tewdles RN

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

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All Content by tewdles

  1. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    Americans were guaranteed a right to bear arms in our constitution...that is a unique feature of our freedoms when compared to other countries. Repealing that right is not going to go over well for...
  2. tewdles

    Healthcare is NOT a basic human right.

    tewdles replied to Asystole RN's topic in Activism, Healthcare

    Feel free to minimize the negative affect that for profit health insurance has had on our health delivery
  3. tewdles

    How young is too young...?

    tewdles replied to solneeshka's topic in General Nursing

    My kids are adults now, but when I was making those choices it made a huge difference to me how far away my children were from my employment IF they were going to be alone. As well, I had a back up...
  4. tewdles

    Healthcare is NOT a basic human right.

    tewdles replied to Asystole RN's topic in Activism, Healthcare

    The federal government administrated the medicare program with greater efficiency and lower overheads than the private insurance company administrated their programs. When I became a nurse I started...
  5. tewdles

    Concealed Carry...as a nurse?

    tewdles replied to mcknis's topic in Activism, Healthcare

    When I worked home care in the greater Detroit area I did use my CCW and carried my handgun often. I have a holster that fits in the small of my back so it was not problematic for my scrubs and it...
  6. tewdles

    A few questions, please

    tewdles replied to dianne777RN's topic in Hospice, Palliative

    a variety of anticholinergics are used for terminal secretions, including atropine. Remember that when you apply a scopolamine patch the drug is not effective immediately as it would be with atropine...
  7. tewdles

    Hiccups, Hiccups and more Hiccups!!

    tewdles replied to Sweeshynurse's topic in Hospice, Palliative

    You might ask if it could be added for this particular symptom, which is very unpleasant for many people. Thorazine is an old and pretty inexpensive medication for hospice
  8. tewdles

    Offer coming tomorrow!

    tewdles replied to RipeTomato's topic in Hospice, Palliative

    Congratulations and welcome to hospice! It is very demanding work but can be immensely
  9. tewdles

    A few questions, please

    tewdles replied to dianne777RN's topic in Hospice, Palliative

    Mophine may reduce the work of breathing while it controls pain. It does not impact secretions. We do pay attention to doses as people near death, knowing that their kidneys and livers are not at...
  10. tewdles

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

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

    munchausen by internet is preferrable to munchausen by
  11. tewdles

    Bending and Breaking the Rules in Nursing

    tewdles replied to TheCommuter's topic in Geriatric, LTC

    Thank you for breaking a stupid
  12. tewdles

    New Grad for Hospice

    tewdles replied to tnguy31's topic in Hospice, Palliative

    Field hospice work is VERY challenging for new grads. Protect yourself emotionally, Good
  13. tewdles

    Admissions RN duties?

    tewdles replied to Little_Mouse's topic in Hospice, Palliative

    An RN with bedside experience could be trained to be a hospice admission nurse. It is a very different role from CM...you have no ongoing relationship with the patients...you admit them and move on to...
  14. tewdles

    What would you change about nursing?

    tewdles replied to aellisrn's topic in General Nursing

    Change health care from a wealth building machine to a not for profit national exercise in improving the health of the
  15. tewdles

    Hiccups, Hiccups and more Hiccups!!

    tewdles replied to Sweeshynurse's topic in Hospice, Palliative

    I read somewhere once that, like, 25% of end stage gut/panc/liver cancers suffer from intractable hiccups in the last week of life. Thorazine and Haldol have been used most often in my
  16. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    I agree that health insurance does not equal health care...yet that is the model in this country that our legislators were hell bent on
  17. tewdles

    Not falling for that old trick

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

    I agree that it is difficult from a management perspective. And short staffing takes a very serious toll on the remaining staff AND the patients. We have to develop better mechanisms to deal with...
  18. tewdles

    Does the ED stand for Emergency Department or the Everything Dumpster?

    tewdles replied to whichone'spink's topic in Emergency

    Yay
  19. tewdles

    I feel like they should change the title of this site to "reasons why my job sucks"

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

    There's a chinese checkers tournament on AllNurses? The winner gets a baseball bat??? Yea, I heard
  20. tewdles

    Does the ED stand for Emergency Department or the Everything Dumpster?

    tewdles replied to whichone'spink's topic in Emergency

    Disagree with what? LOL with UTI is as exciting and challenging as MVA/gunshot/etc? My friends don't enjoy trauma, drama, and
  21. tewdles

    Not falling for that old trick

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

    Some managers do act as if your sick time is negotiable. If you do not abuse your time off you should not be
  22. tewdles

    bolus w/o order....yes or no?

    tewdles replied to sarahbeth2006's topic in General Nursing

    Nurses practicing in a specialty area for a period of time often practice in ways that "cut corners"...as in this instance, give the bolus then get the order. There is some jeopardy in this practice...
  23. tewdles

    Not falling for that old trick

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

    If you are sick then do not let the "dialog" surrounding your absence deter you. Staffing the hospital is not the responsibility of the staff nurse...it is the responsibility of the administration and...
  24. tewdles

    Hospitals illegally firing nurses for refusing flu vaccines

    tewdles replied to AQEELSMOM's topic in Disaster Preparation

    No question that the obese are often passed over for employment, as are ugly people, people with physical deformities, and people who are poor and don't dress well. Yes managers do "NOT" hire someone...
  25. tewdles

    Can Charting Software Spy on nurse

    tewdles replied to LaRN's topic in Home Health

    case managers sit around? don't they visit and assess