tewdles RN

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

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All Content by tewdles

  1. tewdles

    Nurses Who Smoke Marijuana

    tewdles replied to NenaRK's topic in Nurses Recovery

    So the assumption is that if a nurse has a mj card, all legal and everything, that the nurse is getting high and working? ok
  2. tewdles

    Cursing on the job

    tewdles replied to Ciale's topic in Emergency

    I try to practice restraint... as a born again Christian my language should glofify God...I too often fall quite a bit short of that. I do recommend balance. Those things that we practice become...
  3. tewdles

    Nurses Who Smoke Marijuana

    tewdles replied to NenaRK's topic in Nurses Recovery

    I am dismayed that the nurse who had a legal medical marijuana card was not hired because of it... Would that also have been true if the nurse had tested postive for ativan or some other med for which...
  4. tewdles

    Feeling sad about my ALS patient

    tewdles replied to ekramona's topic in General Nursing

    I agree with Leslie and others who have commented that your nonprofessional staff are in need of some inservicing on these diseases and how they affect their victims. The aide currently providing most...
  5. tewdles

    sequester...huh?

    tewdles replied to lkulmann's topic in Activism, Healthcare

    Please note that the salaries and benefits of the legislators (who rarely legislate anymore) are exempt from the sequester cuts...or ANY cuts for that
  6. tewdles

    Working for 2 agencies at the same time

    tewdles replied to tktjRN's topic in Home Health

    Some agencies ask staff to sign a "no compete" contract that does NOT allow work at a competitor. If you did not sign that you may seek that employment, keeping in mind that apparently your employer...
  7. tewdles

    Using HH computer software

    tewdles replied to agardner2020's topic in Home Health

    Having used paper documentation and the most horrible software, I would have to say that I prefer even the worst EMR to
  8. tewdles

    hourly paid hospice job

    tewdles replied to mabbott19179's topic in Hospice, Palliative

    I have always preferred hourly pay as a hospice
  9. tewdles

    Helping a patient achieve comfort at end of life is not that easy....

    tewdles replied to MomRN0913's topic in Hospice, Palliative

    Your respiratory patients will require a level of polypharmacy that many patients do not to achieve optimal symptom relief. Many of them have referred pain as well as dyspnea. opiates, benzos,...
  10. tewdles

    Ethical Dilemma

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

    I agree with other posters...not an ethical delimna, but an uncomfortable one for you, for sure. Your hospital likely has patient rights and responsibilities posted somewhere...they outline the...
  11. tewdles

    New to Hospice Nursing

    tewdles replied to swimmer_mom_nurse's topic in Hospice, Palliative

    The interdisciplinary team meetings are for collaboration for care that you ANTICIPATE the patient will require in the upcoming 2 weeks. It is the time to discuss the problems on the POC that are not...
  12. tewdles

    Discontinue tube feeding

    tewdles replied to aphillipi's topic in Hospice, Palliative

    tapering is not indicated or of any value with TFs DC sometimes results in reduction of other noxious
  13. tewdles

    Question

    tewdles replied to dialysisnurseLC's topic in Hospice, Palliative

    I would have no problem waking him for his maintenance dose of a long acting.... probably not for a prn but I would be watching for evidence of disturbed sleep which might indicate discomfort and...
  14. tewdles

    How many patients should a case manager be responsible for.

    tewdles replied to katie'sangel's topic in Hospice, Palliative

    Your saving grace will developing strong boundaries. As case manager you do NOT have to own the responsibilities of CV and MSW. You must keep you feelings within the professional boundaries to...
  15. tewdles

    How many patients should a case manager be responsible for.

    tewdles replied to katie'sangel's topic in Hospice, Palliative

    Please tell me that you at least have MSW and CV support so that you do not have to manage the psychosocial and spiritual needs as
  16. tewdles

    Interview with "Inappropriate" Questions

    tewdles replied to Heavenly4505's topic in Job Search, Interview, Resume

    do not work for this employer. report their unlawful practices... don't look
  17. tewdles

    Bossy Patient

    tewdles replied to KittyLovinRN's topic in Home Health

    tell her that the insurance won't pay and you would like to help her transition to a dressing that they will pay for...so she wont be out money...be a
  18. tewdles

    Looking to connect with other Christian nurses

    tewdles replied to SuzieF's topic in Spirituality, Religion

    Perhaps this is a good thread for you to avoid
  19. tewdles

    Looking to connect with other Christian nurses

    tewdles replied to SuzieF's topic in Spirituality, Religion

    Welcome to AN from your born again Hospice
  20. tewdles

    I don't know how you nurses deal with death

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

    Fortunately, our mothers don't die everyday...but our patients do. Death is as natural as birth although not as happy. Establishment of good professional boundaries helps us to remain healthy despite...
  21. tewdles

    How many patients should a case manager be responsible for.

    tewdles replied to katie'sangel's topic in Hospice, Palliative

    The number of patients that a FTE RN CM can handle depend a great deal upon the rural vs. urban nature of your practice, the presence of patients in ALFs or SNFs, the experience of the RN CM, the...
  22. tewdles

    Why can't nurses intubate?

    tewdles replied to natnat122's topic in Emergency

    Granted, I have been an RN for decades, but, I intubated neonates and children pretty regularly in my years as an NICU, PICU, and critical care transport nurse. As has been previously mentioned,...
  23. tewdles

    Staffing OB units with 2 nurses?

    tewdles replied to chrys_jenae's topic in Patient Safety Issues

    I have been out of OB/GYN for quite a spell, you will want to check... There is something to be said for reducing the liability of the hospital with a labor patient where the negative results could...
  24. tewdles

    Teachers and Nurses create the big one...

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

    Unions have a place in any employment situation where the employer is not responsive to the needs and well being of the staff. Not all employers are bad and thus, not all work environments benefit...
  25. tewdles

    Staffing OB units with 2 nurses?

    tewdles replied to chrys_jenae's topic in Patient Safety Issues

    I worked for a spell in a high risk L&D and antepartum unit. We did about 3500 births/year but still had SLOW days/shifts. If we had no patients we had an RN on the floor with another L&D in...