tewdles RN

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

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All Content by tewdles

  1. tewdles

    Creutzfeldt-Jakob disease

    tewdles replied to tolbbk's topic in Hospice, Palliative

    I wonder if they received blood...there is concern that this is transmitted in that fashion. Or cannibalism...probably not that eh? Milieu is extremely important for these patients. The last one I...
  2. tewdles

    no provision for continuous home care

    tewdles replied to nurseebol's topic in Hospice, Palliative

    First...thank you for trying to advocate for your patient. If your hospice is a joint commission or medicare certified agency they are bound to the conditions of participation. Hospice services for a...
  3. tewdles

    Implications of Obamacare... what's your opinion?

    tewdles replied to Nurse_AV's topic in Activism, Healthcare

    I am not certain how our language could impact any legacy that a president has... Calling the ACA "Obamacare" is simply using a term coined with the intent to criticize rather than using the proper...
  4. tewdles

    Ethical Question About Pacemaker

    tewdles replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    What makes you think that hospice doesn't get that patients at end of life are allowed to self
  5. tewdles

    Ethical Question About Pacemaker

    tewdles replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    We must not intend to cause death... We must not intend to hasten death... We palliate symptoms and allow them to
  6. tewdles

    hospice nurse job duties

    tewdles replied to cawkazn's topic in Hospice, Palliative

    To the OP, most hospice nurses work in the field rather than in a hospice facility. More than 75% of all hospice care takes place in the patient/family
  7. tewdles

    State-Mandated Nurse Staffing Levels Alleviate Workloads, Leads to Lower Patient Mortality

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

    Short staffed nurses and million dollar administrators...I wonder why our outcomes are in the
  8. tewdles

    Implications of Obamacare... what's your opinion?

    tewdles replied to Nurse_AV's topic in Activism, Healthcare

    Our current outcomes are pretty mediocre
  9. tewdles

    Nurses union to press for minimum hospital staffing ratios in D.C.

    tewdles replied to herring_RN's topic in Activism, Healthcare

    We, as nurses, need to stand strong on these
  10. tewdles

    Ethical Question About Pacemaker

    tewdles replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    Welcome to the world of hospice where death, dying, and issues related to end of life are largely ignored by hcp's who are uncomfortable with the discussion. It is widespread and is in large part...
  11. tewdles

    Do you stand up for yourself to patients?

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

    I agree, Mariebailey, we do have to let good amounts of bad behavior slide...these people are generally not well and pretty stressed by the time they get to interact daily with an RN. Let it slide...
  12. tewdles

    Ethical Question About Pacemaker

    tewdles replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    Again, it is rare that a pacemaker will prevent a person from dying a "natural" death. Hospice rarely requests that pacers be DC'd. Implanted defibrillators are an entirely different story and they...
  13. tewdles

    Do you stand up for yourself to patients?

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

    Establishment of professional boundaries for delivery of nursing care is important. Patients and family members who are abusive to staff should be educated as to the expectations for their behavior....
  14. tewdles

    Ethical Question About Pacemaker

    tewdles replied to Nursingbride12's topic in CCU, Coronary, Cardiac

    We rarely have to DC pacers in hospice...defibrillators are quite a different matter as has been addressed in earlier comments. Most of the time, our patients will die regardless of pacing and it is...
  15. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    Indeed! I also recall that one of those "bodyguards" conspired against him and Christ asked his disciple to lay aside his weapon when he was
  16. tewdles

    hospice nurse job duties

    tewdles replied to cawkazn's topic in Hospice, Palliative

    Is there one RN for 6
  17. tewdles

    hospice nurse job duties

    tewdles replied to cawkazn's topic in Hospice, Palliative

    Hospice is a very demanding environment. There can be huge rewards. How large is the
  18. tewdles

    Roxanol/Ativan cocktail

    tewdles replied to ajitamamasita's topic in Hospice, Palliative

    We would typically only educate the family on using them IF they were both needed to palliate more than one symptom. Many people do not require the combination to be comfortable. Elderly patients...
  19. tewdles

    ADN or BSN for hospice nursing

    tewdles replied to arkiebarbie's topic in Hospice, Palliative

    It will depend upon the hiring agencies... BSN is a good idea if you have the time and finances, it will serve you better in the long run of your
  20. tewdles

    Replaced by Certified Medication Aide!

    tewdles replied to ladyjanelpn's topic in LPN, LVN Corner

    Yep, they can give the meds. They can't teach them they can't monitor for effect or side effect they can't assess for
  21. tewdles

    Munchausen by Internet: The Lying Disease that Preys on the Heart

    tewdles replied to tnbutterfly - Mary's topic in General Nursing

    I certainly have shared some of my medical experiences with AN. I wonder if people think I made them
  22. tewdles

    i need help with new career directions for old rural nurse

    tewdles replied to suelson's topic in Nursing Career

    Hospice?
  23. tewdles

    New Grad for Hospice

    tewdles replied to tnguy31's topic in Hospice, Palliative

    At least in the ICU you have other nurses around to collaborate with when your patient is having trouble. In hospice it is just little ol' you and the anxious family all alone in the family home. In...
  24. tewdles

    What would you consider a bed bound patient?

    tewdles replied to juniper111's topic in Hospice, Palliative

    Use the palliative performance score rather than a designation of bedbound. It provides a clearer picture of the functional status of the
  25. tewdles

    Munchausen by Internet: The Lying Disease that Preys on the Heart

    tewdles replied to tnbutterfly - Mary's topic in General Nursing

    I have worked with a number of Munchausen by Proxy patients in the PICU. They were always very sad and not easy to diagnose. We actually had to have a camera installed in one of our private rooms so...