tewdles RN

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

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All Content by tewdles

  1. tewdles

    How are hospice nurses paid? By visit/hourly??

    tewdles replied to climb's topic in Hospice, Palliative

    Pay arrangements vary according to agency. I believe the most equitable way to pay hospice field nurses is hourly with mileage reimbursement. Because Hospice is paid "per diem" it is not really...
  2. tewdles

    Discharge from Hospice

    tewdles replied to BabyRN2Be's topic in Hospice, Palliative

    Be cautious, babyRN2Be, of judging people from a blog. Perhaps there is something "wrong" with this story, perhaps not. We cannot possibly know by simply reading words on a website. Eating disorders...
  3. tewdles

    How would you comfort a dying atheist?

    tewdles replied to stripbubbles's topic in Spirituality, Religion

    You comfort atheists they way they want and need to be comforted. It is individual for each dying person while we are using the basic elements of listening and hearing the person. We don't treat...
  4. tewdles

    Why is unionization a subject of taboo??

    tewdles replied to wanderlustRN24's topic in Collective Bargaining, Union

    There is just something about the way jhanes couples discussion of unions with words like "lefty", "socialists", "communists", and the name of our current president that suggests to me that he/she...
  5. tewdles

    Drug testing a RN while a patient in the er

    tewdles replied to lori4367's topic in General Nursing

    In the OPs case, a urine drug screen was appropriate. Especially given the nature and timing of the incident. The treating MDs must know if your emotional instability is related to drug use or...
  6. tewdles

    Forced ultrasounds

    tewdles replied to nurse2033's topic in Activism, Healthcare

    I previously posted, but do not find that post... I believe that forcing a woman to receive an object into her lady parts, against her will, with no purpose other than to affect her emotionally...
  7. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    Should the access to rural health care be completely dependent upon your ability to pay? That rural farmer (insert other self employed person) does NOT have the same access to health insurance as...
  8. tewdles

    Baby Angel Babcock - have you experience this?

    tewdles replied to ws582's topic in Hospice, Palliative

    I had a patient tell me once that her mother was visiting her in the evenings, sitting on the side of her bed. She told me they were very nice visits, but, since her mother was dead she knew that...
  9. tewdles

    I HATE NANDA!!!!

    tewdles replied to jmqphd's topic in Nursing Educators, Faculty

    I do not agree that the nursing diagnosis is determined by and relies upon the medical diagnosis. The nursing diagnosis is determined by the patients health status and deviation from normals for that...
  10. tewdles

    Hospice On Call Compensation Structure 2012

    tewdles replied to Soontobehope's topic in Hospice, Palliative

    Again, that is variable from agency to agency, region to region. Our staff here get $4.50/hr to "carry the pager". I know of agencies that pay only a fraction of that. Also, some agencies have...
  11. tewdles

    How would you comfort a dying atheist?

    tewdles replied to stripbubbles's topic in Spirituality, Religion

    First, I will admit that I have not read all of the posts. I did read a good number of excellent responses from persons who typically provide excellent advice and thoughts. I treat atheists they same...
  12. tewdles

    To all "medical coverage is a privilege" folks:

    tewdles replied to dirtyhippiegirl's topic in Activism, Healthcare

    I have been a full-time employed RN for more than 30 years. I have always had health insurance. My husband had a serious health issue (in 2005) requiring surgery and hospitalization in a university...
  13. tewdles

    Health care a right or privilege

    tewdles replied to jcasablanca's topic in Activism, Healthcare

    In my mind it doesn't matter if it is a right or a privilege...it is a necessity in the modern world. All people need food, water, and shelter to survive or prosper. In the USA we also require access...
  14. tewdles

    Nobody likes "Obamacare", so what should we replace it with?

    tewdles replied to MunoRN's topic in Activism, Healthcare

    It is interesting to note that the "individual mandate" that has so many politically conservative folks alarmed, was initially a REPUBLICAN proposal. Go
  15. tewdles

    Hospice On Call Compensation Structure 2012

    tewdles replied to Soontobehope's topic in Hospice, Palliative

    On call compensation is variable from agency to agency and state to state. I have experience with compensation ranging from oncall staff who are salaried and staff who are hourly. Most hourly staff...
  16. tewdles

    Needing advice

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

    We all find our own words to convey those sentiments about death, dying, dignity, and comfort. What is important is that patients and families understand that their hospice plan of care is developed...
  17. tewdles

    Standing orders and MD signature requirements for an ASC

    tewdles replied to bananna787's topic in Activism, Healthcare

    Why would a physician Not need to sign off on physician
  18. tewdles

    Lasix use in CHF?

    tewdles replied to gorgenurse's topic in Hospice, Palliative

    In my opinion the lasix should not have been DC'd at admission. Lasix is "addictive", at this point taking her off of it is likely to cause unpleasant and undesired symptoms that will complicate the...
  19. tewdles

    Nursing bag for hospice RN?

    tewdles replied to crossingfingers10's topic in Hospice, Palliative

    Your agency should provide you with a bag so that you can meet the regulations for them. You should carry a blue pad or similar to set your bag on when you enter the home. My agency provides wheeled...
  20. tewdles

    Primary cancer of the appendix

    tewdles posted a topic in Oncology

    Hello to all, Many of you recognize my nick here on alnurses, I have been visiting for awhile. I am in the midst of my chemo for appendcial cancer. I pretty much feel like i am dying for 10 our of...
  21. tewdles

    what to do

    tewdles replied to charlie1234's topic in Ob/Gyn

    Exposure to many types of nursing will enrich you in your career. L&D
  22. tewdles

    Please Advise ASAP Confidential please

    tewdles replied to harnof's topic in Hospice, Palliative

    Safest advice... If the family is displeased or otherwise unhappy with the care of one hospice they may at any time choose the services of
  23. tewdles

    Primary cancer of the appendix

    tewdles replied to tewdles's topic in Oncology

    Thanks for your words of encouragment! Leslie I will check out the web sites tomorrow. I also was lucky enough to have signet cells as part of my pathology. I swear that oncologists equate them with...
  24. tewdles

    Ventriculostomy Insertion

    tewdles replied to RenaissancemaN's topic in General Nursing

    ...once had an intern pick up a VT drainage bag and hold it up to look at it...I lunged for the bag and he dropped it... what an
  25. tewdles

    Family Members

    tewdles replied to CBsMommy's topic in General Nursing

    Of course you talk to the family. In my line of work we would actually have a plan of care to specifically outline our goals and interventions related to that family behavior with MSW involvement. I...