tewdles RN

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

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All Content by tewdles

  1. tewdles

    part time Rn casemanager, full caseload and Lvns in office

    tewdles replied to americanTrain's topic in Hospice, Palliative

    you are being sucked dry and you need to move on...in preservation of self. Not all hospices treat their staff in the manner you have experienced. I too have experienced the type of management...
  2. tewdles

    Revocation of hospice service?

    tewdles replied to mschelee's topic in Hospice, Palliative

    There is no question here really...when meds enter the home they ARE the property of the patient. We (hospice) may not confiscate and destroy patient property at the time of
  3. tewdles

    Hooker in the house?

    tewdles replied to anticoagulationurse's topic in Home Health

    wear
  4. tewdles

    Smoking coworkers and fair breaks

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

    Employers need to either enforce the rules or change
  5. tewdles

    Is Jevity considered "medicine"?

    tewdles replied to tracyIngalls's topic in Patient Education

    Your mother is lucky to have you as not only as her daughter but also as her advocate just
  6. tewdles

    Can a new graduate be a hospice RN?

    tewdles replied to fireball78's topic in Hospice, Palliative

    I wonder, does the "office case manager" oversee the work of more than one
  7. tewdles

    Can a new graduate be a hospice RN?

    tewdles replied to fireball78's topic in Hospice, Palliative

    I am familiar with RN Case Manager/LPN/HHA/MSW/PC teams who cover specific regions or facilities, this would apply to field work. In all hospice organizations familiar to me the RN Case Manager is a...
  8. tewdles

    Lonely?

    tewdles replied to tinderbox's topic in Home Health

    I do share your fondness for field nursing. Remember that hunger can also be strong desire or craving. I am often "hungry" for the professional contact - the sharing of info, laughing, and ranting,...
  9. tewdles

    Uninsured patients

    tewdles replied to 15isto2's topic in General Nursing

    A big part of the reason that the US could not accomplish a single payer system with the recent reform is because of FEAR...and huge doses of that were served up by some Americans, many of them who...
  10. tewdles

    Interview for Hospice Case Manager Position

    tewdles replied to erinp88's topic in Hospice, Palliative

    Good luck! It is really important to consider how clean the office, professional and pleasant the staff is, and how organized the management appear...sounds like you interviewed them well enough to...
  11. tewdles

    Revocation of hospice service?

    tewdles replied to mschelee's topic in Hospice, Palliative

    yes...getting back in is generally a problem. That is why it is good to speak with the family when they are considering revocation and help them with a transition plan. I prefer to be very proactive...
  12. tewdles

    Lonely?

    tewdles replied to tinderbox's topic in Home Health

    Hungry Angry or Anxious Lonely Tired all dangerous pieces of a stress/burnout pie in home health and hospice in the
  13. tewdles

    Drug seekers

    tewdles replied to inteRN's topic in Emergency

    how
  14. tewdles

    Interview for Hospice Case Manager Position

    tewdles replied to erinp88's topic in Hospice, Palliative

    You will want to know about their documentation requirements...if you will be using paper ask if you need to deliver to the office daily. If they have electronic documentation they should be...
  15. tewdles

    Differences in death procedures between adults and children

    tewdles replied to mambojennifer's topic in Hospice, Palliative

    what leslie said...and consider that children in hospice often have a single "thing" which determines their prognosis...a cardiac anomoly, bad cancer, etc...whereas the "typical" adult hospice patient...
  16. tewdles

    Revocation of hospice service?

    tewdles replied to mschelee's topic in Hospice, Palliative

    When the hospice delivers medications to the patient they become the property of the patient. If the patient revokes it would be inappropriate to remove the needed meds from the home. The hospice...
  17. tewdles

    Oxycontin - I didn't know how to answer this for pt.

    tewdles replied to NocturneNrse's topic in General Nursing

    okay...we can all assume that this man is manipulating and abusing and might be a terrorist to boot... or...we can run with the thought that he wanted some information about his pain control which, of...
  18. tewdles

    How do you explain Respite vs GIP ???

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    The bottom line... there are levels of care in hospice which are defined not only according to how much care they require, but also upon how much payment the hospice receives. routine care is the most...
  19. tewdles

    Drugs approved for cystic fibrosis?

    tewdles replied to belfry's topic in Hospice, Palliative

    I think you did fine, your assessment based upon knowledge of the disease in the absence of a formulary. In the future I would recommend that you let the MD decide what will be covered at time of...
  20. tewdles

    RN use of ultrasound in fetal demise cases

    tewdles replied to April Tyler's topic in Ob/Gyn

    It is my experience that an ultrasound tech would not be at liberty to say anything to the patient about possible fetal demise...of course I am older than dirt but I would be surprised if that has...
  21. tewdles

    Office Nurses!!!

    tewdles replied to Sl1011's topic in General Nursing

    If you are an RN working in a largish family practice you should expect to be doing a great deal of
  22. tewdles

    PALS go by age or weight or what?

    tewdles replied to brownbook's topic in General Nursing

    You don't say what type of setting this is...I am assuming that you are in an acute care setting, because ACLS is required. My take is this...if the kid is in the ICU setting, and absent some...
  23. tewdles

    hematomas? drawing blood on elderly clients

    tewdles replied to pear8's topic in Geriatric, LTC

    I put the extremity in a dependent position to dilate the veins and do not use a tourniquet. And I agree, you have to hold pressure longer on the elderly than the young...generally
  24. tewdles

    How Much Does a Hospice Nurse Make?

    tewdles replied to EmilyLucille523's topic in Hospice, Palliative

    First, I wish so much goodness in your life and career that you wake amazed at your life everyday! Second, I have been a hospice nurse for a nice little spell now and I love it terribly. Because I...
  25. tewdles

    Would you ever own a motorcycle? YES or NO?

    tewdles replied to borinick1492's topic in General Nursing

    I just stopped at a bike accident...small car pulled in front of much faster crotch rocket on the highway. The bike hit the rear of the car and the passenger was propelled into and through the rear...