tewdles RN

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

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All Content by tewdles

  1. tewdles

    Morphine neurotoxicity

    tewdles replied to aphillipi's topic in Hospice, Palliative

    There are texts available for you addressing palliation of symptoms at end of life...you can still be a book
  2. tewdles

    Pain meds - more restrictions now than previous?

    tewdles replied to martymoose's topic in Pain Management

    There are a number of published articles that detail the opiate aversion that some HCPs demonstrate. The studies show that reluctance, misunderstanding, and ignorance of prescribing principles...
  3. tewdles

    Interviewing potential candidates-- Nurse manager's perspective

    tewdles replied to newgradtitan's topic in Nurse Management

    Often we have more than one candidate for a position. Many of us are then looking for competent professionals who will fit with the team players already present. Personality and life experience sorts...
  4. tewdles

    Need help with how to round on unit as manager......

    tewdles replied to enzati's topic in Nurse Management

    Communicate to them what your intent is for the
  5. tewdles

    Day-long interview...

    tewdles replied to mommy2boysaz's topic in Nurse Management

    My most recent interview was several phone calls and then several days long. Because of the distance they flew me into town and paid for my lodging. It really depends upon the position you are...
  6. tewdles

    Question regarding possible patient abandonment?

    tewdles replied to Showdizzle's topic in Home Health

    You didn't leave the patient without care, the patient refused the care, misrepresented the orders to you, and the MD did not provide you with new written or verbal orders for ongoing care after the...
  7. tewdles

    nursing diagnosis for health care

    tewdles replied to mother1strn2nd's topic in Home Health

    Skyscape has an android Nursing Diagnosis Handbook for your smart phone...
  8. tewdles

    A Call to Action from the Nation's Nurses in the Wake of Newtown

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    Our health industry decided years ago that there was no value in funding mental health care... We essentially de-funded community programs in the early 80s. Insurance companies are not interested in...
  9. tewdles

    Obamacare

    tewdles replied to Topher53's topic in Activism, Healthcare

    I certainly know of a few people who will seek medical intervention for problems that they have not had coverage for... a torn rotator cuff, a torn meniscus are examples of needs that people put off...
  10. tewdles

    Splendid Opportunities in Nursing

    tewdles replied to Brian's topic in Nurses Rock

    I think I still look quite a bit like my image there on the
  11. tewdles

    Healthcare is NOT a basic human right.

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

    Was this directed toward a particular post or
  12. tewdles

    The inactivated Flu shot only prevents the flu in just 1.5% of the population

    tewdles replied to Garethaus's topic in Disaster Preparation

    I have had influenza as a young nurse...I get my flu shot now because I definitely do not want that again. My grade school grand daughter is recovering from influenza right now...she has a congenital...
  13. tewdles

    Antidepressants

    tewdles replied to jeyre1847's topic in Hospice, Palliative

    I will return to my original post which is that any medications added to the hospice POC MUST be reported to the hospice Case Manager! The patient may well benefit from an antidepressant, however, the...
  14. tewdles

    Healthcare is NOT a basic human right.

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

    So Health care is a basic human need? As a society do we insure that our citizens can have their basic human needs met or do we leave it to survival of the fittest and the ability to pay for those...
  15. tewdles

    It finally happened to me..

    tewdles replied to Nurseamanda00's topic in Nurses Rock

    Driving is a dangerous thing. I am mindful of this each day when staff that I am responsible for go out to visit patients in all sort of bad weather! I am so glad that you are okay and that you were...
  16. tewdles

    Ill Nurse

    tewdles replied to crish_nurse's topic in Nursing Career

    Sorry to hear about your injury. Many of us have injured our backs over the years in providing care to patients. My best advice is to fully recover, give yourself time, go to your PT. Having...
  17. tewdles

    Health Insurance

    tewdles replied to umcRN's topic in Travel

    Good luck. You might consider traveling with a large health care organization that has facilities and services in multiple states. Banner would be an example. I imagine that their health insurance...
  18. tewdles

    Ca. Nurse Assn. has a new affilate...

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

    I think we all have to be prepared to be VERY politically active when Health Care Administrators begin to REACT to ACA changes by cutting back on the care delivery team members. We can do this,...
  19. tewdles

    Forced to Take an Assignment You Can Not Handle

    tewdles replied to 1RN4Christ's topic in Patient Safety Issues

    What a wonder that you can even survive work like that! I hope that you will pat yourself on the back for what you were able to accomplish for the patients in your care under impossible circumstances....
  20. tewdles

    New health care laws and our jobs.

    tewdles replied to roreyn02's topic in Activism, Healthcare

    "I have done Medicare chart reviews (payments were confirmed, denied, or reduced due to DOCUMENTATION-it's ALL about the documentation" I highlight this because in Home Care documentation is the thing...
  21. tewdles

    Healthcare is NOT a basic human right.

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

    Who does deserve health care in the
  22. tewdles

    First time, signed "name, RN"

    tewdles replied to JBMmom's topic in Geriatric, LTC

    Congratulations!
  23. tewdles

    Antidepressants

    tewdles replied to jeyre1847's topic in Hospice, Palliative

    My first question is, which doctor ordered the medication? The hospice teams must be notified of the new medication and they will help you and your coworkers help your patient. If this is not a...
  24. tewdles

    Critical Thinking: you have it or you don't. Agree or disagree?

    tewdles replied to LTCnurse11's topic in Nursing Professionalism

    As we practice our profession, we expand and enrich our professional knowledge. For instance, if you are expert in symptoms and their management, you have more information in your brain to inform...
  25. tewdles

    I need help processing my first hospice patient experience.

    tewdles replied to pkateRN's topic in Hospice, Palliative

    I, simply too much as there is a personal component to it, but the primary loss is certainly professional. My weakness is reviewing the case repeatedly in my head, as the difficult cases are the...