tewdles RN

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

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All Content by tewdles

  1. tewdles

    Anyone ever have a famous person as a patient?

    tewdles replied to JRP1120, RN's topic in General Nursing

    i have only dealt with 2 pts or family members who were famous on a national level...they were nice, quiet. it was in an oncologic or hospice setting. i delivered the baby of a woman who was...
  2. tewdles

    Ok, this one hasn't been done in a while....

    tewdles replied to FancypantsRN's topic in General Nursing

    My tag came from Peter Pan, with a different spelling. Toodles is, of course, the boy/man who had lost his
  3. tewdles

    old movie

    tewdles replied to NNP-2018's topic in Psychiatric

    One Flew Over the Cuckoo's
  4. tewdles

    How do hospice nurses built rapport with their patients?

    tewdles replied to 50kn's topic in Hospice, Palliative

    As a hospice case manager your first few visits are EXTREMELY important in building that relationship of trust. I begin by asking them open ended questions and listening. Things like asking them...
  5. tewdles

    Extreme anxiety

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    Seroquel?
  6. tewdles

    Atropine 1% Eye Drops SL

    tewdles replied to Lexxie's topic in Hospice, Palliative

    I recommend extreme caution with the anti-cholinergics outside of the dying process. It is not difficult for our fragile patient population to struggle with mucous plugs and atelectasis, etc when...
  7. tewdles

    Extreme anxiety

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    Consider that if this patient is quite elderly she may be having a paradoxical response to the benzo's and may respond better to another approach. I recommend you discuss this possibility with your...
  8. tewdles

    Why don't we treat each other better?

    tewdles replied to Raquel8's topic in Patient, Colleague Relations

    I honestly feel that nursing environments that are antagonistic and hostile with the nurses treating each other badly are poorly managed. If you put competent, skilled nursing leaders in those areas...
  9. tewdles

    Anger or Violence from Families after a Death?

    tewdles replied to hrn1's topic in Hospice, Palliative

    Some hospice patients live in dangerous neighborhoods and/or have scary relatives. It is important for the admission team to identify safety concerns or risks for the care team and for the IDT to...
  10. tewdles

    appetite stimulants in hospice

    tewdles replied to dalmos's topic in Hospice, Palliative

    We frequently take advantage of the increased appetite that often accompanies a healthy dose of steroids...while palliating other
  11. tewdles

    COPD & hospice

    tewdles replied to lalagasse's topic in Hospice, Palliative

    my mother died from COPD. it is not a pretty disease or death. The best we can do is try to relieve their dyspnea and anxiety while loving on
  12. tewdles

    Is this a common requirement for being hired at a hospice?

    tewdles replied to goodoldroxie's topic in Hospice, Palliative

    Good idea. However, keep in mind that if this was a death close to you that the effects of "cumulative grief" will catch up to you if you are not wary and careful while working in hospice. Not all...
  13. tewdles

    Health care costs are RIDICULOUS!!!!

    tewdles replied to OhioCCRN's topic in General Nursing

    yup health care is ridiculous... I recently went to ER...had emergency appy...which led to all sort of things like CTs, PETs, and am now waiting for another surgery... will be filing bankruptcy post...
  14. tewdles

    Horrible Interview issues.. advice? I am running dry...

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    glad you are
  15. tewdles

    What is your response to lay people?

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    I have felt equally appreciated in PICU, NICU, and L&D. However, there is no mistaking the rarity of the relationship that is built during this specific time...it is such a beautifully bitter...
  16. tewdles

    Questions about hospice

    tewdles replied to Genista's topic in Hospice, Palliative

    Sometimes you can get into a job and negotiate a reduction of hours after 6
  17. tewdles

    FAST Scale

    tewdles replied to aub123's topic in Hospice, Palliative

    Sounds like you and yours could benefit from an inservice on using some of these tools. We recently had one that also covered administering the PPS vs Karnofsky. Typically speaking, the FAST is...
  18. tewdles

    Standing orders

    tewdles replied to jyhn's topic in Hospice, Palliative

    Let me jump onto my soap box about medical standing orders and individualized POCs. There is NOTHING about standing medical orders which makes a POC generic. The standing orders are relatively...
  19. tewdles

    Questions about hospice

    tewdles replied to Genista's topic in Hospice, Palliative

    10-12 patients for a full time CM is about right, maybe 12-15 if the RN is experienced and does not travel a huge area. Could be more dependent upon the setting or geography or could be fewer for the...
  20. tewdles

    Use of EtCO2 monitors in inpatient hosptial palliative setting

    tewdles replied to KellyB143's topic in Hospice, Palliative

    what a bunch of hooey. We palliate symptoms not
  21. tewdles

    During Hospice Consultant, Patient states he would like to continue treatment

    tewdles replied to DaddyO's topic in Hospice, Palliative

    Your uncle should have the option to have the hospice medical director or the pcp as the attending. Most pcps will step away if the pt/family asks to have the hospice med director managing the
  22. tewdles

    Questions about hospice

    tewdles replied to Genista's topic in Hospice, Palliative

    a revisit nurse is a hospice nurse who does not manage a caseload of patients...they visit who they are asked to visit...helping out the case managers with their visit
  23. tewdles

    Standing orders

    tewdles replied to jyhn's topic in Hospice, Palliative

    First off, Homecare Homebase is not a hospice application. It is designed for homecare and adapted to hospice. The absence of standing orders in hospice may mean that your patients do not receive...
  24. tewdles

    Nurses aren't maids!

    tewdles replied to AnaCatRN's topic in Private Duty

    Sounds like a couple of posters on this thread need to review Jean Watson's
  25. tewdles

    2011 grads..jobs?

    tewdles replied to CorazonDeOro's topic in Michigan Nursing

    in Michigan the pay at LTC is better than no pay...just