tewdles RN

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

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All Content by tewdles

  1. tewdles

    Patient refusing Hospice

    tewdles replied to jammycakesRN's topic in Hospice, Palliative

    I often ask why they believe that choosing hospice is giving up hope or "the good fight". Generally, these people are not given "better" options for care when they have a terminal diagnosis, they...
  2. tewdles

    Resources?

    tewdles replied to jeyre1847's topic in Hospice, Palliative

    There are several good websites and organizations that are helpful to hospice and palliative care professionals. The National Hospice and Palliative Care Organization start here, you will see links to...
  3. tewdles

    Turning a hospice patient in severe pain?

    tewdles replied to IheartICUnursing's topic in Hospice, Palliative

    Just a side note, hospice does not put people into coma's with morphine as they near death. Change in level of consciousness is expected and might be exacerbated by the morphine, but the morphine did...
  4. tewdles

    Nursing as a career choice for childhood cancer survivor...

    tewdles replied to rarecircumstances's topic in Nursing Career

    If your health care team feels that you are capable then you should go for it. Your personal experiences will enrich and inform your nursing career. Congratulations on beating the disease and TAKE...
  5. tewdles

    Which experience would a hiring manager find more appealing from a new grad?

    tewdles replied to okranurse's topic in Nursing Career

    As a hiring manager I am interested in the assessment skills of the nurses I hire. I am looking for nurses who can think critically and practice autonomously. There are a variety of practice...
  6. tewdles

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

    tewdles replied to Brian's topic in Nurses Rock

    I like a little wine. I walk and ride my bike...sometimes I snow shoe in the winter. I play the guitar. Online play money poker helps me to destress. Prayer helps me maintain my perspective. Mostly, I...
  7. tewdles

    going to nursing school

    tewdles replied to zoidberg's topic in Hospice, Palliative

    Our NP's both have specialities and general practices. The oncology and generalist NPs both sit on the Palliative Interdisciplinary team. The oncology NP also attends our hospice IDT meetings. The...
  8. tewdles

    Do hospice nurses usually get benefits?

    tewdles replied to orange_dolphin's topic in Hospice, Palliative

    I have only worked for HH and Hospice that provides benefits for
  9. tewdles

    Turning a hospice patient in severe pain?

    tewdles replied to IheartICUnursing's topic in Hospice, Palliative

    First...a hospice patient should not be in the ICU and should certainly not be monitored. Second...N/V is NOT typically an indication for an NG tube in hospice, there are VERY effective meds to...
  10. tewdles

    Anyone else have a problem with this ad?

    tewdles replied to rawlinz's topic in General Nursing

    I hate to admit that, at my age, I would have felt a "tinge" complimented somewhere behind my steelie gaze...sigh so pathetic on so many
  11. tewdles

    My anger

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

    If you assume that you must fix something (and I agree that the evidence you report supports that), develop a plan. The first thing within your control is your product...your resume, your message, the...
  12. tewdles

    Patient refusing Hospice

    tewdles replied to jammycakesRN's topic in Hospice, Palliative

    It is hard to guess a timeline based upon the info you have given, but it sounds as if he is clearly declining toward death. I would caution you about visiting on your own time. Many might consider...
  13. tewdles

    It shouldn't have happened this way....

    tewdles replied to nerdtonurse?'s topic in Hospice, Palliative

    By the way...a hospice may bill what they want, the hospice per diem payment is not determined by what they
  14. tewdles

    It shouldn't have happened this way....

    tewdles replied to nerdtonurse?'s topic in Hospice, Palliative

    10 days of service at $1900 = $190/day That $190/day pays for nursing, social work, volunteer coordinator, chaplain, HHA, medical director, medications related to hospice diagnosis, comfort and...
  15. tewdles

    Computer charting in hospice

    tewdles replied to coogabooga's topic in Hospice, Palliative

    No question that a good electronic chart is preferred over paper for MANY reasons. I find Horizons cumbersome and un-intuitive for hospice. The fact that it is a homecare application tweaked to...
  16. tewdles

    Total Disregard for Visiting Hours

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

    Hospitals are dangerous places. I stay with family members in the hospital and encourage all of my family and friends to do the same with their loved ones. Some family members are a pain in the rump....
  17. tewdles

    I feel so dumb... I got flustered - about a patient in respiratory distress

    tewdles replied to LalaJJB's topic in Emergency

    I will give a shout out to the poster who recommended morphine and ativan to palliate the symptoms of a person with an acute exacerbation of a chronic and life limiting illness. SOB leads to anxiety...
  18. tewdles

    Patient refusing Hospice

    tewdles replied to jammycakesRN's topic in Hospice, Palliative

    There were just 2 deaths in our small community recently...one with cancer and hospice and one with cancer without hospice. The hospice patient was visited by an RN everyday during the 7 days he was...
  19. tewdles

    Who's hiring new grads in Michigan???

    tewdles replied to smith576's topic in Michigan Nursing

    If you check the classifieds you may notice that there are lots of RN jobs listed in the greater Detroit
  20. tewdles

    Advice from FL hospice RNs

    tewdles replied to CMLPNnowRN's topic in Hospice, Palliative

    I will say that the pay you were offered is below that seen in MI, OH, and, of course, AK. It may well be typical for FL, my mom and cousin were nurses in FL and they reported terrible pay scales in...
  21. tewdles

    Help me here!

    tewdles replied to MomRN0913's topic in Hospice, Palliative

    Nothing wrong with you, I prefer hospice as
  22. tewdles

    Arrrgghhh, get the smell off!!

    tewdles replied to Brian's topic in Nurses Rock

    a small amount of Vicks on the upper lip below the nose helps with smells... You probably don't stink...your nose
  23. tewdles

    Have you ever witnessed this situation?

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

    I think the important point here is not to measure our privacy practices against bad privacy practices. So, for instance, if there is poor adherence to HIPAA laws in the ER, that is not a good model...
  24. tewdles

    Age a factor in nursing?

    tewdles replied to bekayel11's topic in Nursing Career

    I certainly do sometimes. Life experience can have a huge impact upon a person's ability to succeed in some jobs. Hospice, for instance, is generally not a good place for a young and inexperienced...
  25. tewdles

    Death- your experiences

    tewdles replied to Darkfield's topic in General Nursing

    I work hospice...nuff said about working with and seeing death on a regular basis. The American culture has become a death denying culture. We as a people seek to prolong youth, and life in an almost...