tommytwice

Latest Activity

1. drug diversion

   tommytwice replied to onangelswings's topic in Hospice

   -------Does any one have a contract to have suspected diverter sign with your agency? -------- Yes, sometimes we'll make them sign a contract if more meds are being used than what the order is written for. The problem is that the contracts are prett...

2. question about visits

   tommytwice replied to onewithhospiceheart's topic in Hospice

   As far as being in compliance physician visits are completely different from nursing visits. The main thing to remember is that you need to stay within your projected nursing visits(mine are usually 1-2x/week or 2-3x/week) which are actually MD orde...

3. Use of pulse oximetry in hospice

   tommytwice replied to HoosierMale's topic in Hospice

   I never use an O2 sat to tell me if a patient is comfortable........like said above, sometimes you'll have a very comfortable patient with a horrible O2 sat....and sometimes a very short of breath patient with a great O2 sat. I find that all the O2 s...

4. Something doesn't seem right about this hospice unit. Am I right?

   tommytwice replied to gt4everpn's topic in Hospice

   Like Whispera said it can be pretty complicated at times. Sometimes families and patients want to continue their vitamins and other medications so they don't feel like they are "giving up." Sometimes for the mental well being of patient/family it m...

5. confused! wet vs dry crackles

   tommytwice posted a topic in Pulmonary

   i thought that i understood crackles but now am confused. when i have a chf patient and i hear crackles, is this considered wet or dry crackles? am i correct in assuming that these are wet crackles since the fluid is backing up into the lungs and i ...

6. Nashville Hospitals shift length?

   tommytwice posted a topic in Tennessee

   Hello everyone, I am also someone who is thinking of relocating to Nashville as a new grad RN. I was wondering if I could get some help from some of the locals. 1. Can anyone tell me which hospitals have 8 hour shifts???........I'm doing some rese...

7. I need some Nashville RN info!!!

   tommytwice posted a topic in Tennessee

   Hello everyone, I live in California and just graduated as an RN with my Associates a few months ago. My wife and I are thinking of possibly moving to Nashville in a few months....I lived there for a little less than a year a while back and really l...