tewdles RN

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

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All Content by tewdles

  1. tewdles

    Top 3 admitting terminal dx

    tewdles replied to NC29mom's topic in Hospice, Palliative

    I tend to disagree, suesquatch but I am certain that our experiences are quite different in this regard. In those instances our expertise helps to maintain that level of comfort while working hard to...
  2. tewdles

    Top 3 admitting terminal dx

    tewdles replied to NC29mom's topic in Hospice, Palliative

    I have not heard of that
  3. tewdles

    Volunteer?

    tewdles replied to Irene Jeanette's topic in Hospice, Palliative

    yes volunteer with the hospice if they are a good agency stay with them while you finish your RN I know a Director in a hospice that started EXACTLY that
  4. tewdles

    fundraising

    tewdles replied to sclpn's topic in Hospice, Palliative

    Fund-raisers that I have seen in different cities for different hospices: Silent Auctions Wine tasting Comedy club Green House/Plant sales Dinner events Afternoon/family events For me, the point is to...
  5. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    According to HIPAA law, I believe that you are required to report if you believe that the situation may result in harm to someone. If a family member refuses to destroy the meds, do you feel compelled...
  6. tewdles

    Career Advice

    tewdles replied to fitzgeky's topic in Nursing Career

    Congratulations on your new job. My advice...spend a minimum of 6 months working on the fundamentals of the OR position. When you feel pretty confident in most situations (ie: you don't feel...
  7. tewdles

    the homeless that wander in...

    tewdles replied to mish_RN's topic in Emergency

    I know that we have homeless here too. Many of them remain outside all winter, even though there are places for them to shelter. They sometimes break into abandoned cabins or sheds, greenhouses,...
  8. tewdles

    the homeless that wander in...

    tewdles replied to mish_RN's topic in Emergency

    Again, IMHO, the community owns the responsibility for their homeless, the hospital as a member of the community shares in that...but it is the communities issue. Do the homeless suffer in your area?...
  9. tewdles

    Attending Dr not on board with hospice meds...

    tewdles replied to smalltownLVN's topic in Hospice, Palliative

    Your medical director needs to have a talk with that provider and educate them on the palliative care for the patient. If the Dr is not compliant and the family would like improved relief, they...
  10. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    I believe the hospice nurses are being required to set aside the actual HIPAA law to assist law enforcement in their desire to curb substance abuse in the community. In my view, this is not a nursing...
  11. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    Should all medications for deceased individuals in the community be reported , or just single out those who died at home
  12. tewdles

    the homeless that wander in...

    tewdles replied to mish_RN's topic in Emergency

    It is NOT the hospitals' responsibility solely, it is the responsibility of the community to address their civic issues, such as
  13. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    So, the question is whether or not the mandated reporting of the information is a violation of HIPAA. By the by, how do you make a family member destroy the
  14. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    Let's say we have a hospice patient who dies in the home, and has opiates and other medications that remain after the death. The family prefers to do with the medications what they desire and sign...
  15. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    The laws of the state I am in DO NOT require this...they essentially are the same as in Michigan, my home state. I believe this is a HIPAA violation, I believe the nurses are breaking the law, and...
  16. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    Management has mandated that the nurses report to law enforcement because law enforcement wants the information. They want to know what medications, in what quantity were in the home (especially...
  17. tewdles

    The right to refuse has so many interpretations

    tewdles replied to Alnitak7's topic in General Nursing

    I believe that identifying what the patient prefers to be called is part of nursing care planning across the spectrum of specialties and practice
  18. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    So, how would you feel about management required you report all of that to your local police? Would that be a HIPAA
  19. tewdles

    The right to refuse has so many interpretations

    tewdles replied to Alnitak7's topic in General Nursing

    I believe these are largely matters decided using critical thought and nursing judgement. I see distinct differences in the practice settings and requirements, as previously mentioned by Leslie. It...
  20. tewdles

    Can't get accurate radial pulse

    tewdles replied to Pepperony's topic in General Nursing

    P R A C T I C E everyone you know with an arm has a radial pulse try feeling their brachial pulse or carotid pulse with the radial...or auscultating while palpating the radial artery do whatever it...
  21. tewdles

    why record lab results in the nurse's note

    tewdles replied to Pediatricjo's topic in General Nursing

    I agree that it sounds like the nurse responsible for this has learned something new and is trying to implement as best can. However, the nurses actually responsible for the documentation should be a...
  22. tewdles

    Nursing Unions: Pros and Cons

    tewdles replied to lookup's topic in Collective Bargaining, Union

    That is terrific...we surely wish that all, or maybe even most nursing employers were so altruistic. The fact that they are not is what provides need for unionization. Congratulations for finding a...
  23. tewdles

    Top 10 Reasons Against Unions

    tewdles replied to PICUPNP's topic in Collective Bargaining, Union

    Thanks to the draconian politics and policies of the "conservative" leadership in the state. Michigan is not far
  24. tewdles

    Nursing Job Satisfaction

    tewdles replied to tangel's topic in Activism, Healthcare

    Please do not blame the patients for the health system that they must use and DID NOT
  25. tewdles

    the homeless that wander in...

    tewdles replied to mish_RN's topic in Emergency

    Perhaps the way health care systems treat the homeless in the community is a reflection on the humanity and compassion of that