tewdles RN

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

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All Content by tewdles

  1. tewdles

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

    tewdles replied to whichone'spink's topic in Emergency

    Nh patients transported to the ED likely do not provide the same level of excitement, activity, and challenge as say; a big trauma. My friends in ED prefer trauma, drama, and
  2. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    Upon rereading my post I realize that my point was implied but not clear. I love your sarcasm, I try to use it occasionally...usually with bad results. LOL We absolutely need to have universal health...
  3. tewdles

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

    tewdles replied to whichone'spink's topic in Emergency

    Also, remember that if the family wants the patient transported to the ED the facility will transport without an MD order, the family may call for transport
  4. tewdles

    Accepted a new job in telephone triage!

    tewdles replied to jujubeee's topic in Telephone Triage

    Be certain to follow your protocols
  5. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    Don't you think it is kind of sad that people have this image of vast numbers of citizens flocking into MD offices and hospitals all over the country once they have access to health coverage. ...vast...
  6. tewdles

    More ignorance. Any wonder the public is confused!

    tewdles replied to TakeTwoAspirin's topic in General Nursing

    I concur...Dr Welby The journalist doesn't get it, isn't well enough informed to get that she doesn't get it, and the person in the "RN Manager" role may well be in jeopardy. There is no way of...
  7. tewdles

    Home health aid and family dysfunction

    tewdles replied to Paul Collins's topic in Home Health

    All families are dysfunctional, it varies by degrees. Stressed families are more dysfuntional than others, in general. Try not to take it personally. Set good boundaries for behavior. Good
  8. tewdles

    Can Charting Software Spy on nurse

    tewdles replied to LaRN's topic in Home Health

    And many of the work laptops/tablets have GPS. There are some programs to allow admin to review the GPS data for the unit...helpful for agencies that suspect that a staff person may not be completing...
  9. 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

    The students who will be dissuaded by our professional venting should probably not be nurses to begin with. The profession requires a great deal of commitment and dedication as well as the ability to...
  10. tewdles

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

    tewdles replied to whichone'spink's topic in Emergency

    The ED as a dumping ground is the way our capitalist system has evolved. It is not likely going to change in the near future. LTCs/SNFs/ALFs will continue to send their elderly and ill patients to you...
  11. 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

    I really need all of you negative nurses to start being more positive and supportive. As an experienced nurse I find it all too depressing and it makes me very sad. It's all about me.
  12. tewdles

    last Christmas wish

    tewdles replied to smurfynursey's topic in Hospice, Palliative

    Not Christmas specifically, but some do have specific events or dates that are part of their EOL
  13. tewdles

    Heartland Hospice or Seasons hospice

    tewdles replied to LvANrse80's topic in Hospice, Palliative

    Yeah...if their mission wasn't hospice care for their patients, etc then
  14. tewdles

    How do you deal with these types of patients?

    tewdles replied to dudette10's topic in Patient, Colleague Relations

    Interesting
  15. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    You make good points and I couldn't agree more that ACA doesn't adequately address a number of issues. At least it is a start, a movement away from the current system that is not
  16. tewdles

    I'm seeing a lot of unprofessional posting here related to venting about patients

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

  17. tewdles

    I'm seeing a lot of unprofessional posting here related to venting about patients

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

    What may seem like a great deal of specific information about an individual patient to the reader may, in fact, be a combination of patients rolled into one. If that would dilute the purpose of the...
  18. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    The citizens of the US have been adjusting to our capitalist based health care system since we decided to include health insurance companies and attach access to employment. Since corporations are now...
  19. tewdles

    Doctor vs Nurse

    tewdles replied to anne919's topic in Patient Safety Issues

    I am concerned with the notion that this was all about a hospice patient, in rehab? So, when you are working with a hospice patient the hospice team will provide you with orders. You do not contact...
  20. tewdles

    Patient with Dementia's Right to Refusal

    tewdles replied to oblivionenigma's topic in Patient Safety Issues

    I think the OP gets the point that an advanced dementia patient can no more refuse their care than can a 5 year old. What they often can do, however, is to demonstrate to us those things in our POC...
  21. tewdles

    Pain meds and low BP?

    tewdles replied to fsh1986's topic in Patient Safety Issues

    But you held her long acting opioid rather than the prn. That makes it soooo much more likely that she will experience significant pain. Because you did not say what the diagnosis was, the type or...
  22. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    The system will have to
  23. tewdles

    I am so sick of racing the clock

    tewdles replied to Marston3s's topic in Nursing Career

    I would definitely recommend hospice, especially if you are comfortable with symptom management. It is true that the average stay in hospice is pretty brief, but on average, we have deeper...
  24. tewdles

    Howdeeeeeee! On my way to Anchorage...

    tewdles replied to UTVOL3's topic in General Nursing

    welcome to
  25. tewdles

    Accepted a new job in telephone triage!

    tewdles replied to jujubeee's topic in Telephone Triage

    Congrats! What type of triage nursing will you do? Office, hospice,