OneThunder

OneThunder BSN, RN

Medsurg, Rehab, LTC, Instructor, Hospice

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All Content by OneThunder

  1. Nurses Who Smoke Marijuana

    OneThunder replied to NenaRK's topic in Nurses Recovery

    In the U.S today, more than 20 states with more than 20 percent of the population have statutes which recognize the legal therapeutic use of herbal cannabis or cannabinoid-based medicinal...

  2. Burned out DON thinking about MDS position

    OneThunder posted a topic in MDS Coordinator Information

    Totally burned out DON, I'm thinking about working in MDS. Can anyone recommend online classes to bring me up to snuff? I used to do MDSs when they were pencil and paper.

  3. Anyone an addictions nurse?

    OneThunder replied to Mo_RN's topic in Addictions

    I am looking towards that certification. I worked in hospice for 5 years. You would think that physicians and nurses in the hospice field would be able to distinguish pain from addiction. I recently...

  4. Post mortem care

    OneThunder replied to mc3's topic in Hospice, Palliative

    just recently had a tour of our local funeral home and he explained the very same things you did. one thing he also said that if the dentures are lost, they do have a prosthesis that can be used to...

  5. Post mortem care

    OneThunder replied to mc3's topic in Hospice, Palliative

    Sometimes it's not the family that requests an autopsy. Sometimes it's the law. A fall that precedes death is one example. Regardless of whether they are on hospice or

  6. Post mortem care

    OneThunder replied to mc3's topic in Hospice, Palliative

    Yes, I agree. I had not heard of "leaving marks, tearing skin" and the like. I have done 100's of post mortem care and never experienced that, but I suppose it is

  7. Post mortem care

    OneThunder replied to mc3's topic in Hospice, Palliative

    That is an interesting perspective. Food for

  8. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    if indeed, my perspective is 'hopelessly biased", then your perspective is

  9. Nurses Smoking

    OneThunder replied to JENNLEE's topic in General Nursing

    Cigarrettes....FDA approved. Yeah, they do a good job...zelnorm, bextra,vioxx,aprotinin..... tattoos a "bad" habit?

  10. Not impressed with clinical group and instructor

    OneThunder replied to 1Tulip's topic in Nursing Educators, Faculty

    AMEN! I taught first and second semester RN students. MY clinical group started IVs, inserted foleys, walked rounds with the physician....wrote workable care plans and they loved it! You should have...

  11. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    the big difference between how you and i see things is two fold. i want to see the health care system we have improved one bite at a time. you would like to throw out the whole meal and start over. i...

  12. Profit vs Not for Profit

    OneThunder replied to webblarsk's topic in Hospice, Palliative

    I'm not so sure about that. The media will "jump" on a negative story much faster than a positive one. And remember, just because a patient chooses one hospice, doesn't mean they have to stay with...

  13. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    payment for medical treatment is a complex system of qualifications, whether you rely on government assistance or private insurance. hospice care is a treatment option, just like chemo, physical...

  14. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    payment for medical treatment is a complex system of qualifications, whether you rely on government assistance or private insurance. hospice care is a treatment option, just like chemo, physical...

  15. Profit vs Not for Profit

    OneThunder replied to webblarsk's topic in Hospice, Palliative

    I agree. But shouldn't the marketplace dictate the standards? No business, no hospital, no hospice can stay in business with a bad rep for bad service. And there is the matter of Medicare survey and...

  16. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    what you seem to think is obscene, i see as a "continuum of care". what the resident needs, therapies, wound care, respiratory care, is almost always provided by outside services that come into the...

  17. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    Originally when there weren't such things as "nursing homes" (back in England, back in the day). And no, I don't think most nursing homes (or corporations for that matter) consider hospice as a way to...

  18. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    Be that as it may, it is reality. LTC facilities budgets are limited by their corporations. They hire and train as they are budgeted for. We can point fingers all day to whose fault it is, but that is...

  19. Hospice On-Call Schedules

    OneThunder replied to Wren's topic in Hospice, Palliative

    Absolutely, like I said, huge case

  20. Interview questions and Red Flags for Hospice

    OneThunder replied to Fiesta Red's topic in Hospice, Palliative

    Commenting on the settlement, CEO and President Robert Lefton stated, "We are pleased to have permanently resolved these matters with the federal government and to have avoided protracted and...

  21. Medicare Probe

    OneThunder replied to PeacePisceRN's topic in Hospice, Palliative

    Obviously, you have never worked in a LTC facility. The staff can hardly take care of the residents that they have, never mind a dying patient that needs extra assessments and care. Not to mention if...

  22. Profit vs Not for Profit

    OneThunder replied to webblarsk's topic in Hospice, Palliative

    I personally think no one should die without hospice care, and if it takes a marketing team to find them, so be

  23. What nursing Managers fail to see

    OneThunder replied to Nursekat64's topic in Activism, Healthcare

    and don't forget union contracts that forbid nursing management to work the floor. Don't laugh- I worked as a manager where this was in effect. You want to talk about frustration! during a...

  24. Do patients/families that are hostile, rude affect your morale?

    OneThunder replied to smartynurse's topic in General Nursing

    TRUE - I used to make it a point to use ONE family member as a contact point. All other family members should get their information from this person. Made my life simpler- I could actually spend time...

  25. Yeah, that's right, it's my fault.

    OneThunder replied to oramar's topic in General Nursing

    I have always said, on admission, families have to sign (or they don't get in) permission for administration of psychotropic medications. Usually the patients are not the problem, it's the families....