tewdles RN

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

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All Content by tewdles

  1. tewdles

    Home Health Nurse Safety

    tewdles replied to luvtosmile's topic in Home Health

    I have definitely been concerned about my safety and the safety of other caregivers who visited homes of mentally unstable patients. I have most certainly been in very dangerous neighborhoods in both...
  2. tewdles

    What kind of pt am I?

    tewdles replied to jfpruitt's topic in Emergency

    Sometimes ED staff are put off when persons with chronic pain exacerbations know specifically that IV Dilaudid (for instance) will help, they believe it to be evidence that the person is drug seeking...
  3. tewdles

    Frequency of visits

    tewdles replied to Tom Maxwell, RN's topic in Hospice, Palliative

    Hospice requires that the POC be individualized for each patient and the frequency of nursing visits is part of that process. The must be visited by an RN at least once QOW. When patients are...
  4. tewdles

    notifying pts the night before visit

    tewdles replied to BabaLouRN's topic in Home Health

    When I was in home health I did NOT call the night before for the very reasons mentioned...it was too common to have my schedule changed by the scheduler with NO notice to myself (I would get up and...
  5. tewdles

    Routine meds for hospice use

    tewdles replied to trodden's topic in Hospice, Palliative

    what leslie said + gabapentin, all the tri-cyclics, methadone, and seroquel are a few more that we use
  6. tewdles

    Feeling overwhelmed

    tewdles replied to Celtise07's topic in Home Health

    Why are you spending your unpaid time in the office waiting for lab
  7. tewdles

    Stigma with LTC

    tewdles replied to Derek1975's topic in Geriatric, LTC

    Personally I think the stigma results from ignorant and uninformed comments from nursing professionals who have not and do not work in that
  8. tewdles

    Falls versus Culture Change

    tewdles replied to ejpip1's topic in Geriatric, LTC

    My response is also to make certain that the nursing plan of care identifies this problem, the goals, and the interventions used to attempt to achieve the goals. People have the right to fall...and...
  9. tewdles

    What is your Hospice paying for mileage

    tewdles replied to jeannepaul's topic in Hospice, Palliative

    We get the current Fed reimbursement rate...never enough, but better than a sharp stick in the
  10. tewdles

    Tufts nurses vote 70% to authorize strike

    tewdles replied to Chin up's topic in Collective Bargaining, Union

    Yup support the nurses. Nope wouldn't cross the picket line. All this nonsense when there are studies which clearly correlate poor staffing to increased patient morbidity and mortality. Money makes...
  11. tewdles

    Patients Are Not Consumers

    tewdles replied to StNeotser's topic in Activism, Healthcare

    I agree that MOST persons entering a health care system are not consumers, they are victims of a health malady or issue and are seeking help. In my experience, pregnant women shop around for their OB...
  12. tewdles

    is it wrong to sit on a patients bed?

    tewdles replied to LPNweezy's topic in General Nursing

    Yup...I have sat on beds, commodes, wheelchairs, and even regular furniture. I sometimes kneel on the floor, it that is what it takes to get to eye level with my patient...or to reach his/her...
  13. tewdles

    Verbal Orders

    tewdles replied to paddler's topic in Home Health

    Many of us obtain INR results INDEPENDENTLY of a laboratory. There is no lab to fax the results...the bedside nurse is the lab with her little red machine. As said before, we get the result from the...
  14. tewdles

    Teaching Childhood Immunizations

    tewdles replied to Professor Saal's topic in Nursing Educators, Faculty

    I provided this teaching in a community health setting to staff and to parents...2 different presentations. I gave staff a review of the diseases. Many have never seen a child with measles, mumps,...
  15. tewdles

    "Fighting" Cancer

    tewdles replied to My3GuysinVA's topic in Oncology

    i cannot stand to hear someone utter the words "fighting cancer." perhaps the way you opened your comments was part of the misunderstanding. you don't see it as a fight ("cancer is not a game, a...
  16. tewdles

    Question for the burn nurses!

    tewdles replied to LoneWolfRN2010's topic in Burn

    Can't give you specific advice because I cannot assess your wound. However, generically one would expect to keep the wound bed clean, moist, and protected while it
  17. tewdles

    MDS and Hospice Team

    tewdles replied to Susan.B's topic in MDS Coordinator Information

    I have never had LTC ask me or my agency for
  18. tewdles

    LPN's

    tewdles replied to onewithhospiceheart's topic in Hospice, Palliative

    I am in the midwest in a 200+ census agency. Our LPNs work teamed with an RN and complete routine and prn visits. LPNs in this state can pronounce death in the field and are an important piece of...
  19. tewdles

    Pediatric patient- home nurse situations!?

    tewdles replied to MomLPN4's topic in Private Duty

    No advice here...you are in the wrong. Your choices and actions are unethical and unprofessional. You have put your license at risk. You have interjected yourself into a personal situation that will...
  20. tewdles

    My Spidey Senses Say 'be careful'

    tewdles replied to RN Dani SM A's topic in Hospice, Palliative

    As DON you should have a say over which nurses are making visits in the field...it should be your call. No person without an adequate background check or appropriate orientation should be completing...
  21. tewdles

    Do you hospice nurses attend funerals of patients?

    tewdles replied to Butterfly0328's topic in Hospice, Palliative

    Our agency encourages the nurses (and other disciplines) to attend the visitations. One of the things that is troubling to families is the fact that their loved one dies and at the same time they...
  22. tewdles

    question about visits

    tewdles replied to onewithhospiceheart's topic in Hospice, Palliative

    ditto...different disciplines make different visits... so an MD visit does NOT replace an RN
  23. tewdles

    My friend is dying.

    tewdles replied to General E. Speaking, RN's topic in Hospice, Palliative

    Sorry to hear this... I lost a friend a few years back, also an RN...39, mother of 2. Breast cancer was her monster. I was her "safe" person. She could express her anger to me. The anger with the...
  24. tewdles

    Pronouncing someone with a pacemaker

    tewdles replied to nerdtonurse?'s topic in Cardiac

    Agree with poster who recommended turning off the monitor. Death is determined by absence of pulse (audible or palpable), absence of BP, absence of respirations, and fixed dilated pupils. The pacer...
  25. tewdles

    respiratory distress vs respiraotry failure

    tewdles replied to yatyu's topic in Pulmonary

    Respiratory distress is a symptom. It implies pathology. A person can experience respiratory distress for a mechanical reason...pneumothorax, chest trauma, or aspiration of foreign object might be...