tewdles RN

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

Member

  • Content

    3,156

  • Visitors

    33,351

  • Followers

    0

  • Likes

    37

All Content by tewdles

  1. tewdles

    Meeting family needs....

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    Noey, I think you are correct, that too any agencies spread the MSW and Pastoral staff too thin thus displacing those burdens of care upon the nurse. Unfortunately, the care of the family is a HUGE...
  2. tewdles

    Patients dying

    tewdles replied to nesje30's topic in Geriatric, LTC

    The process of dying and the moments of transition are as much a mystery as they are known. I believe that at the end our patients have transcended this world and are aware of the spiritual world that...
  3. tewdles

    Staff Splitting

    tewdles replied to KateRN1's topic in Nurse Management

    I hope you are successful with your Starbucks run. It is so disheartening to watch one "bad apple" spoil the whole barrel and I hope your DON can wake up and smell the
  4. tewdles

    Does anyone....

    tewdles replied to NiceShot's topic in Case Management

    I believe that hospice case managers are rarely well oriented to the professional role, they are precepted on the tasks and documentation, but not as well on the expanded role of accountability. Part...
  5. tewdles

    What have you found in your pockets at the end of your shift?

    tewdles replied to Poi Dog's topic in General Nursing

    my friend found a baby turd in her pocket after work...we were at a party at the time she found
  6. tewdles

    To use or not to use vaccine consent forms

    tewdles replied to mickylynn969's topic in General Nursing

    You MUST provide the VIS with any
  7. tewdles

    Becoming a CM with no experience in CM

    tewdles replied to MomRN0913's topic in Case Management

    Hospices provide a "new" avenue for nursing case management which is very fulfilling for the staff I know and work with. The role of CM in hospice is much better defined and "fleshed out" in hospice...
  8. tewdles

    Does anyone....

    tewdles replied to NiceShot's topic in Case Management

    I love hospice case
  9. tewdles

    Bottom Line Pay

    tewdles replied to StuB's topic in Home Health

    I am quite sure you are correct that there are "shortcuts" taken, especially as we consider the importance of point of service documentaion. Home care is distinctly different from floor nursing and I...
  10. tewdles

    Documentation of Pain Reassessment

    tewdles replied to LindaCordero's topic in Orthopedic

    Post the numbers with the goals as often as you run them. Engage the staff in understanding that this is a measurement of THEIR professional documentation which is required as part of their practice....
  11. tewdles

    building teamwork

    tewdles replied to debRN10's topic in Hospice, Palliative

    The foundation of a team MUST be trust. The staff must trust you and you must be able to trust them. The staff is important, get to know them, what is important to them, what is hard for them, and...
  12. tewdles

    singing?

    tewdles replied to butterfly134's topic in General Nursing

    What a lovely story. I imagine that your aunt helped that old guy finish his business and have a dignified, peaceful death. Thanks for sharing
  13. tewdles

    Scope of Practice

    tewdles replied to RFRN's topic in General Nursing

    I think they threw them away
  14. tewdles

    Forgive me, but I've been up 24 hours.......could you please pick a funeral home

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    Honestly, though, for a stressed and terrified family there are some CODE BROWNS that are pretty intimidating. While we clearly cannot wipe the butts of our nearly 300 patients every night or...
  15. tewdles

    Oncology Drug shortage

    tewdles replied to plum94's topic in Oncology

    I am pretty sure that I do not want poor quality or contaminated 5FU. I will discover on Wednesday if my course this week will be affected in any way. Sigh...one more
  16. tewdles

    singing?

    tewdles replied to butterfly134's topic in General Nursing

    Not only do I "catch" myself singing, I intentionally sing when I am working and always have. I sang the entire musical of "Jesus Christ Superstar" when I worked nights in NICU once. I had some help...
  17. tewdles

    Scope of Practice

    tewdles replied to RFRN's topic in General Nursing

    Note of interest...back in the day, some poor women used to used things like small potatoes as a pessary. Agree with other posters that these skills are not outside of the abilities of
  18. tewdles

    Sitting down to calm an upset patient is unprofessional?

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

    You do not want it to make sense to you...she is an idiot and you should probably have her job. Perhaps you could anonymously introduce her to Jean
  19. tewdles

    Explaining post op pain to patients

    tewdles replied to ReginaPhalange's topic in Patient Education

    I loathe pain on a personal and professional
  20. tewdles

    Overcoming Apathy

    tewdles replied to EDEduc8R's topic in Nursing Educators, Faculty

    we can motivate people when they realize that they are in survival
  21. tewdles

    Forgive me, but I've been up 24 hours.......could you please pick a funeral home

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    Rant understood and accepted...get some
  22. tewdles

    Self-sufficient Nurses

    tewdles replied to Isabelle49's topic in Home Health

    The lack of managerial and clerical support is one of the stressors that lead to burnout and turnover of the professional staff practicing in the field...especially those who are newer to the
  23. tewdles

    Oncology Drug shortage

    tewdles replied to plum94's topic in Oncology

    I am not certain...I think it is a manufacturing issue. I have to admit that I have not investigated very thoroughly as it is so close to home for me that I do not need one more thing to be anxious...
  24. tewdles

    lpn as ADON?

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

    I just dealt with an LPN DON of a ALF last night on call. All I can say is, wow. The lack of professionalism was astonishing. Her comments reflected her annoyance, her inconvenience, and her anger....
  25. tewdles

    Post-op pain managment

    tewdles replied to crissrn27's topic in Pain Management

    there is no question that too many physcians are far from expert in pain management...he may be a great surgeon but he sux at pain management, and his interpersonal skills seem to be absent. But I...