tewdles RN

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

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All Content by tewdles

  1. tewdles

    Washington state to make Medical Assistants work under RN license?

    tewdles replied to Psychtrish39's topic in General Nursing

    Hospitals will replace RNs with CNAs and MAs at the expense of the health status of their patients. Their CEOs etc may improve their bottom line, but will not improve their patient care... Nurses who...
  2. tewdles

    Season Hospice

    tewdles replied to kimhaw's topic in Hospice, Palliative

    7 on and 7 off can be a challenging but very fulfilling schedule...depends upon your lifestyle and
  3. tewdles

    Select Specialty Hospital

    tewdles replied to Tiffie1210's topic in Michigan Nursing

    I believe Select Specialty also manages a LTAC unit within St Joseph/Trinity hospital in
  4. tewdles

    Seasonal nursing southwest Michigan?

    tewdles replied to Bandnut's topic in Michigan Nursing

    Check out community health centers. Specifically, Intercare Community Health Center is located in SW Michigan and provides medical, dental, WIC, and other health care to underinsured and uninsured...
  5. tewdles

    Vent thread... when to send a pt out

    tewdles replied to pppp87's topic in Geriatric, LTC

    I say, pat yourself on the back for providing a proper nursing assessment and taking action in advocacy for your patient. Consider your DONs comments as "educational" but having little relevance to...
  6. tewdles

    Where can I actually help people??

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

    Consider hospice, where the relationship with the patient and family is at the core of the care. The nurses develop meaningful professional relationships with the patient and family and is supported...
  7. tewdles

    On a need to know basis? How would you approach such situation?

    tewdles replied to rksgray13's topic in Patient Safety Issues

    As a manager I am not friendly when staff make a point to cause a patient to have concern about a co-worker. Trust is important for patients when they are under our care. In my workplace, if you...
  8. tewdles

    Need pros and cons of home healthcare/hospice

    tewdles replied to RoyalNurse2010's topic in Home Health

    Hospice is the best...check us out, join the team, make a difference in the lives of
  9. tewdles

    Do You Have To Be Religious/Spiritual to be a good Nurse?

    tewdles replied to Soliloquy's topic in Spirituality, Religion

    Hopefully your faith will inform and enrich your nursing practice. Nurses do not proselytize. Most employers will fire you if they believe you are engaged in that type of religious activity. Dying...
  10. tewdles

    Do Nurses Earn Big Money? You Decide.

    tewdles replied to TheCommuter's topic in General Nursing

    My bold and italic. I had a family member like that. The family spoke to her...let her know that it was NOT OKAY. Some of us helped her with job skills, resumes, transportation, etc. She got off...
  11. tewdles

    Do Nurses Earn Big Money? You Decide.

    tewdles replied to TheCommuter's topic in General Nursing

    Sounds to me that a CNA going to school to improve her circumstance is not getting a handout but rather a handup. It is sad for me the number of otherwise well meaning Americans who despise people for...
  12. tewdles

    Do You Have To Be Religious/Spiritual to be a good Nurse?

    tewdles replied to Soliloquy's topic in Spirituality, Religion

    Being sensitive to the spiritual needs of the patient...yes required. Having a spiritual or religious faith yourself...no, not
  13. tewdles

    The most outrageous excuses from patients.

    tewdles replied to Brian's topic in Nurses Rock

    Lots of interesting things removed from human orifices in the
  14. tewdles

    Ever had a Dr. mad at you?

    tewdles replied to KBLOWE831's topic in Patient, Colleague Relations

    Yup...after more than 3 decades of nursing practice you can imagine that I have had pretty much everyother discipline in health care angry with me at one time or another. It happens. We live to...
  15. tewdles

    What kind of animal are you?

    tewdles replied to madwife2002's topic in Job Search, Interview, Resume

    I am a human animal and would have answered that way...not much fun, but
  16. tewdles

    Value of Nursing Care Coordination

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    All people with chronic disease should have an RN Case Manager or Care Coordinator, IMHO. That professional oversight would help to decrease ED visits and improve overall health status. This is what...
  17. tewdles

    Guidance for a new case manager?

    tewdles replied to MarcyRN's topic in Hospice, Palliative

    Out of curiosity, are you using EMR? If so, what software please?. I have used several now, and some of them are down right painful to
  18. tewdles

    I need help processing my first hospice patient experience.

    tewdles replied to pkateRN's topic in Hospice, Palliative

    It is important to always keep the goals of hospice care in mind. That is sometimes hard to do. Managers often have pressures entirely separate from direct care placed upon them. Your...
  19. tewdles

    I need help processing my first hospice patient experience.

    tewdles replied to pkateRN's topic in Hospice, Palliative

    Many people find the BP cuff uncomfortable, especially at end of life. We rarely chase numbers in hospice. There are other signs of pain besides an elevated BP. You don't need to use a thermometer...
  20. tewdles

    Season Hospice

    tewdles replied to kimhaw's topic in Hospice, Palliative

    Do you have any experience with hospice? Where have you worked til
  21. tewdles

    How Would You Rate Your Pain????

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

    Excellent idea! As a team, our practice is elevated when we are all using the same tools with skill. It is important to use tools to help measure pain so that we can report outcome to treatment in as...
  22. tewdles

    Siblings sharing a room

    tewdles replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I understand the responsibilities of the administrator and I value the opinion of CapeCod. My point is that we should not take actions based upon
  23. tewdles

    BSN as entry into practice; why we decided against it.

    tewdles replied to MunoRN's topic in Diploma, ADN, BSN

    This, I believe, is the gorilla in the room in this discussion. Studies have demonstrated that the risk of the patient for poor outcomes is increased each time they experience a poorly staffed nursing...
  24. tewdles

    I need help processing my first hospice patient experience.

    tewdles replied to pkateRN's topic in Hospice, Palliative

    No, the patch is not better but is easier to maintain when the patient is in their own
  25. tewdles

    Siblings sharing a room

    tewdles replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    That the OP was uncomfortable with their kiss does not automatically equate to the notion that they are having incestual intercourse. Geesh