tewdles RN

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

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All Content by tewdles

  1. tewdles

    Michigan

    tewdles replied to ericanicole's topic in Michigan Nursing

    nuthin like having the buckwads hijack a Michigan
  2. tewdles

    Offensive Nursing Behavior

    tewdles replied to carbaminohemoglobin's topic in Geriatric, LTC

    I agree that this is abuse. This is not appropriate age specific nursing care. The nurse described is likely not uneducated about relevant nursing care, she is a bully. Report her in every way you...
  3. tewdles

    Peg Feeding Complication

    tewdles replied to NewlyGradBSN's topic in Geriatric, LTC

    If it were my grandma I would have scooted her up in bed first and spoken to the staff later. Would it be possible for grandma to get into a chair for her feedings? If she routinely "burps" the...
  4. tewdles

    Nurse burnout/Moral distress/Compassion fatigue

    tewdles replied to Lee238's topic in General Nursing

    depression would be a medical diagnosis, which most of us are not qualified to
  5. tewdles

    Treating pain in ER

    tewdles replied to Butterfly0328's topic in Emergency

    I will only comment, after the cooling off period, that it is not wise to make assumptions about an individual's professional experience. For instance, it might be easy to assume that because I do...
  6. tewdles

    Proper Skin DX

    tewdles replied to txdon's topic in Geriatric, LTC

    Agree with other responses. Nurses need to use the nursing diagnosis on the medical order unless the physician provides a specific medical diagnosis...the obvious exception is the APN in this...
  7. tewdles

    How to become less "task oriented"?

    tewdles replied to roma4204's topic in Medical-Surgical

    This is a good question, I am not certain how to answer. I think the key is to begin to focus on the patient, who they are, what the diagnosis is, what the symptoms are, etc and less on the "orders"....
  8. tewdles

    Treating pain in ER

    tewdles replied to Butterfly0328's topic in Emergency

    I would suggest it is not the patients who are driving you out of the
  9. tewdles

    Nurse burnout/Moral distress/Compassion fatigue

    tewdles replied to Lee238's topic in General Nursing

    You are experiencing this in large part because you work for bad management. My recommendations... -get help for yourself (eat better, get more exercise, visit your MD, EAP, counselling), whatever it...
  10. tewdles

    Time to call a duck a duck, part II

    tewdles replied to eriksoln's topic in General Nursing

    Goslings often don't look or act much like geese...but they will soon enough, if they survive. New grad nurses also often don't look or act much like professional nurses...but they will soon enough,...
  11. tewdles

    Would you take a pay cut?

    tewdles replied to nicu4me's topic in General Nursing

    Twice I have changed jobs and taken a pay cut. Once was to take a job that was almost literally in my backyard. I walked to work, my kids walked to my office after school, I was VERY available to my...
  12. tewdles

    o2 @ 2L

    tewdles replied to Cat_RN's topic in General Nursing

    The blow of the O2 from the NC is likely helping to dissipate her SOB (which in COPD pts is often unrelated to the O2 sat). She will likely benefit from a small fan to move the air around her...
  13. tewdles

    Meperidine vs Morphine for Pain, Acute pancreatitis

    tewdles replied to JP Salting's topic in Medical-Surgical

    I personally think meperidine is not the best pain reliever and would always prefer to give morphine...but then again, I am not the
  14. tewdles

    RN jobs with high amount of patient/family teaching

    tewdles replied to Junebug0710's topic in General Nursing

    As said in an earlier post, hospice has a HUGE education component. Typical 60 min visit = 15 min physical assessment, 30 min education/collaboration, 15 min
  15. tewdles

    Inpatient Hospice Nurses ..I need your advice on pharmacy situation

    tewdles replied to txspadequeenRN's topic in Hospice, Palliative

    I think that part of the problem lies in the fact that many stand alone inpatient hospices are licensed as LTC/SNFs and that changes how their pharmacies operate. or I could be full of hoo
  16. tewdles

    FAST Scale

    tewdles replied to aub123's topic in Hospice, Palliative

    You are correct that the type of dementia does not necessarily affect the FAST or the certification/recertification of the patient. However, the type of dementia most certainly can affect the
  17. tewdles

    Aminioinfusion

    tewdles replied to winter_green's topic in Ob/Gyn

    Follow your employers policy. If you think the policy is incorrect investigate and get in touch with your OQ or other appropriate department to suggest corrections. In the meantime, you will "sink or...
  18. tewdles

    Seeking Team Manager Position.. or rather offered. What should I ask for salary?

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    If this is the same company ("O") you have spoken about before, I am surprised you are considering this
  19. tewdles

    Office is requiring daily paperwork drop off and review??

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    Are you now looking to become the manager for this
  20. tewdles

    Odessey Hospice

    tewdles replied to Lonestarrn02's topic in Hospice, Palliative

    This is a for-profit hospice...large...wanting to be larger. The first objective is to make
  21. tewdles

    Seeking Team Manager Position.. or rather offered. What should I ask for salary?

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    It is fair to expect at minimum a 10% raise to assume the position with plans for re-eval and raise in 12
  22. tewdles

    Pediatric patient- home nurse situations!?

    tewdles replied to MomLPN4's topic in Private Duty

    I am afraid that those who are concerned about how "harsh" we are with this behavior are part of the problem with professional nursing...they are not thinking like professionals, they are thinking...
  23. tewdles

    Time to call a duck a duck, part II

    tewdles replied to eriksoln's topic in General Nursing

    Some of our "ills" related to identifying as a profession relate to the fact that the vast majority of us cannot bill directly for our services and that our employers can bundle nursing care in with...
  24. tewdles

    Elevated temp and dehydration

    tewdles replied to nursesaurus's topic in Home Health

    I think that we can correctly list fever as both a cause and a symptom of
  25. tewdles

    new RN and new hospice nurse-need help!

    tewdles replied to ajitamamasita's topic in Hospice, Palliative

    Many patients reach a point in their act of dying that they cannot demonstrate nonverbal signs of pain or discomfort. It is important that we consider how comfortable that person was before they...