tewdles RN

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

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All Content by tewdles

  1. tewdles

    Refusing meds

    tewdles replied to penlight32's topic in Geriatric, LTC

    I completely agree with capecodmermaid...time to review his med list and downsize it. The old guy doesn't want to take his meds and so we should make sure that we are not encouraging any that are not...
  2. tewdles

    The right to refuse has so many interpretations

    tewdles replied to Alnitak7's topic in General Nursing

    A cna told my patient the other day....eat the rest of your sandwich and THEN you can have your pudding...I took the cold cut sandwich off the table, gave the old girl her pudding and advised the cna...
  3. tewdles

    What do you wear to work?

    tewdles replied to GhostsWerePeopleToo's topic in Hospice, Palliative

    I worked for an agency that required socks year round....that is cruel and inhumane punishment. That agency also does not allow the field staff to wear capri length pants or sleeveless tops. Summer...
  4. tewdles

    Moving to Michigan....

    tewdles replied to kidzrn2002's topic in Michigan Nursing

    Michigan is a beautiful state, we have more fresh water shoreline than any other place in the world, we have waterfalls, and mountains (of a sort), we have wild places that are breathtaking in...
  5. tewdles

    VA (Ann Arbor) vs. UM Hospital

    tewdles replied to Wolverine2010RN's topic in Michigan Nursing

    the VA and the U are two different animals...and both are good places to work in the AA area... Noticed that you did not mention the third large employer of nurses in the AA area...good for you that...
  6. tewdles

    How hospitals can help new nurse managers succeed

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    I just read that article myself...got it from Hospice Pharmacia
  7. tewdles

    Neurontin

    tewdles replied to ER-RN2's topic in Pain Management

    we frequently use gabapentin in hospice, with good results, for neuropathic pain. we rarely use pregabalin...it is too
  8. tewdles

    Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    tewdles replied to Fribblet's topic in Nursing Professionalism

    we use nursing care plans in hospice daily... my current employer requires "NANDA type" language...but the verbage is all preloaded into the computer...I simply have to choose the most appropriate...
  9. tewdles

    Scrub tech breaking scrub without permission

    tewdles replied to nmred's topic in Operating Room

    Most of us learn that you get into trouble for throwing things at others...somewhere during our kindergarten experience. There is a reason that elementary schools focus on safe behavior in group...
  10. tewdles

    Help! I need advice!

    tewdles replied to juliebug's topic in Geriatric, LTC

    Yup, not everyone gets their jollies in the ICU.... You are proposing a HUGE change - you know that right? EVERYTHING will be different in LTC, and I mean EVERYTHING. If you want a job that depends...
  11. tewdles

    Guidelines for In-Patient Hospice Post Mortem care

    tewdles replied to solacetherapy's topic in Hospice, Palliative

    I also am pretty fastidious about post mortem care...I do not have flowers, though. I do not work in the inpatient residence...this is the care I provide in the
  12. tewdles

    What do you wear to work?

    tewdles replied to GhostsWerePeopleToo's topic in Hospice, Palliative

    It seems that some agencies do not fully appreciate
  13. tewdles

    Call offs. I love getting the phone call, hate getting the paycheck

    tewdles replied to klone's topic in General Nursing

    This is a naive viewpoint in today's world. I work in an "at will employment" state. I have a job as long as it is the will of the employer. The employer can discharge me, dissolve our relationship...
  14. tewdles

    Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    tewdles replied to Fribblet's topic in Nursing Professionalism

    I think that considering where and what the patient's problems are before we communicate with other disciplines helps nurses to focus our communication...to be more focused on the patient's needs and...
  15. tewdles

    Traumatized by pt's attempted suicide

    tewdles replied to SlightlyMental_RN's topic in General Nursing

    I am so sorry.... You got good advice about the EAP...or whatever your support team is for staff. It is really helpful to speak with someone about this. And you need a few days...off work...to...
  16. tewdles

    What do you wear to work?

    tewdles replied to GhostsWerePeopleToo's topic in Hospice, Palliative

    Dress code varies from agency to agency...some wear scrubs others wear street
  17. tewdles

    Criticized by the media...(long)

    tewdles replied to RN in pink's topic in Emergency

    I would rather be taken care of by someone other than nurse Ratchet or Dr. Mean....those professionals really don't listen to their patients and make choices about care based in THEIR reality and...
  18. tewdles

    Hospice...job or way of life?

    tewdles replied to AmandaCRN's topic in Hospice, Palliative

    "...but I think management can make or break good staff (nurses, MSW's, CNA's)" Hospice Nurse LPN...so right...the management of the clinical staff is an extremely important aspect of having a...
  19. tewdles

    Question regarding heparinized ports

    tewdles replied to KelliD's topic in Oncology

    Your best bet is to review your P&P manual for this information. Although the practices are sort of standardized, there are minor discrepancies from place to place. In the end you will be held...
  20. tewdles

    Dopamine drips in SNF?

    tewdles replied to mercury7's topic in Geriatric, LTC

    I work with SNF staff frequently. I often have to schedule prn meds to insure that my patients are comfortable. I frequently have to weigh patients myself. Too many facilities cannot even keep...
  21. tewdles

    Hospice...job or way of life?

    tewdles replied to AmandaCRN's topic in Hospice, Palliative

    wow...even after 2 glasses of wine...
  22. tewdles

    Call offs. I love getting the phone call, hate getting the paycheck

    tewdles replied to klone's topic in General Nursing

    or the birth control worked
  23. tewdles

    Hospice, TPN, Ovarian Cancer

    tewdles replied to AJ28's topic in Hospice, Palliative

    This is true, but some patients still desire this intervention for a variety of
  24. tewdles

    Hospice...job or way of life?

    tewdles replied to AmandaCRN's topic in Hospice, Palliative

    Seriously folks...if you are working for a hospice who treats you like a visit machine, start looking for another hospice employer. If your agency has no qualms about sacrificing your personal life...
  25. tewdles

    Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    tewdles replied to Fribblet's topic in Nursing Professionalism

    I completely agree that when the FNP prescribes the antibiotic for the OM she is practicing medicine not nursing. When she determines that the parent needs education on diet or sun exposure during...