from using profanity here (even if it is about yourself) as it is heavily moderated, thank heavens.
As a gesture of good will, I'd like to advise that you do not use your real name and picture here as many nursing supervisors and nurse managers also visit this site frequently. While you are here, you may be discussing personal anecdotes to take off some of the frustrations of nursing that management may disagree with.
I work on a very busy Tele floor and can have up to 5-6 patients a night. What kills me...is when I have a patient that is DNR. Seriously? Like what is the point? So far, the DNR's are usually on their last leg, disease processed has moved to the final stages, yet you come to the ER with SOB, and admitted to my busy floor, and I have to now treat you as if I would treat one of my patients whose a full code - but, if you suddenly become pulseless, I cannot do anything anyway...grrrrrrrrr. How time consuming - why? I had a patient admitted from HOSPICE onto my floor for SOB - seriously?
Please help me understand you all. I am a new graduate nurse - 3 months - and when I get a DNR patient, I instantly get turned off. Sometimes these are the most time consuming patients with overbearing family members and in my mind I am like, the hospital is for saving lives if something lethal happens, I am not doing anything anyway. sigh.
Ok I'll just delete all my comments delete my account. I can see that this isn't for me :) and thanks for taking up for her. I'm the bad guy so thanks. I'm a good guy and I know it. She called me ignorant and yet you direct your comment to me and point out what I said?
Ok I'll just delete all my comments delete my account. I can see that this isn't for me :) and thanks for taking up for her. I'm the bad guy so thanks. I'm a good guy and I know it. She called me ignorant and yet you direct your comment to me and point out what I said?
Thanks. I see where I stand
Honestly, don't let the "follow the leader" posters get to you. That seems to be the culture here. It's all opinions anyway and I did value yours.
OP has been chastised and schooled enough I think.
Heres what else I think, or would hope to see. These patients with end stage diseases that are frequent fliers, we get them, they go to a f/u with their PCP and cardio and then scheduled to return in 3 mos. So many are rehospitalized before then, something no one wants, most of all the patients. I don't understand why there isn't more aggressive out patient mgmt, every 3 mos just isn't getting it. If they saw their cardiologist every 2 weeks and bumped to weekly when needed, maybe those acute exacerbations would be minimized, the patient potentially saved some of downward spirals and money saved.
I didn't agree with your DNR post but I do have to give you credit for acknowledging the criticism and being open to it. I was pretty sure we'd never hear from you again or if we did it would be defensive and argumentative. Being open to the possibility that your ideas may be wrong and being willing to change them is deserving of respect.
vampiregirl, BSN, RN
824 Posts
The Hospice that I work for does not have a hospice house. If we have a patient that were are unable to manage symptoms in any other environment, then our hospice medical director can give an order for patient to be admitted to our hospital for symptom management. This doesn't happen often, but it does happen. Typically we use our oncology unit, but we have had to admit patients to other floors depending on bed availability.
If we do admit a patient to hospice, one of our hospice nurses visits daily. If you have access to the hospice nurses, don't be afraid to ask them what the goals of treatment for the patient are or any other questions.