tewdles RN

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

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All Content by tewdles

  1. tewdles

    Representing yourself to the public as a nurse when you are not a nurse

    tewdles replied to Penguin67's topic in Patient, Colleague Relations

    If your family member felt that he misrepresented his role then they should reflect that on their survey. I have had the experience of working with med techs in ambulatory care who didn't seem to...
  2. tewdles

    Would you become an RN again if you had the choice?

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

    Yes I would choose nursing again! Yes, I would recommend continuing your education as it is impossible for you to know what type of nursing you might find rewarding and higher degrees will open more...
  3. tewdles

    funny story...

    tewdles replied to smurfynursey's topic in Hospice, Palliative

    LOLs actually make our days in hospice considerably brighter! Of course, the grouchy old men are fun too... They have so many stories to share and so much of life to reflect back to us! It is so sad...
  4. tewdles

    Expiratory vocalizations at the end of life

    tewdles replied to bargainsmarts's topic in Hospice, Palliative

    We used to laugh in L & D that the noises of labor might sound similar to the noises of sex... Perhaps some of the nurses were personalizing too
  5. tewdles

    My first death

    tewdles replied to dialysisnurseLC's topic in Hospice, Palliative

    Yup, it is normal to feel sad... For me, I feel sad for the survivors as I understand the grief they will experience in the coming days and months. It is not unusual for me to shed a tear or two out...
  6. tewdles

    Mentor

    tewdles replied to kennyfanKY's topic in Hospice, Palliative

    Browse around the threads. There are some wise hospice professionals that will try to answer your questions. Welcome to hospice and good
  7. tewdles

    Casting Nurses for the Walking Dead

    tewdles replied to Brian's topic in Nurses Rock

    Ann Rice vampires... Stoker vampires...
  8. tewdles

    How did/do you pay for nursing school?

    tewdles replied to Joe V's topic in General Students

    I went to nursing school in the dark ages. I worked 11-7 at least part time during college. I had government funded student loans that I paid off after graduation. My parents paid my living expenses...
  9. tewdles

    How much personal info do you share with pts?

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

    Good point, our personal lives are NOT the focus...the therapeutic relationship and the patient are the
  10. tewdles

    How much personal info do you share with pts?

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

    Would it be fair to guess that you work in an acute care setting where you do not establish long term relationships with your
  11. tewdles

    60 visits a week quota ?? sound possible?

    tewdles replied to SweetRN007's topic in Home Health

    Just say NO... it is not safe it is not common practice it is not evidence based it is not recommended by any national organization addressing home health nursing
  12. tewdles

    Where does the job end?

    tewdles replied to MomRN0913's topic in Home Health

    As nurses we do not want to volunteer our clinical or professional time to our employers. This creates terrible situations for the nurses who will follow you into that work...the expectation is then...
  13. tewdles

    Expiratory vocalizations at the end of life

    tewdles replied to bargainsmarts's topic in Hospice, Palliative

    In similar cases we also seek to resolve the vocalization especially if it is disturbing to the family or may be associated with some type of discomfort. I also see this more often in younger...
  14. tewdles

    How much personal info do you share with pts?

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

    What you might share is going to depend dramatically on what type of nursing you practice. In hospice nursing, for instance, we maintain very firm professional boundaries. We also seek to develop...
  15. tewdles

    Dropped pills

    tewdles replied to mandaaRN's topic in Patient Medications

    I document that behavior because I am signing responsibility for administering the med, and using a med off the floor is outside of my policy/procedure and training. In my setting pills get dropped on...
  16. tewdles

    Patient requests

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

    This is not a good idea, you actually set yourself and your employer up for a potential lawsuit should that patient not been a nice
  17. tewdles

    Perspective and sympathy

    tewdles replied to KelRN215's topic in Pediatric

    I also was a PICU nurse for many years. I was tough on my kids...one of whom has a congenital heart defect...and expected them to buck up. This came to a "head" when my teen daughter called me at...
  18. tewdles

    Ventilator support at end of life

    tewdles replied to bioniclewoman's topic in Hospice, Palliative

    Hospices are typically reluctant to admit patients who are ventilator dependent when the ventilator is directly related to the hospice dx. The presences of the ventilator is contrary to hospice...
  19. tewdles

    RN going to get Adult Residential Care Home business

    tewdles replied to jayz1989's topic in Nursing Career

    Go for it! We actually need more safe and competent beds for people who do not have
  20. tewdles

    Medicare fines over hospitals' readmitted patients to begin on Monday Oct 1,2012

    tewdles replied to kcmylorn's topic in Activism, Healthcare

    Because hospitals have cut nursing to the bone, the best way to promote patient health in the outpatient setting is to assign nurse case managers to each patient with chronic disease especially if...
  21. tewdles

    NP, ANP, FNP......Help please!!!!

    tewdles replied to swtcaligurl's topic in Advanced Practice

    In some states FPNs can have private
  22. tewdles

    Resources?

    tewdles replied to jeyre1847's topic in Hospice, Palliative

    Excellent recommendation
  23. tewdles

    What to do in family emergency situations?

    tewdles replied to treeye's topic in General Nursing

    I think that it was very unprofessional for the manager to NOT expedite your departure from the unit. That delay will surely affect your feelings about the incident and about your employment. It...
  24. tewdles

    going to nursing school

    tewdles replied to zoidberg's topic in Hospice, Palliative

    Oh, by the way...the CMS regulations for hospice do not allow PAs to direct the care or provide medication
  25. tewdles

    What can nurses do to be more happy in their career?

    tewdles replied to Brian's topic in Nurses Rock

    They wouldn't be happy "in" a nursing career then, would they? People who don't like nursing should leave the profession. That is different from people who may not have the best nursing job in the...