tewdles RN

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

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All Content by tewdles

  1. tewdles

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

    tewdles replied to tewdles's topic in HIPAA Challenges

    Example :home care pt dies in home, RN required to report disposition of medications, specifically opiates. Including name of family member in control of said
  2. tewdles

    Hospice Case Management question

    tewdles replied to Marshall1's topic in Hospice, Palliative

    That is doable,
  3. tewdles

    May 2013 Caption Contest: Win $100!

    tewdles replied to Joe V's topic in News, Announcements

    I know it was a lot, but give me
  4. tewdles

    Hospice Case Management question

    tewdles replied to Marshall1's topic in Hospice, Palliative

    What are you referring to by posting FT call in your original post? In my experience, that is being on call from 5p to 8a everyday with some weekend coverage built in. Is that not the case with a FT...
  5. tewdles

    Hospice Case Management question

    tewdles replied to Marshall1's topic in Hospice, Palliative

    I am not an advocate of pairing FT oncall with PT case management, when there is a choice. PT case management with SOCs, and shared oncall, maybe. In my view, if a person is working FT oncall, their...
  6. tewdles

    am i putting on risk my RN license????

    tewdles replied to kika7's topic in Hospice, Palliative

    It sounds like you are being paid as an independent nurse. You should have adequate malpractice insurance to cover yourself. This is particularly important because you are doing emergency visits as...
  7. tewdles

    HIPAA Violation? Article about nurses caring for Tsarnaev.

    tewdles replied to Spidey's mom's topic in HIPAA Challenges

    I was asked once to get someone onto my unit when a well known national celebrity was visiting his spouse's mother on oncology. I looked at them and said, "who???" Sorry, I have no idea who that...
  8. tewdles

    HIPAA Violation? Article about nurses caring for Tsarnaev.

    tewdles replied to Spidey's mom's topic in HIPAA Challenges

    Are you wondering if the entire article is a HIPAA violation? I will admit that I quickly perused the article and did not read it closely, but at first blush I don't feel that this is discusses any...
  9. tewdles

    Good deaths versus bad

    tewdles replied to missingmydad's topic in Hospice, Palliative

    I cared for a patient who also had "beings' present that a child could see as sparklies in the air. For a few days they were with the child, particularly at night and the day that grandma died the...
  10. tewdles

    Transporting Nsg Notes

    tewdles replied to PRNforPain's topic in Home Health

    The parent is wrong...the notes may be removed from the home and transported to the permanent patient medical record. Having said that, you have a clear legal responsibility to safeguard those...
  11. tewdles

    Patients destroying pain meds?

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

    That sounds like perhaps the MD needs to ask the patient to bring the meds to the clinic then and see to the
  12. tewdles

    May 2013 Caption Contest: Win $100!

    tewdles replied to Joe V's topic in News, Announcements

    zee drain, zee
  13. tewdles

    Patients destroying pain meds?

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

    I believe that we may request that the patient destroy the meds and offer to assist them. We must accept their word on the destruction unless we help. As stated before, the patient owns the meds and...
  14. tewdles

    New: Transcript requirement?

    tewdles replied to caren19's topic in Activism, Healthcare

    When my employers required my college transcripts they had to request it from the college(s) themselves and pay the fee. I graduated in
  15. tewdles

    Question re: FT on call and small case load

    tewdles replied to Marshall1's topic in Hospice, Palliative

    In my mind, on call and case management are two different roles in hospice...roles that are often in conflict. More discussion about how that would be manageable would be helpful to you in making the...
  16. tewdles

    D.C. Hospitals And Nurses Fight Over Staffing Ratios

    tewdles replied to jrsRN07's topic in Collective Bargaining, Union

    She did a good job... I wonder if she had to answer their questions? I wonder how many legislators were even there to listen to
  17. tewdles

    How Not to Die - new article featured in The Atlantic

    tewdles replied to _MORA_'s topic in Hospice, Palliative

    $$ will always interfere with patient care in the health care industry, not everyone is altruistic in their intents or
  18. tewdles

    End stage Alzheimer's

    tewdles replied to tnguy31's topic in Hospice, Palliative

    Rather than taking advantage of medicare, I think medicare should re-examine the criteria for dementia patients. There is no question that hospice care for advanced dementia patients is the most...
  19. tewdles

    Question about hospice patients

    tewdles replied to neuron's topic in Hospice, Palliative

    Use your judgment and that of the family. I am old(er), if I lay in one position too long it gets uncomfortable...I keep that in mind when I assess my patients. Thank you for considering how to keep...
  20. tewdles

    Injectable oxygen particle that allows person to live without breathing

    tewdles replied to Brian's topic in General Nursing

    the future awaits
  21. tewdles

    Approximate number of calls during on-call

    tewdles replied to alyiana's topic in Hospice, Palliative

    As you are building your hospice make certain to educate your patients/families about normal "during business hours" calls vs emergent calls. As a case manager take the time to "tuck in" your...
  22. tewdles

    PRN narcotics for patients who cant request it?

    tewdles replied to EMYrn2011's topic in Patient Medications

    Please speak to the hospice nurse about this. If the LVNs in you facility are not going to medicate this patient at intervals then the patient needs a change in plan to include better long acting...
  23. tewdles

    Glioblastoma advice

    tewdles replied to dreamrider212's topic in Hospice, Palliative

    What is the nature of the pain? If it is neuropathic pain it may respond well to something like gabapentin. Your opiate naive patient may not decline that option. Is he on anti-convulsants? Does he...
  24. tewdles

    Non Funded Patients

    tewdles replied to jeannepaul's topic in Hospice, Palliative

    Most not for profit hospices that I am aware of depend upon charitable donations to help them provide the
  25. tewdles

    Non Funded Patients

    tewdles replied to jeannepaul's topic in Hospice, Palliative

    sad indeed, it is a business first...and business is about