tewdles RN

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

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All Content by tewdles

  1. tewdles

    what would you do!!!!

    tewdles replied to sweetnurse63's topic in General Nursing

    Nurses can intubate...depends upon their training and their place of employment. I have intubated many neonates and children in my
  2. tewdles

    50 U.S. Health Care Statistics That Will Absolutely Astonish You

    tewdles replied to TheCommuter's topic in Activism, Healthcare

    If any of us are surprised by these facts I would be surprised. I am quite certain that there are many opposed to single payor healthcare who would dispute the veracity of #5. Many want to think...
  3. tewdles

    Moral Courage in Healthcare: Acting Ethically Even in the Presence of Risk

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    Yes, some of the most difficult times in my long nursing career have been precipitated by my "moral or ethical courage". And, like canoehead, it has cost me my employment
  4. tewdles

    Interview questions for Hospice.

    tewdles replied to lumbarpain's topic in Hospice, Palliative

    I do not find hospice depressing. In fact, I find it to be one of the most rewarding jobs I have had as an
  5. tewdles

    PO meds can be given rectal?

    tewdles replied to rnbackagain's topic in Hospice, Palliative

    It is important to remember that we are talking about rectal administration of a few drugs with the intent to palliate pain or other noxious symptoms in the last hours of life. Generally the meds are...
  6. tewdles

    Medicare Fraud

    tewdles replied to bwsvs's topic in Hospice, Palliative

    I just read an article the other day about Southern Care accused and guilty of Medicare fraud, now paying a 40+ million dollar
  7. tewdles

    Verbal orders and Hospice?

    tewdles replied to Kimberly71's topic in Hospice, Palliative

    As you know, prescribing medications is outside of the practice of RNs. DO NOT write orders for any medication without consulting a physician and obtaining an order first. Perhaps you need better...
  8. tewdles

    Big Brother

    tewdles replied to mrr5745's topic in Hospice, Palliative

    My suggestion would be to look for another agency. Not all hospices that use computerized documentation are punitive about the data. I am not surprised that they want you to develop point of service...
  9. tewdles

    Asked to sign idt forms for meetings I was not present for?

    tewdles replied to BethHospiceRN's topic in Hospice, Palliative

    I am so sorry that you do not trust your peers or management. Your hospice cannot have a functional field team if there is no trust...that is the foundation for the ALL successful teams. You are...
  10. tewdles

    Asked to sign idt forms for meetings I was not present for?

    tewdles replied to BethHospiceRN's topic in Hospice, Palliative

    I agree. Most IDTs have BOTH an attendance record and the individual POCs/discussions. I would not sign the attendance record if I had not attended. But I would initial/sign the chart copy of the...
  11. tewdles

    Nurses and Burn out

    tewdles replied to pat8585's topic in General Nursing

    For those readers/posters who are doing some research, check out "compassion fatigue" as part of your search. Burn out and compassion fatigue are not a "death sentence" for a practicing bedside nurse....
  12. tewdles

    Allscript

    tewdles replied to ShayRN's topic in Hospice, Palliative

    Allscripts was not as electronically integrated as we needed it to be. The phone calls were slow. They wanted us to fax info rather than enter it into a data base. We could not view the patient...
  13. tewdles

    Hospice nurse with no nursing experience

    tewdles replied to misia84's topic in Hospice, Palliative

    My husband and I were talking the other day about this very thing (he is an RN also). In the field hospice setting nurses rely upon their assessment skills. Much more than on a M/S floor...because we...
  14. tewdles

    When "The Calling" wears off?

    tewdles replied to eriksoln's topic in General Nursing

    Over the years I have been in situations where I did not enjoy my particular job very much...in fact, I have despised a few. But nursing as a profession, a career, or a work identity has been a...
  15. tewdles

    rude office manager

    tewdles replied to wildtulip's topic in Home Health

    Have your office send the marketing staff to the MD office to obtain the paper work and work on the relationship. Your job is to take care of the patient. Marketing takes care of the physician...
  16. tewdles

    Difference between LPNs and MAs?

    tewdles replied to NurseHopefulInOH's topic in Ambulatory Care, Clinic

    Bottom line... MAs are taught how to complete tasks and assist MDs in the office/clinic setting. They are taught how to man the front desk, file the charts, and draw the labs, etc. They cannot...
  17. tewdles

    Palliative Care and Euthanasia

    tewdles replied to bracken's topic in Hospice, Palliative

    i would say that we have a lot of mythology about a number of drugs in this country. that mythology is often used to generate fear in the hearts of the general public. it is this fear that hampers...
  18. tewdles

    Field Hospice nursing to inpatient unit

    tewdles replied to Annie423RN's topic in Hospice, Palliative

    no matter what, you DO NOT want to work for a hospice which puts profit before people...hospice is too demanding and stressful and will eat you up in that
  19. tewdles

    COPD and no BM for 40 days!

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    I agree with the others...watch her for discomfort and maximize her ability to pass stool if it can get to her rectum. With active bowel tones and absence of other unpleasant symptoms in an otherwise...
  20. tewdles

    Grunting baby...

    tewdles replied to winter_green's topic in Ob/Gyn

    Here's the bottom line...you were thinking of the patient and outcomes for the patient before your were considering how your actions might affect staffing. THAT is YOUR job. And it sounds like you...
  21. tewdles

    Indentifying the dementia pt for meds

    tewdles replied to nursinger's topic in Geriatric, LTC

    If the patient's can't answer, their roommate cannot id them, and there is no photo in the MAR, could you use a co-worker to say, yes...this is crazy little Matilda with the doilie on her
  22. tewdles

    Imposing compassion?

    tewdles replied to TLDey's topic in Hospice, Palliative

    Yes, on a number of instances I have had family members join our IDT meeting. We generally have the team make this as a recommendation or option to the family, schedule them to meet with the entire...
  23. tewdles

    Home Care Survey

    tewdles replied to nurse955's topic in Home Health

    Are you finding other ways to communicate with the docs? Can you fax them, email, page, text, etc? The surveyors will likely want to visit with each discipline. They will expect to observe excellent...
  24. tewdles

    help with knowledge of long acting meds for chronic pain

    tewdles replied to anangelsmommy's topic in Pain Management

    You are on the right path. A long acting opiate coupled with an immediate release option will likely provide your patient with improved control and quality of life. As you can see from the responses...
  25. tewdles

    Home Care Survey

    tewdles replied to nurse955's topic in Home Health

    Yes, if the surveyors are planning to visit a patient you must notify that patient in advance, they have a right to