tewdles RN

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

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All Content by tewdles

  1. tewdles

    To all "medical coverage is a privilege" folks:

    You are quite right, IMO, there is an "us against them" attitude and debate within our political system just now and that is tainting the attitudes toward delivery of health care. There is a growing...
  2. tewdles

    To all "medical coverage is a privilege" folks:

    I would venture to say that most of us really don't worry about how they will pay their bill, we just take care of
  3. Your posts reflect a rather plain ignorance and bias about hospice in the
  4. that is not hospice care. those health professionals are breaking the law. if you have witnessed a hospice nurse breaking the law and practicing outside of his or her scope did you report it to proper...
  5. tewdles

    Preparing for state certification!

    omg...that is a big bite you are asking for. Are you in management or are you a field nurse? How familiar are you with hospice policy/procedure? Are you familiar with the CoPs? Just like with home...
  6. tewdles

    What is your typical response?

    I ask some more questions and try to deliver some covert education first. Then, dependent upon how that goes, I speak with the lead nurse or supervisor to schedule some symptom management education...
  7. tewdles

    To all "medical coverage is a privilege" folks:

    I don't mind so much...because I am not going to die when I can't afford an ipad (I can't afford one now) or a new pair of tennies, or a new laptop, etc. People DO die when they cannot afford health...
  8. tewdles

    To all "medical coverage is a privilege" folks:

    I get so tired of the comments that assume that people do not buy health insurance because they want the new truck, or the new ipad, or the Disney vacation, etc, etc, etc. There seems to be little...
  9. tewdles

    HIPAA question - The Neighbor

    Geez, that wasn't hard at all. I'll try to think of a harder
  10. tewdles

    Fought the good fight...

    Are you in a position to relocate? Would I be wrong to think that you might be in Cincinnati? My guess is that the market there is pretty
  11. tewdles

    Sorry Nurse Recruiters/Nurse Managers!

    Or you could move to a place that has trouble finding
  12. Good to see so many people on the same page with patient directed care. They should be allowed to decline any and all treatment or intervention. I feel that we should be addressing advanced...
  13. tewdles

    career change wanted, need info/help...

    Most agencies do not expect certification unless they are looking for an experienced hospice nurse. Mostly, we are looking for experienced nurses who have good clinical skills, good critical thought...
  14. tewdles

    Finished my first week as a hospice nurse

    Electronic documentation can really reduce the time and burden of charting in hospice...the paper chart is problematic, IMHO. Hospice nursing is a very rewarding but challenging career path. Take...
  15. I walk to work. I take the stairs at work. I walk or ride my bike to exercise my dog at least 3x/wk. There is a weight/exercise room at the hospital, free w/ showers, before work is best d/t fatigue...
  16. I am not certain that I am aware of any elderly that have been euthanized, with or without a "terminal" diagnosis in my years of nursing experience. I have, however, participated many times, in...
  17. tewdles

    Good or Bad Luck with Hospice Pharmacia?

    I have used HP, they are more connected via the internet than Hospiscripts. Each system has drawbacks and benefits. I always go to the doc with med recommendations, even after the HP
  18. tewdles

    Hyperbaric nursing in Michigan?

    Why not get in yourself? Is there some danger? I have been in a chamber many times... should I be worried about
  19. I am not certain that it is that difficult to seperate an employee guilty of lateral violence. As a manager you don't label the offense, you document the behaviors that are not meeting expectations...
  20. tewdles

    I Love being a Christian Nurse

    We must care for and meet the patients' spiritual needs. However, it is important that we also care for ourselves and that includes our spiritual health. It is crucial that we determine how to...
  21. tewdles

    When the axe falls...

    I will take this opportunity to point out that the political leaders in WI and MI who are attacking teacher unions are Republicans pushing a Republican agenda. Please, each of us, balance your...
  22. tewdles

    Nursing Political Activism - Opinions

    I will give it a go Ray... IMHO...#1 Depends upon what type of political activism they are participating in. Activism in things like collective bargaining, etc may not be perceived well by either the...
  23. tewdles

    I Love being a Christian Nurse

    I wonder... I love being a Christian.. I love being a wife. I love being a mother. I love being a nurse. All of those things exist in my life simultaneously. All of those things impact my practice...
  24. It is quite correct to understand that there is a big difference between being direct, assertive, and straight forward. In my opinion, much of it boils down to the level of respect reflected and the...
  25. the zero tolerance policy is all about the implementation...otherwise it is just