tewdles RN

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

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All Content by tewdles

  1. tewdles

    blame the morphine

    tewdles replied to pnhopeful's topic in Hospice, Palliative

    Are you familiar with the PAINAD? Google it and download it for your peers, it will inform their assessments of nonverbal and cognitively impaired patients. You should be able to find a copy that...
  2. tewdles

    Drug guide question

    tewdles replied to MilliePieRN's topic in Patient Medications

    The full term infant is categorized in the "full term"
  3. tewdles

    blame the morphine

    tewdles replied to pnhopeful's topic in Hospice, Palliative

    Use NHPCO and HPNA resources... Contact your state or regional hospice association... If your hospice is not providing adequately for the symptom management needs of your patients then you are not...
  4. tewdles

    blame the morphine

    tewdles replied to pnhopeful's topic in Hospice, Palliative

    It sounds like you peers would benefit from some hospice
  5. tewdles

    New grad in hospice = doomed?

    tewdles replied to aphillipi's topic in Hospice, Palliative

    That med-surg experience is not required. Home hospice care requires well developed critical thinking skills that often come after some time in a more controlled environment where you have immediate...
  6. tewdles

    Got Fired today

    tewdles replied to nursynurseRN's topic in Home Health

    As said before...brush it off, seriously, you do not want to work for an agency that operates that
  7. tewdles

    Pediatric Nurse Consultant practice

    tewdles replied to livtek's topic in Nurse Entrepreneurs, Innovators

    I believe that you are correct in thinking about the marketing....that will be the greatest challenge me
  8. tewdles

    Allergic to Morphine Sulfate but on Hospice Care

    tewdles replied to payang0722's topic in Hospice, Palliative

    may not be a true allergy...but even if it is you can use a liquid concentrated oxycodone
  9. tewdles

    Allowing Corpsman to Become Nurses

    tewdles replied to Asystole RN's topic in Government, Military

    I have worked with only 3 corpsman that became nurses...one LPN and 2 RNs. There may be more that I don't know about. There clearly is a pathway to become a nurse with that background and experience....
  10. tewdles

    Breach of HIPAA to look up one's own medical records at work??

    tewdles replied to sapphire18's topic in HIPAA Challenges

    It is likely not a HIPAA violation to view your own record... It is likely a violation of your employer policy to view your own
  11. tewdles

    Does Obamacare 2014 allow only BSRN to sit for NCLEX-RN?

    tewdles replied to Streamline2010's topic in Activism, Healthcare

    Mostly because he doesn't want it to JUST be a bad word....and the way it was being used prior to his embracing it, "Obamacare" was pretty much a derogatory word used in a critical way by his...
  12. tewdles

    Med-surg RN wanting to switch to hospice

    tewdles replied to Coco31's topic in Hospice, Palliative

    Your responsibilities will depend a great deal upon the size and location of the hospice agency. If they are a larger hospice they will likely have an oncall and triage staff. They may have dedicated...
  13. tewdles

    Interest in hospice

    tewdles replied to KBICU's topic in Hospice, Palliative

    Most hospice hiring managers look for nurses who have experience with assessment and the nursing process when seeking to fill field case management positions. That field work is VERY autonomous and...
  14. tewdles

    Physician Negligence

    tewdles replied to Djadia's topic in Medical-Surgical

    My experience is that docs do this sort of thing WAY too often. Sometimes they drag scissors out of their lab coats to cut sterile dressing supplies. Unbelieveable. You cannot report hearasy. Keep...
  15. tewdles

    Help!!! Caught btw rock and hard place--Instructor sending students home early...

    tewdles replied to meatballgirl's topic in General Students

    A nursing instructor who starts out by encouraging her students to short themselves on clinical hours and then lie to superiors about it is a **** poor nursing education in my
  16. tewdles

    d/c'ing routine meds,insulin

    tewdles replied to ktwlpn's topic in Hospice, Palliative

    It is about the hospice goals that the patient and family have identified. These are ethical issues that should be addressed by the
  17. tewdles

    Can I swap brains with you?

    tewdles replied to Brian's topic in General Students

    Holy crap I am pretty sure my brain is 30 years past NCLEX
  18. tewdles

    What can I do or say???

    tewdles replied to loveanurse777's topic in Hospice, Palliative

    Has this son agreed to meet with your grief
  19. tewdles

    What can I do or say???

    tewdles replied to loveanurse777's topic in Hospice, Palliative

    Take care of yourself. You did your job...you provided the education...you were honest with them, they were just not in a place to hear and comprehend. I also just did a death visit that included a...
  20. tewdles

    What are the most common questions you receive when on call?

    tewdles replied to cbennett3's topic in Hospice, Palliative

    It sort of depends upon where you practice, what type and size of agency you work for, and how unstable your patient population is. So, You might get lots of calls for stuff that could get taken care...
  21. tewdles

    Written up and confused.

    tewdles replied to pageturnstyle's topic in LPN, LVN Corner

    I agree that you acted with the intent of providing comfort for the patient who was in the process of actively dying. There was no way this poor individual was going to swallow the food pocketed in...
  22. tewdles

    Hospice and GIP admissions

    tewdles replied to NC29mom's topic in Hospice, Palliative

    Honestly, I had never questioned that! AND...I don't know the answer. Dang...and I wan't to just have a night "off".
  23. tewdles

    Hospice and GIP admissions

    tewdles replied to NC29mom's topic in Hospice, Palliative

    If the percentage of GIP level of care is high for your agency they will be on the radar for scrutiny. The national average for GIP level of care is less than 3% of hospice population...do you know...
  24. tewdles

    New to Hospice

    tewdles replied to NurseStephy's topic in Hospice, Palliative

    Good luck! Hospice case management is a very challenging yet rewarding
  25. tewdles

    Need to vent...being volunteered by someone else to do overtime...WHAT?!

    tewdles replied to uRNmyway's topic in General Nursing

    It is nice that you have helped them out on Sunday's before. You should not be scheduled for Sunday's without your approval unless your contract indicates that weekend work possibility. The owner's...