tewdles RN

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

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Dangerous home, what to do?

tewdles replied to latebloomrn's topic in Private Duty

When staff are visiting a home which becomes unsafe we MUST document, notify, and remove ourselves from harm's way. Some money hungry for profit agencies will ignore you... but we should never ignore...
Letting Go. What should medicine do when it can't save your life?

tewdles replied to HickoryTree's topic in Hospice, Palliative

I find that too many physicians have a difficult time speaking to patients about death as an outcome of the disease process. And, too many nurses who work with those physicians do not feel that it is...
Top 10 Reasons Against Unions

tewdles replied to PICUPNP's topic in Collective Bargaining, Union

I don't agree that you should unionize if you have a good and reasonable relationship with your employer. Of course, this is based upon the experience of having worked for several excellent...
RNs who have never worked bedside - What do you do?

tewdles replied to pumpernickel pup's topic in General Nursing

I recently looked at some stats for distribution of nursing jobs...it seems to me that somewhere around 55% of nurses work in the hospital setting...and of course we know that not even all of them are...
Top 10 Reasons Against Unions

tewdles replied to PICUPNP's topic in Collective Bargaining, Union

Good discussion. I live in a "right to work" state and have also never worked in a unionized setting...31 years. I am acutely aware of the fact that I have always benefited from the union efforts in...
How to comfort patients?

tewdles replied to Al25's topic in Hospice, Palliative

I would recommend that you do a bit of research on the interests of the patients you are visiting. What hobbies do/did they have, what work did they do, what sports or recreation do they enjoy, do...
Tips for working in the field

tewdles replied to Cardiac-RN's topic in Hospice, Palliative

In our neck of the woods many if not most patients do not want their first nursing visit before 0900. So most of us start out in a facility if we want to visit early. As well, I find that I am...
Meds in food

tewdles replied to bioniclewoman's topic in Geriatric, LTC

I completely agree...concealing meds in a meal is completely different from putting them in applesauce so they are easier to swallow. This is why I stressed that an MD order is required. And that...
The type of nurse I DO want to be...

tewdles replied to ktwlpn's topic in General Nursing

The type of nurse I DO want to be... I DO want to be...patient, I DO want to be...kind, and I DO want to be...a welcome presence when in the company of peers and
Meds in food

tewdles replied to bioniclewoman's topic in Geriatric, LTC

First, who is questioning your practice and telling you what you may and may not do? Is this your nursing supervisor or a peer? Second, there should be a policy and procedure manual which directs...
New Grad RN moving to Michigan, ANY JOBS?????

tewdles replied to Sknurse09's topic in Michigan Nursing

Those are the 3 big employers in the Ann Arbor area. You are going to the Art Fair...it is juried and quite nice. Traffic and parking will be challenging...but you should enjoy yourself. Are you...
New Grad RN moving to Michigan, ANY JOBS?????

tewdles replied to Sknurse09's topic in Michigan Nursing

you have gotten some good advice...there ARE good nursing jobs in the AA/SE Michigan area...they don't just chase people down the street so you have to go after them There is a home care company that...
Got a Hospice job

tewdles replied to mschelee's topic in Hospice, Palliative

welcome to
Time to call a duck a duck?

tewdles replied to eriksoln's topic in Nursing Professionalism

caught me...yup I am a woman and have been for awhile
Time to call a duck a duck?

tewdles replied to eriksoln's topic in Nursing Professionalism

you just made me laugh again...of course, just because I have a husband does not necessarily mean that I am a woman... and I rarely yell at my
Time to call a duck a duck?

tewdles replied to eriksoln's topic in Nursing Professionalism

Eric, you make me laugh... I find it amusing that you and I disagree about this and so...in your estimation, I am in denial...LOL...see, made me chuckle right out loud just now typing it. Yo are...
Innovative Ways to Help Both Family & Patient

tewdles replied to nursejudy15209's topic in Hospice, Palliative

In my neck of the woods families who do not want continuous care do not get continuous
Do you visit hospice patients daily while in hospital?

tewdles replied to AtlantaRN's topic in Hospice, Palliative

The bottom line is this....if they are in the hospital for symptoms or care related directly to their hospice diagnosis they must be identified as GIP level of care. When that happens both the...
Time to call a duck a duck?

tewdles replied to eriksoln's topic in Nursing Professionalism

I think that some nurses work for employers who do not treat them like professionals. I think that some nurses work in environments that foster and even promote disrespect and abuse. I think that some...
Do you visit hospice patients daily while in hospital?

tewdles replied to AtlantaRN's topic in Hospice, Palliative

If a hospitalized patient requires daily visits because of unstable symptoms related to his hospice diagnosis you should change his status from routine to GIP anyway,
Atropine 1% Eye Drops SL

tewdles replied to Lexxie's topic in Hospice, Palliative

I like your balanced approach to symptom management, you could be my hospice nurse any ol' time. I always advocate for a side lying position with the head low in those patients who are not dyspneic or...
Do you visit hospice patients daily while in hospital?

tewdles replied to AtlantaRN's topic in Hospice, Palliative

We generally don't discharge because a patient is going to be outside our service area...we contract with a hospice in that area to provide support until they return
This can't be right...

tewdles replied to pinkstudentnurse20's topic in General Nursing

Uninsured more likely to die after trauma fixed my
Do you visit hospice patients daily while in hospital?

tewdles replied to AtlantaRN's topic in Hospice, Palliative

I believe that the COPs require daily visits for GIP hospice patients, when they are being treated for their hospice diagnosis. When they are in for an unrelated issue they require only a routine...
Time to call a duck a duck?

tewdles replied to eriksoln's topic in Nursing Professionalism

wow...do you spend much time on this line of

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