tewdles RN

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

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All Content by tewdles

  1. tewdles

    Hospice and overtime

    tewdles replied to Genista's topic in Hospice, Palliative

    If you currently have a job that you enjoy with workable hours that fit your family with an employer who treats you well I wonder why you want to gamble that? Your hours and workload and OT will...
  2. tewdles

    What is your average visit time?

    tewdles replied to MomRN0913's topic in Hospice, Palliative

    An hour is planned for each visit unless we know there are extenuating circumstances that will require more time. The expectation in our agency is 5 visits/day for the case manager with a 12 patient...
  3. tewdles

    Nursing positions deeply embedded in science

    tewdles replied to DGabe24's topic in General Nursing

    I think that you can educate yourself to your hearts desire, and a deep base in the sciences will only serve to improve your critical thinking tools. The bottom line from me is do you actually want to...
  4. tewdles

    Regret Leaving Nursing Too Soon

    tewdles replied to Omibashu's topic in Nursing Career

    Hospice and ambulatory care can certainly be an option for a slower pace and more patient interaction. However, hospice care in the field requires a certain level of clinical competence, confidence...
  5. tewdles

    Colon cancer and diarrhea

    tewdles replied to mslavender1982's topic in Hospice, Palliative

    Is she using an opioid? Do any changes in her diet affect her stool consistency? Her stool may firm a bit as she gets further out post operatively and the inflammation at the surgical site(s)...
  6. tewdles

    A Comforting Analogy

    tewdles replied to GinaDecorRN's topic in Hospice, Palliative

    Because of the nature and design of the hospice model, nurses are often involved in meeting the spiritual needs of the patient. It is true that health professionals can create a dangerous environment...
  7. tewdles

    Nursing is not what I thought it would be!

    tewdles replied to loheRN's topic in General Nursing

    The reality is that nursing in the acute care setting can be very task oriented period. As you get more practiced you will discover how to include your nursing skills and assessments into the busy...
  8. tewdles

    Obamacare and Nursing.. what do you think?

    tewdles replied to OKNurse2be's topic in Activism, Healthcare

    death
  9. tewdles

    Nursing student 'food for thought'

    tewdles replied to Brian's topic in General Students

    Brain food =
  10. tewdles

    Want to Succeed? Thought for the Day

    tewdles replied to nurseprnRN's topic in General Students

    Want to succeed...another thought. Identify examples excellence in your place of work and then practice them, what we practice becomes
  11. tewdles

    HIPAA Question or ethics issue?

    tewdles replied to somedaypeds's topic in HIPAA Challenges

    What would be the purpose or intent of visiting and reading this blog? I would suggest that her blog is a personal thing and that your professional boundaries would be less tested by avoiding that...
  12. tewdles

    Managing Fungating (Malignant) Wounds

    tewdles replied to VickyRN's topic in Oncology

    We see these too often in hospice. Very traumatic wounds typically for the patient, family, and nurses. I love the info about gold dust, this is not something I am familiar with and will read with...
  13. tewdles

    Inpatient hospice patient on a Med-Surg floor

    tewdles replied to IdislikeCODEbrowns's topic in Hospice, Palliative

    In the acute medical setting it is especially important to document not only the orders for the medications, but also the intent for the medications. The intent is not to hasten death but to provide...
  14. tewdles

    My first code-feedback appreciated!

    tewdles replied to sunnybabe's topic in Patient Safety Issues

    Good job! Don't feel bad about crying...most of us do from time to time. What is important is that there was someone concerned about you and allowed you to cry in
  15. tewdles

    Hospice Care vs Palliative Care

    tewdles replied to VickyRN's topic in Hospice, Palliative

    There are many misconceptions and misunderstandings of what "hospice care" means. Palliative care is the portion of hospice care that can be shared with patients no matter their life expectancy. No...
  16. tewdles

    Assisted living- what happens when patients need more care?

    tewdles replied to lexilou's topic in Hospice, Palliative

    Most hospices can only provide continuous care for exacerbation of symptoms although some are large enough to provide CC for those actively dying. The hospice my mother used in Florida offered CC to...
  17. tewdles

    Why do so many people fear hospice? Sorry so long...

    tewdles replied to RN2B73's topic in Hospice, Palliative

    What is interesting to me is that people will refuse a hospice informational visit, even though they have no idea what hospice means, what the goals are, and how the philosophy might benefit them or...
  18. tewdles

    Increase abuse of Bath Salts

    tewdles replied to WendyBensonRN's topic in Addictions

    Apparently the "bath salts" commonly cause enough paranoid and agitated (violent) behavior that they users are a known threat to those around them. More than one person has been injured by those...
  19. tewdles

    Thickened Liquids With Dysphagia (Part I)

    tewdles replied to TheCommuter's topic in Rehabilitation

    Thanks for the article. As one might imagine, dysphagia is a recurring issue in hospice and we provide thickeners for patient use in the home. Of course, our goals for care are a bit different than...
  20. tewdles

    Misogyny in Nursing

    tewdles replied to Ruby Vee's topic in Patient, Colleague Relations

    I believe that there are bullies in all walks of life. I believe that different people may demonstrate their socially unacceptable behavior in different ways. There are mean girls and there are mean...
  21. tewdles

    Experienced Nurses Should Leave Legacies to New Nurses

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

    Nursing is a profession. Professionals go to work for the patients even when their own reward might be in question. Professionals have a standard of practice that they must adhere to...not so much...
  22. tewdles

    Mom Needs a Pain Pill

    tewdles replied to brandinalove's topic in Geriatric, LTC

    In hospice we work with the family to insure that their loved one is as comfortable as they would prefer. Sometimes the families expectations are not realistic or in the best interest of the patient,...
  23. tewdles

    Couple of questions....

    tewdles replied to Morganalefey's topic in Hospice, Palliative

    For your area/region that might be the going rate and practice. Not all on call hospice nurses are paid that way, some are paid an hourly stipend to take call ($3-$6/hr) and then are paid an RN wage...
  24. tewdles

    Skirts in the hospital...

    tewdles replied to sarah.2012's topic in Scrubs, Uniforms, Gear

    All of the hospitals and agencies I have worked for require stockings of some sort to be worn. However, I know that one of the large hospices in FL allows their staff to wear sandals and no...
  25. tewdles

    Verbal Abuse...I Gave What I Got...

    tewdles replied to abundantjoy07's topic in Emergency

    I agree that patients, family, and visitors can be rude and inappropriate. You don't have to take it. However, like other posters have said, their inappropriate behavior in NO WAY justifies...