tewdles RN

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

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All Content by tewdles

  1. tewdles

    The way we ask for someone's pain level?

    tewdles replied to cmav8's topic in General Nursing

    I had throat pain once that was 10/10...then I swallowed!!! Holy **** batman, if that was 10 before it is 15 now! Chemo induced mucositis is NOT a walk in the
  2. tewdles

    Employer bait & switch, regret accepting hospice position,

    tewdles replied to Lucky724's topic in Hospice, Palliative

    They will investigate if you spark their interest with credible
  3. tewdles

    Employer bait & switch, regret accepting hospice position,

    tewdles replied to Lucky724's topic in Hospice, Palliative

    I agree ...give them your resignation and walk
  4. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    Yep...one nurse questioned it and lost her job immediately... given that there is NOT a lot of nursing employment in this area, the other nurses are trying to keep their heads down on this one,...
  5. tewdles

    The way we ask for someone's pain level?

    tewdles replied to cmav8's topic in General Nursing

    I find that hospitalized people(patients) often respond better to the "pain" questions and the 1-10 scale than do patients in their homes, and the very elderly. Too often elderly people don't count...
  6. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    lol...that was a cute thought...nah, this is not the kind of guy that would appreciate that. And remember, he fired the one and only nurse who questioned this decision...even though that firing put...
  7. tewdles

    Personality At Work vs. At Home

    tewdles replied to pinkiepieRN's topic in General Nursing

    Not so much for me... I have been a nurse for over 30 years so... I am still me at work, just more or less of some parts of me... for example...I am bossy at home, I am more bossy at work. I am silly...
  8. tewdles

    Medicare Diagnosis Changes

    tewdles replied to Stella1688's topic in Hospice, Palliative

    We used debility a good bit, but our debility patients had a very "reasonable" life span, in hospice terms. Our debility patients were often VERY fragile and did not survive long. Dementia dx should...
  9. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    I think it is not the cops that the nurses are "afraid" of...the cops have no power over them in this regard. The administrator however, DOES have power over employment and fired the one nurse who...
  10. tewdles

    Bad move to interview in your scrubs?

    tewdles replied to newtress's topic in Job Search, Interview, Resume

    I haven't read all of the responses. I have interviewed in scrubs, once, because it was completely unavoidable. I let the prospective employer know in advance that I would be wearing my work scrubs...
  11. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    Do you believe the nurse's licenses could be in jeopardy? Or would the hospital be the superior respondent if there were a legal
  12. tewdles

    Hospital Admin career

    tewdles replied to BirthBabes&Boobs's topic in Nursing Career

    I think the MHA. I am guessing that you are a woman. If you want to be an administrator in other than a nursing role (CNO etc) you will be largely overlooked with the MSN, especially because you are a...
  13. tewdles

    Medicare Diagnosis Changes

    tewdles replied to Stella1688's topic in Hospice, Palliative

    I simply cannot believe that they would dismiss dementia as a suitable primary dx code! Simply because we have difficulty predicting life span does NOT mean that people do not suffer and die from...
  14. tewdles

    What exactly do physicians do again?

    tewdles replied to wanderlustgirl's topic in Patient, Colleague Relations

    And I'm glad to read it
  15. tewdles

    What do you do when...

    tewdles replied to HippyDippyLPN's topic in Patient, Colleague Relations

    Problem 1..you are not describing a
  16. tewdles

    ethical issues in home care

    tewdles replied to shecub's topic in Hospice, Palliative

    I believe that lay persons may take the role of health advocate and contact the MD if this has been cleared with the patient and the permission appropriately communicated to the health team. I didn't...
  17. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    It would be important for posters to know that this particular hospital is the only hospital in the region, with the only HH and Hospice for the region. Nursing jobs are very limited in the area...
  18. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    The HIPAA language addresses when health providers may divulge protected information to law enforcement...we may divulge when we have concern for safety/welfare relative to the information we possess....
  19. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    I will say this, I do not work for this employer. I do know that an RN who believed that this was WRONG, who reviewed the law, and who asked the administrator to review the practice with the risk...
  20. tewdles

    Attending Dr not on board with hospice meds...

    tewdles replied to smalltownLVN's topic in Hospice, Palliative

    That is true for many docs. I have worked with a bunch of oncologists, however, that prefer to manage their own patients. By and large they are pretty good at palliating symptoms...not so much...
  21. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    And so, if you are a nurse working for this employer, what would you
  22. tewdles

    Do you get paid for your break?

    tewdles replied to Faby's topic in Nursing Career

    hourly employees generally do not get paid for one 30 minute lunch break and subsequently are scheduled for 8.5 hours. law requires that the employer provide 2 paid 15 minute breaks during that 8 hour...
  23. tewdles

    ethical issues in home care

    tewdles replied to shecub's topic in Hospice, Palliative

    Bottom line, she won't eat unless the nausea is palliated. More treatment may not be in her best interest...is that what she
  24. tewdles

    Reporting meds to the Police when a patient dies....HIPAA?

    tewdles replied to tewdles's topic in HIPAA Challenges

    All deaths in the field...HH or Hospice. The administrator mandates the reporting to law enforcement even when there is NO concern on the part of the professional. I have no idea what law enforcement...
  25. tewdles

    Can't believe the difficulty hiring CMs

    tewdles replied to mclennan's topic in Case Management

    this...