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

    Southern Care Hospice

    tewdles replied to Bumashes's topic in Hospice, Palliative

    Just keep in the back of your mind that Southern Care is a for-profit hospice. That means that if the company is doing well financially you may also do well financially. Conversely, if (when)...
  2. tewdles

    Looking for advice from working nurses on adn vs bsn

    tewdles replied to rene76's topic in Diploma, ADN, BSN

    You can absolutely competently, successfully, and admirably practice nursing as an RN with an ADN. You should pursue your BSN if you can as it will enhance your future options and professionalism as...
  3. tewdles

    ALWAYS called to work on days off?

    tewdles replied to squatmunkie_RN's topic in General Nursing

    It is important to have good boundaries when it comes to work. Time off is one of the important boundaries. You are apparently working for people who know more about managing things other than...
  4. tewdles

    Nursing Diagnoses- drug overdose

    tewdles replied to ztasweetie's topic in General Students

    This is a basic nursing research project for you...and it is important that you do the work yourself. How about if you come back with a nursing plan of care and we can help you tweak it? I am game...
  5. tewdles

    What can Hospice do for my mother?

    tewdles replied to fiona8757's topic in Hospice, Palliative

    my apologies for the misread... I wish the best for you, your mom, and the rest of your
  6. tewdles

    Another amazing death

    tewdles replied to ErinS's topic in Hospice, Palliative

    What a
  7. tewdles

    Looking for a hospice caseload acuity tool

    tewdles replied to joyfulljen's topic in Hospice, Palliative

    We don't use an acuity tool for the field. We use the recommended ratios of 1.0 FTE CM/12-15 pt and it is up to the clinical management team to fine tune case loads to accommodate acuity and...
  8. tewdles

    Sad sad situation, but not hospice appropriate yet.

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    Bringing a "disc pain" patient on service sounds like a risk to me...pain control would be the financial responsibility of the hospice. What if the recommended remedy is surgical? Perhaps the pain...
  9. tewdles

    What can Hospice do for my mother?

    tewdles replied to fiona8757's topic in Hospice, Palliative

    Okay "fiona"...your grandma needs hospice. Get her permission to call her doc and talk about it. What hospice would you use...do you know anyone who has used hospice? Your grandmother may use the...
  10. tewdles

    Documenting pain

    tewdles replied to jyhn's topic in Hospice, Palliative

    We use Suncoast. It is designed top to bottom for hospice...McKesson was designed for homecare, and so was Home Base if I am not mistaken, they can adapt to hospice but there are distinct and...
  11. tewdles

    Comfort / E-Kit Contents

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    Hospice Pharmacia and other pharmacies offer choices in the contents of the kits... w/ or w/o levsin for instance, or scop TD. Mostly it depends upon what your agency contracts as part of the "per...
  12. tewdles

    A Question About Post Mortum Expectations

    tewdles replied to SNye's topic in Hospice, Palliative

    This is a difficult time for you and your family just now... First, make sure that the hospice team knows about the pulmonary congestion! He will not drown in his own fluid. Make your grandfather...
  13. tewdles

    So that's where all my gloves have been disappearing to!

    tewdles replied to Purple_Scrubs's topic in School

    I am not sure why you don't just talk to the guy...he probably didn't consider that they are "special" gloves or that it impacts your budget. He just wants to take the trash out without getting crud...
  14. tewdles

    Pain is NOT subjective

    tewdles replied to SunnyAndrsn's topic in Pain Management

    I just love the folks who doubt the report of pain because that is not "their experience"...lol To the poster who has never seen a man with fibromyalgia...just because you have not "seen" something...
  15. tewdles

    Obtaining Urine Sample in the Home

    tewdles replied to LuLu2008's topic in Home Health

    Actually, in my setting we generally treat suspected UTIs empirically without obtaining either U/A or culture...how does that
  16. tewdles

    Have you ever heard of vicodin making pt too sleepy so changing to fentanyl patch???

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    This woman sounds crazy. I wonder what motive she could have for behaving in such a
  17. tewdles

    new hospice job

    tewdles replied to CJsGirlRN's topic in Hospice, Palliative

    Welcome to Hospice! This is what I wish someone had told me... Be aware that all hospices are not nice places to work, so pay close attention to the management style and agenda in your new work place....
  18. tewdles

    Calcium alginate rope...help!

    tewdles replied to Neener_RNBSN's topic in General Nursing

    agreed...you are doing fine...the rope is used to absorb
  19. tewdles

    Obtaining Urine Sample in the Home

    tewdles replied to LuLu2008's topic in Home Health

    I get a CCMS if the patient is able to understand and cooperate...otherwise, in the home/field you get what you can, how you
  20. tewdles

    Nursing Care Plans

    tewdles replied to SkinnyLatte's topic in General Nursing

    The hospice I work for requires that we create a nursing plan of care, using NANDA type language, and document patient progress toward goals regularly. Our POCs are electronic and we can customize...
  21. tewdles

    Nursing Care Plans

    tewdles replied to SkinnyLatte's topic in General Nursing

    Just like other disciplines must document their professional assessments and plans to correct or improve any issues, so also must nursing. Many acute care nurses work from a medical rather than...
  22. tewdles

    HELP!! What about what the PATIENT WANTS?????

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    That is a good suggestion, however there are many communities with very limited (if any) access to palliative medicine
  23. tewdles

    a video to share: what I leaRNed

    tewdles replied to rn-jane's topic in General Nursing

    you caught me leslie...I was feeling a bit "grumpy" after my husband presumed that he needed to direct me in how to load the dishwasher...my
  24. tewdles

    Can a new graduate be a hospice RN?

    tewdles replied to fireball78's topic in Hospice, Palliative

    good for you JaclynRN789 , it is nice to know those organizations
  25. tewdles

    a video to share: what I leaRNed

    tewdles replied to rn-jane's topic in General Nursing

    clearly some in the midst of burn out or compassion fatigue will not find nursing to be a rewarding or worthwhile career...doesn't change what nursing is,