Being A Hospice Nurse At The Hospice Home Essay

1036 Words Nov 13th, 2015 null Page
Tuesday, November 10th: Today I was at Hospice Home. It was the Hospice Home building location, not the home visits. I had a good experience with the nurse I shadowed and learned a lot. I learned quickly that being a Hospice nurse at the Hospice Home is very different than other types of nursing.
Right away something that stuck me is that the nurses in this setting have more autonomy in their practice. They make a lot more independent decisions and then just notify the physician as to what they have done. This is interesting because the physicians are more readily available in this setting to ask questions and clarify the plan of care, yet they are asked very little about what they should do ahead of time. What I mean by this is, something that a nurse in the hospital would check with a doctor about doing, the nurse in this setting just does, and informs the doctor later.
The nurse was able to administer multiple doses of different kinds of medication. Much more than I would have thought was possible. One patient received multiple doses of duliadid, anti-anxiety medication and a Benadryl, all within a few hours. I think this is different because of the type of setting. The physician seemed okay when the nurse updated her on what the patient received. This would be a lot of medication for a patient in the hospital who was recovering. I think a difference is that in this setting, while it is still about managing pain, you are less concerned with the patient becoming addicted…

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