tewdles RN

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

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All Content by tewdles

  1. tewdles

    Does hospice pay for luprone injections

    tewdles replied to masham1711's topic in Hospice, Palliative

    If the medication is intended for palliative relief of symptoms for the primary hospice diagnosis it should be the financial responsibility of the hospice provider. Suppression of tumor growth may or...
  2. tewdles

    Did I make the biggest mistake of my career?

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    Noey, it never ceases to amaze me...the number of nurse managers who have NO CLUE how to EFFECTIVELY manage people.
  3. tewdles

    Lost varicella immunity?

    tewdles replied to SkiMama's topic in General Nursing

    It is not uncommon to have some general malaise, mild, following vaccination with a "live" vaccine as compared to receiving an inactivated vaccine...at least that is my anecdotal experience in...
  4. tewdles

    How Much Does a Hospice Nurse Make?

    tewdles replied to EmilyLucille523's topic in Hospice, Palliative

    Welcome to
  5. tewdles

    Hate to discharge a patient that is hospitalized

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    The patient may choose to revoke their hospice benefit to seek treatment for their disease which lies outside the POC and goals of care. If the patient chooses not to revoke and is hospitalized, the...
  6. tewdles

    NO, my husband is not in pain. Or is he?

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    Have a sit down with the spouse, you, and the MSW. Invite the other disciplines if you want...have a little IDT, if you will. You are, after-all, the case manager and you have addressed a problem...
  7. tewdles

    Lost varicella immunity?

    tewdles replied to SkiMama's topic in General Nursing

    bold addedI was under the impression that the varicella vaccines were live attenuated viruses. I just googled it and the majority of the hits reflect live...but I have been out of the field for...
  8. tewdles

    Hopefully helpful advice!

    tewdles replied to WittySarcasm's topic in Geriatric, LTC

    Stay
  9. tewdles

    Faxed signatures of physician orders

    tewdles replied to Mazzi's topic in Legal

    The faxed and signed document is perfectly legal. We also keep the original in the chart in addition to the fax "log" showing date and time of the original fax to the provider, probably overkill but...
  10. tewdles

    I have an inerview tomorrow!!!!

    tewdles replied to WeirdNurseKelly's topic in Hospice, Palliative

    Good
  11. tewdles

    Did I make the biggest mistake of my career?

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    hhhmmm...looks like leslie was
  12. tewdles

    RN with relapsing cdiff

    tewdles replied to RNinPGH's topic in Infectious Disease

    Check out information on fecal
  13. tewdles

    Questions about office nursing!

    tewdles replied to luvapug's topic in Ambulatory Care, Clinic

    When my children were young I tried to have an alternate plan for my mildly ill child...you know, the one who is not well enough to go to school but is clearly going to recover unscathed. As an RN in...
  14. tewdles

    Did I simply shadow a lazy Hospice RN during clinical?

    tewdles replied to SNB1014's topic in Hospice, Palliative

    Hospice nurses are not driven by the need to accomplish tasks. We are not the caregivers. Hospice nurses are visiting the patient and carrying out a nursing plan of care. You visited 2 days with a...
  15. tewdles

    New Director of nursing for a start up company

    tewdles replied to ea.bednar's topic in Home Health

    I have no idea of your background so I cannot know what you need to know... but my recommendation would be for you to be bold while she has your back. Now is the time to learn as much as you can...
  16. tewdles

    Compassion or reality for obese patients?

    tewdles replied to stefanyjoy's topic in General Nursing

    What if health insurance companies consider and use it as the gold standard diagnostic
  17. tewdles

    Compassion or reality for obese patients?

    tewdles replied to stefanyjoy's topic in General Nursing

    Not only is it practical to treat all of our patients with unconditional regard, it is imperative if we want to establish a functional and effective professional relationship with them. You will...
  18. tewdles

    Career in administration vs management

    tewdles replied to Jan_80's topic in Nurse Management

    You may have noticed that assembling computers is just a wee bit different than
  19. tewdles

    Career in administration vs management

    tewdles replied to Jan_80's topic in Nurse Management

    My observation over 3 decades is that in nursing administration that combination is often
  20. tewdles

    Charting: UTIs

    tewdles replied to nycNurse2b's topic in Geriatric, LTC

    Quite correct. And so we then change our NURSING plan of care to address these known risks with the goal of preventing the UTIs. If these interventions are adequate and correct, the patients will be...
  21. tewdles

    Discharge a patient because they go to er?

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    In my mind the av graft is not palliative and would therefore be outside of the hospice goals of care. This would require him to revoke, at least in my opinion. You are quite correct that prefilled...
  22. tewdles

    Do you as a Hospice Nurse use a pulse oximeter?

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    When I first came to hospice I thought I would want a pulse ox. I quickly learned that the patients who would need that information to be more comfortable own their own. And, they are often fixated...
  23. tewdles

    Palliative Care Nurse

    tewdles replied to jascallme's topic in General Nursing

    Hospice care and palliative care nursing are fundamentally linked by their promotion of quality of life and comfort. The primary difference between the two is the hospice requirement for abandonment...
  24. tewdles

    What is the term for word confusion in the elderly

    tewdles replied to newtress's topic in Geriatric, LTC

    Apraxia mostly refers to motor skills. Some form of aphasia is common in dementia patients. I enjoy the good comments and information found on
  25. tewdles

    Medication Question---Hospice Related

    tewdles replied to lar2011's topic in Nursing Student Assistance

    If you are a new field hospice nurse you should collaborate with the appropriate pharmacist as you learn this process. My agency has a contract with both local and a national pharmacy provider. You...