tewdles RN

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

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All Content by tewdles

  1. tewdles

    RN use of ultrasound in fetal demise cases

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

    In my L&D unit many nurses were trained in the use of ultrasound for a variety of reasons, none of them medically diagnostic. Demonstration of fetal demise would not be an indication for that...
  2. tewdles

    Aspiration: Help request

    tewdles replied to catlvr's topic in Geriatric, LTC

    If I am not mistaken, the medicare guidelines indicate that dementia of 7b on the FAST scale is indicative of a life expectancy of 6 mos or less (it could be 7d, I am one cocktail into my evening and...
  3. tewdles

    Denial

    tewdles replied to SuesquatchRN's topic in Geriatric, LTC

    sad cases...and until we change the way we talk to people about dying and the reality of having life limiting chronic illnesses in the months and even years before death is inevitable, we will...
  4. tewdles

    is this dispensing without a license?

    tewdles replied to Roseanne P.'s topic in General Nursing

    just a minor point adjustment...teaching is a huge part of hospice nursing in the field...it is just teaching of a different nature. We are teaching the family how to care for their loved one as...
  5. tewdles

    Nursing and sexual orientation

    tewdles replied to borinick1492's topic in General Nursing

    I have no knowledge of sexual harassment or discrimination occurring in the workplace during my "lengthy" career...my gay friends never mentioned it, at all...so I am guessing that it is not, in...
  6. tewdles

    Comfort kits

    tewdles replied to Mandee's topic in Hospice, Palliative

    Honestly, I have heard this before and I think it is a load of ... well you know. Having a comfort pack in the fridge of a hospice patient is similar to having a crash cart in a hospital. The plan...
  7. tewdles

    Ped immunization

    tewdles replied to erwigg's topic in Pediatric

    You need to find the best way for YOU to do this... The important thing is to give the correct vaccine, correct dose, into the correct muscle, using correct technique. SAFELY for all involved. How...
  8. tewdles

    NPO for labor?

    tewdles replied to 2curlygirls's topic in Ob/Gyn

    Of course this is a good example of medicine not being focused on the patient but rather being focused on some fear or anxiety... Even though evidence does not support the practice it...
  9. tewdles

    Comfort kits

    tewdles replied to Mandee's topic in Hospice, Palliative

    I have worked for hospices who use Hospice Pharm and those that don't. The hospices that didn't created their own "comfort packs". The comfort packs are signed out by the RN delivering them to...
  10. tewdles

    oversaturation makes managers arrogant

    tewdles replied to RN1980's topic in Patient, Colleague Relations

    Sounds like a hostile work environment where the nurses need organization and union
  11. tewdles

    Leading (or best) practice

    tewdles replied to JulieBoolie's topic in General Nursing

    you are not going to be successful in redesigning anything until you can clearly communicate your ideas, needs, goals, plan, etc. from this communication it is NOT at all clear what you are looking...
  12. tewdles

    Time Management Suggestions...

    tewdles replied to robbnp22's topic in General Nursing

    This is a huge part of the reason that I prefer hospice at this point in my career...hospice understands that it is necessary to communicate "in the moment" with people. Hospice understands that we...
  13. tewdles

    "I know, I know"

    tewdles replied to Scrubby's topic in General Nursing

    my 6 year old grand daughter says "I know, I know" when being corrected... My guess would be that she feels unsure and uncomfortable and this is how she is compensating. Someone needs to remind her...
  14. tewdles

    What do you look for in a Nurse Supervisor?

    tewdles replied to Leelee2's topic in General Nursing

    I am interested in managers who understand that a BIG part of their job is to make sure that the staff are successful at their patient care duties...who understand that in order to manage a group of...
  15. tewdles

    What am I doing wrong?

    tewdles replied to Schmoo1022's topic in LTC: Directors, Assistant

    Personally, I do a bit of research about my interviewees...I like to know their mission statement and a bit of their history when I go in... I try to ask them questions about the immediate goals for...
  16. tewdles

    Weekend On-Call Hospice RN Questions

    tewdles replied to TXNurseyRN's topic in Hospice, Palliative

    I would invite you to peruse the related threads in this specialty... the answers to your question vary from location to location, agency to agency, and nurse to
  17. tewdles

    Funny Nurse music video!

    tewdles replied to Seiya174's topic in General Nursing

    I wanna make a video... its just that hospice isn't very
  18. tewdles

    Where to take an infant's pulse

    tewdles replied to gfoster6993's topic in Pediatric

    First off, you have to be quick in peds... as opposed to neonatology where the patients are often quiet enough to assess, you may only have brief periods to count a pulse...think about the outpatient...
  19. tewdles

    What do you wear to work?

    tewdles replied to GhostsWerePeopleToo's topic in Hospice, Palliative

    I am wondering if you work both in the inpatient unit and in the field...cross-trained? If so, how do you like
  20. tewdles

    Time to call a duck a duck?

    tewdles replied to eriksoln's topic in Nursing Professionalism

    I am autonomous in my nursing function apart from what the physician orders...of course, I work in hospice which is a very nursing focused specialty...but seriously...nursing has the capacity to be...
  21. tewdles

    Heart Sounds anyone?

    tewdles replied to ltrnkoczy's topic in Medical-Surgical

    The Auscultation
  22. tewdles

    Troubles as a new manager

    tewdles replied to rckymtnrn30's topic in Nurse Management

    why are people miserable at work generally? often because they feel like an anonymous cog in a business machine...or because they do not understand how their job and performance affects people from...
  23. tewdles

    New Grad RN moving to Michigan, ANY JOBS?????

    tewdles replied to Sknurse09's topic in Michigan Nursing

    likely for profit...home care or hospice or both. You are correct that you are not at the top of any hospitals list without a current and active MI license. Good
  24. tewdles

    what would you do if you got cancer?

    tewdles replied to Leelee2's topic in Oncology

    yup to the small children part...mine were 8 and 13...I told my oncologist that I wanted to dance at my son's wedding. He'll be 22 in August... I believe in natural supplements as...uh, well, as...
  25. tewdles

    what would you do if you got cancer?

    tewdles replied to Leelee2's topic in Oncology

    been there done that... surgery, chemo, radiation, and lots of CoQ10... 13 years and still