tewdles RN

PICU, NICU, L&D, Public Health, Hospice

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All Content by tewdles

  1. tewdles

    Other Hospice RN's in-put regarding on-call

    tewdles replied to hospiceCM's topic in Hospice, Palliative

    We are in Alaska, so our wages etc are likely of little use to you... Most small to medium sized hospices require call from their approved hour staff to cover the oncall hours. How much is required...
  2. tewdles

    Why can't nurses intubate?

    tewdles replied to natnat122's topic in Emergency

    Many nurses work in environments where they intubate all sort of things, including
  3. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    You are not required to conceal your bat as you would be to conceal your weapon in many states. So you could just openly carry that. No, just like traffic and DUI laws don't prevent stupid and...
  4. tewdles

    "Don't tell her why she's here"

    tewdles replied to anashenwrath's topic in Hospice, Palliative

    Don't beat yourself
  5. tewdles

    "Don't tell her why she's here"

    tewdles replied to anashenwrath's topic in Hospice, Palliative

    Yes, you are correct that this is an ethical issue. The oriented and alert patient does have a right to that information. I suspect that she signed a consent at SOC which indicated her RIGHT to that...
  6. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    This is a tough issue for us...I believe in our right to bear arms. I will go back to my comparison of large capacity magazines to hand grenades...they are too dangerous in the hands of joe blow. We,...
  7. tewdles

    Phone, cell, beeper and texting.

    tewdles replied to imintrouble's topic in General Nursing

    And again, be very very careful about texting patient identifiers when you are giving MDs info in the text. IT IS NOT SECURE if you are just using a plain ol cell
  8. tewdles

    Phone, cell, beeper and texting.

    tewdles replied to imintrouble's topic in General Nursing

  9. tewdles

    Phone, cell, beeper and texting.

    tewdles replied to imintrouble's topic in General Nursing

    We text the MD and ask him to call us regarding patient need. We don't put patient identifiers in text messages. We obtain our MD orders voice to voice. We don't leave specific patient information in...
  10. tewdles

    Morphine neurotoxicity

    tewdles replied to aphillipi's topic in Hospice, Palliative

    Yeah, talk it over with the doc...a decrease in the dose of morphine and a bit of a boost in the ativan may
  11. tewdles

    Using PPS rating correctly-chairfast vs. bedfast

    tewdles replied to juniper111's topic in Hospice, Palliative

    per PPS the patient who must be placed in a chair via a hoyer lift would be considered bedbound. That makes it less subjective and defend-able
  12. tewdles

    Tired HH nurse

    tewdles replied to IRNB's topic in Home Health

    I am so sorry for you in the situation. Good luck in your job
  13. tewdles

    Wish me luck!!

    tewdles replied to Morganalefey's topic in School

    Good
  14. tewdles

    Using PPS rating correctly-chairfast vs. bedfast

    tewdles replied to juniper111's topic in Hospice, Palliative

    # 125 The Palliative Performance Scale (PPS)
  15. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    Nope, not the guns...people kill people, sometimes they use
  16. tewdles

    Why do we use insulin drips?

    tewdles replied to EGVnurse's topic in Diabetes, Endocrine Nursing

    Rather than answer your question directly, let me ask you a few questions. Would you expect the Blood Glucose of an acutely ill DM with infection, npo, and TPN to be stable? What other methods are you...
  17. tewdles

    What is your go-to book for hospice documentation?

    tewdles replied to St_Claire's topic in Hospice, Palliative

    I do use the Corridor handbook for
  18. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    We do have more people here than in DC... They are pretty spread out though...are you aware of how big Alaska is?? The second largest city in the state has fewer than 50k people... population density...
  19. tewdles

    Nurses can't be punished for violating HIPAA

    tewdles replied to MikeyBSN's topic in HIPAA Challenges

    This is an interesting discussion and I cannot argue with your points. I wonder though, if a nurse does violate the HIPAA of a patient the patient could prosecute the nurse, couldn't they? Just like...
  20. tewdles

    Would you open this wound?

    tewdles replied to MomRN0913's topic in Hospice, Palliative

    Right, palliative wound care IS important. This is a toughie. I probably would not debride the wound IF the patient is expected to have a short terminal course. If there is any possibility that this...
  21. tewdles

    Roxanol/Ativan cocktail

    tewdles replied to ajitamamasita's topic in Hospice, Palliative

    Air hunger patients respond well to air flow, often. Are they using a fan on their
  22. tewdles

    What is your go-to book for hospice documentation?

    tewdles replied to St_Claire's topic in Hospice, Palliative

    hhhmmmm Hospice documentation is directed by the Conditions of Participation. If you learn what those are you will be ahead of the game. If you are using an EMR, the documentation will be driven by...
  23. tewdles

    Doctor texting order turned into a nightmare

    tewdles replied to Scotthudson1966's topic in General Nursing

    We text our medical director and ask him to call us back for
  24. tewdles

    Compassion fatigue?

    tewdles replied to ghanchett's topic in Health, Stress Management

    Tips to avoid compassion fatigue: Develop good professional boundaries and stick to them. Exercise routinely. Eat regularly. Get enough sleep. Discover what "fills your bucket" and practice that...
  25. tewdles

    management of bone ca pain

    tewdles replied to aging1's topic in Hospice, Palliative

    Thats a good reminder, Leslie, inexperienced docs should probably not be managing methadone in the field...too