tewdles RN

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

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All Content by tewdles

  1. tewdles

    Oncology Drug shortage

    tewdles replied to plum94's topic in Oncology

    Actually, many voting people in America right now want government LESS involved in corporate/manufacturing affairs at this time. There is a bunch of talk about getting rid of many federal regulations...
  2. tewdles

    NEW Hospice RN Case Manager Question!!

    tewdles replied to ShimmaShimma0304's topic in Home Health

    Part of the case manager's job is to try to develop a good professional relationship with the staff that are providing care for our patients in their LTC. It is generally not an easy thing to do, and...
  3. tewdles

    daVinci robotic surgery

    tewdles replied to mikethern's topic in Operating Room

    I do not work in OR, but I recently had a DaVinci colectomy completed and my post op experience was MUCH better than that of my good friend and husband who both had more traditional surgical colectomy...
  4. tewdles

    Hep B vaccine question

    tewdles replied to sugarmagnoliaRN's topic in General Nursing

    If you get the last vaccination one month early it will not count as a completed series because it would have been given outside of the recommendations for the series. It would be no different than...
  5. tewdles

    Cardioverting A Nurse Coworker?

    tewdles replied to carolinef_2002's topic in Cardiac

    Yes, I have... During my time in PICU we were having a regional peds meeting with docs and management of regional hospitals discussing critical pediatric transport from regional ERs to our service...
  6. tewdles

    Please help pt with leaking colostomy

    tewdles replied to ditchdoc's topic in Wound, Ostomy, Continence

    Along those same lines...try to get the stool under control. Typically a diverting colostomy does not have liquid stool output. The fact that he is leaking liquid stool suggests to me that something...
  7. tewdles

    Hospice Charting and Recertifications

    tewdles replied to abcwood's topic in Hospice, Palliative

    LCD stands for "Local Coverage Determination". They are the guidelines we use to qualify or disqualify a patient for hospice services. If the patient does not meet the required LCDs they should not...
  8. tewdles

    drug shortage ?

    tewdles replied to Trekfan's topic in General Nursing

    This is not a single payer issue as much as it is a capitalism issue. It is a good argument for single payer health systems because it illustrates the obvious point that capitalism is not interested...
  9. tewdles

    O hai hospice!

    tewdles replied to SuesquatchRN's topic in Hospice, Palliative

    I hope you love it as much as I
  10. tewdles

    drug shortage ?

    tewdles replied to Trekfan's topic in General Nursing

    Yup...I changed hospitals for my chemo because the first large hospital system could not give my my 5FU routinely...they did not have an uninterrupted source in the shortage. So I got 2 incomplete...
  11. tewdles

    Social Worker on call 24/7?

    tewdles replied to CANRN's topic in Hospice, Palliative

    MSW is a core service and should be available 24/7, as you said. Too many agencies cut those corners and expect on call nurses and visit nurses to double as social workers. I worked for a company...
  12. tewdles

    Perioperative Decadron for post op pain

    tewdles replied to wtbcrna's topic in Certified Registered Nurse Anesthetist, CRNA

    We use steroids bursts and doses not infrequently in attempt to control pain with hospice patients. It often achieves a level of control that is satisfactory to the
  13. tewdles

    lpn as ADON?

    tewdles replied to nd deb's topic in LTC: Directors, Assistant

    The educational and experiencial differences between LPNs and RNs can be vast...just because some can function effectively in the same role does not mean that they are not differently trained and...
  14. tewdles

    Day in the life of a hospice nurse

    tewdles replied to FirstYear2005's topic in Hospice, Palliative

    I am sorry to say that you might want to look for a different employer, one that is more supportive. Field nursing is hard and the absence of clinical support only makes it harder. Good
  15. tewdles

    Day in the life of a hospice nurse

    tewdles replied to FirstYear2005's topic in Hospice, Palliative

    Meljam, take your computer and stop by your team leader's office, ask her/him to help
  16. tewdles

    Calciphylaxis

    tewdles replied to ErinS's topic in Hospice, Palliative

    So this is possibly a result of long term
  17. tewdles

    Could this be my specialty??

    tewdles replied to heathert_kc's topic in Hospice, Palliative

    Day to day you get to know your patients/families better and better. Both on a nursing level and on a personal level. The longer they live the more you know. Your knowledge helps you to build an...
  18. tewdles

    NEW Hospice Case Manager & SAFETY ?'s :0) Need input from EXPERIENCED hospice nurses!

    tewdles replied to ShimmaShimma0304's topic in Hospice, Palliative

    Don't get out of the car and then reach back into the vehicle or the trunk. Assemble your stuff before you get their so that your focus on arrival is your environment, not your gear. If you will...
  19. tewdles

    Hospital policy?

    tewdles replied to mom4josh's topic in Hospice, Palliative

    Since the hospital will not allow you in, can you complete a transfer of care with the patient to cover the hospitalized
  20. tewdles

    Interview questions for Hospice.

    tewdles replied to lumbarpain's topic in Hospice, Palliative

    However, you may find that hospice is not for you now, but perhaps later...heck yeah! I know, personally, that I was at just the right place personally AND professionally when I went into hospice....
  21. tewdles

    Hospital policy?

    tewdles replied to mom4josh's topic in Hospice, Palliative

    Was that just chemo brain or did it make any sense at all?
  22. tewdles

    Hospital policy?

    tewdles replied to mom4josh's topic in Hospice, Palliative

    Certainly hospices have marketing and professional relationships with hospitals. Just like hospitals have marketing and professional relationships with pharmacies and DME providers and other home...
  23. tewdles

    Nurses Speak Out Against Debate Audience Members Who Cheered Leaving Uninsured to Die

    tewdles replied to scecile's topic in Activism, Healthcare

    Yeah...it is a blow. But, we are perhaps defined by the way we manage our lives in diversity more than by the way we manage during
  24. tewdles

    Coding patient in LTC

    tewdles replied to username33's topic in LTC: Directors, Assistant

    Follow your facility's policy. 911 and BLS...notify
  25. tewdles

    Send a nurse now or we will call 911.

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    Of course, sometimes a visit to the ER is in the