tewdles RN

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

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All Content by tewdles

  1. tewdles

    Maniilaq Association

    tewdles replied to pduck's topic in General Nursing

    Are you currently living in AK? If not, they will ask you bunches of questions about living in the region. If this is a long distance interview they will likely ask you very specific job related...
  2. tewdles

    Making more drugs non-prescription is bad for patients

    tewdles replied to Esme12's topic in Activism, Healthcare

    I think that in too many instances the voting public gets little choice or voice in this type of governmental action which is NOT good for the population. I am contacting every politician in DC,...
  3. tewdles

    HIPAA question - The Neighbor

    tewdles posted a topic in HIPAA Challenges

    So here is a HIPAA question... You are a nurse who visits in the patient home. You exit the home and are confronted by the neighbor who asks you "how is Mabel today, she seemed a bit under the...
  4. tewdles

    Hospice Care Plans

    tewdles replied to Pride/hardwork17's topic in Hospice, Palliative

    I am familiar with creating hospice POCs using a NANDA model - with or without the actual NANDA language. Because the POC is managed by the RN it makes sense that it is developed with nursing dx...
  5. tewdles

    Hospice and Ventilators? Need input please

    tewdles replied to ovnerati's topic in Hospice, Palliative

    Sad, IMHO, that the E/S COPDer is on a ventilator but elects hospice for cardiac dx. I have participated in many ventilator weans for hospice patients to allow a "natural", dignified, and comfortable...
  6. tewdles

    Being Naked Where I Work: A Nurse With Cancer

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

    Keep those positive thoughts about kicking the behind of cancer rolling around in your head and heart...the power of our mind is little understood as it relates to our health. I too have been "naked"...
  7. tewdles

    Nurses that change their jobs often. Is that common?

    tewdles replied to 25yearsrn's topic in Activism, Healthcare

    I agree...the flexibility of nursing is something that I enjoy tremendously and have taken great advantage of. Go for it, don't be afraid of nay sayers, and keep on
  8. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    debkimt...it is clear that you personalized this comment and you are angry. I went on a cruise when I was dead broke too...my parents paid. I still had to book the tickets
  9. tewdles

    HIPAA and non-consulting docs

    tewdles replied to NothingConstant's topic in HIPAA Challenges

    To me it sounds like knee jerk reaction based in misinterpretation or ignorance of HIPAA. There is nothing wrong with having an informal case conference with a medical colleague. Those sort of...
  10. tewdles

    Completely confused about this Foley Catheter issue...

    tewdles replied to SunSurfRN's topic in Patient Safety Issues

    ya, sounds like it got tugged. Shoot I had one lady that routinely pulled out her foley with an inflated 30ml baloon!! Generally speaking, if the baloon is inflated in the urethra it results in...
  11. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    Well said Autymn...it is sad how greed has become so ingrained in the capitalist business model that we (the general public) now just accept that as the norm, when it HAS not been the norm in this...
  12. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    I will apologize first...I am sorry that I am going to offend some of you. Arguments such as...if you don't have insurance you are not working, or you prefer to pay for a new truck instead of...
  13. tewdles

    Reading Scripture to a Patient (from an Atheist)

    tewdles replied to julianp's topic in Spirituality, Religion

    Okay, I got what she thought. However, when a patient asks for scripture to be read to them it is not fair for us to assume "why" they might be asking that. The fact that JWs may use scripture...
  14. tewdles

    Pain med PRN ATC

    tewdles replied to Nursingluv101's topic in Hospice, Palliative

    I'm going to trust your clinical judgement in this post. You say that he had no evidence of discomfort per assessment and verbally denied discomfort on interview...so, indeed, it would be appropriate...
  15. tewdles

    Compassion Fatigue

    tewdles replied to GinaDecorRN's topic in Hospice, Palliative

    Yup, no link. Compassion fatigue is an area of interest for me as a hospice professional and clinical
  16. tewdles

    How fussy are you about O2?

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    I quoted you because I believe that the hospice patient can to almost every extent be treated the way he/she wants. Without trying to be exhaustive (it's late and I've had my scotch on the rocks) I...
  17. tewdles

    oxygen orders vs nursing perceptions

    tewdles replied to Meliss214's topic in Hospice, Palliative

    Perhaps the patient is enjoying the increased airflow by his nose and this is reducing his dyspnea. Try a fan blowing gently but directly on his face. What position is he assuming in the bed or...
  18. tewdles

    Options for using my RN in Hospice

    tewdles replied to Sarah27's topic in Hospice, Palliative

    It would be difficult for you to function in hospice without clinical experience. Even in a managerial or administrative position it would be expected that you would have some knowledge of the...
  19. tewdles

    hospice nurse liaison

    tewdles replied to rphil77120's topic in Hospice, Palliative

    I am not a liaison. What is required of you will be determined by your employer as the job can vary significantly. In your neck of the woods hospice is pretty competitive, so you employer likely has...
  20. tewdles

    ABHR topical

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    Ativan Benadryl Haloperidol Reglan no
  21. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    The hospital will even offer to call you a cab...sometimes they will even pay the cab and give them the address of a homeless shelter in the
  22. tewdles

    ABHR topical

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    The evidence is mixed. Topical preps are only effective if the patient does not have fever or diaphoresis and if they have good perfusion, IMHO. I hae seen them used with good
  23. tewdles

    Hospice RN wanting to shift to another field??

    tewdles replied to superwoman81's topic in Hospice, Palliative

    Sounds like you would be well suited to ambulatory care, LTC/SNF, or inpatient hospice care. Good
  24. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    I agree that many if not most of us may be able to "give" more to charitable organizations to assist those less fortunate. We have, as a society, been trying for some time to bridge the gap medically...
  25. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    Our current system discharges homeless people back to the