tewdles RN

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

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All Content by tewdles

  1. tewdles

    Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    tewdles replied to Fribblet's topic in Nursing Professionalism

    No, Flo probably didn't...but flo also wasn't consumed with the time consuming need to start IVs, deliver tube feedings, change the TPN, suction the trach, etc, etc, etc either. IMHO, the focus of...
  2. tewdles

    Help NEED LUNCH

    tewdles replied to nurselele05's topic in Home Health

    I also pack a lunch most days using a small insulated lunch box and a Thermos brand insulated container for either cold or hot foods. In the hot humid days of summer in Michigan my cool stuff stays...
  3. tewdles

    UTI questions

    tewdles replied to Schmoo1022's topic in Geriatric, LTC

    good idea...the only truly dumb question is the one not
  4. tewdles

    Nursing Diagnoses: Useless Statements secondary to Professional Insecurity

    tewdles replied to Fribblet's topic in Nursing Professionalism

    I work from a nursing care plan daily. I identify problems or potential problems and address them with goals and interventions. All of the disciplines review the nursing plan of care when we meet...
  5. tewdles

    New RN who may lose her Med Surg job

    tewdles replied to Epona's topic in General Nursing

    My guess is that OP knows what specific skills are in question. Most hospitals have an orientation skills checklist which must be completed to satisfaction. At the risk of sounding harsh I will...
  6. tewdles

    Does her family know how sick she is?

    tewdles replied to SuesquatchRN's topic in Geriatric, LTC

    So basically your employer is limiting your ability to apply the nursing process to those clinical cases and situations...? What do you do with a nursing diagnosis of knowledge deficit or impaired...
  7. tewdles

    Great Lakes

    tewdles replied to erroridiot's topic in Michigan Nursing

    that is pretty much my take on it... too bad really, I think when they were smaller the staff enjoyed working for them...now...most of the professionals I know who have worked for them have the scars...
  8. tewdles

    Questions about DMC

    tewdles replied to doughboiwife's topic in Michigan Nursing

    ya...the campus is safe and the guards are good...but getting onto and off of campus can be dangerous particularly if working evening or night shifts. It IS close to the highway... The surface...
  9. tewdles

    Questions about DMC

    tewdles replied to doughboiwife's topic in Michigan Nursing

    apply for your CCW... just
  10. tewdles

    Great Lakes

    tewdles replied to erroridiot's topic in Michigan Nursing

    use caution...they are for profit and VERY productivity oriented. they have grown quickly and their clinical support systems have not grown as quickly. communication is an issue. fair and equitable...
  11. tewdles

    Do you regret clinic nursing?

    tewdles replied to SpudID's topic in Ambulatory Care, Clinic

    I worked in clinics in community health. Patient education is a big part of the day. Following up on labs and tests is really, really important. Giving medications and simple treatments are common...
  12. tewdles

    I can't take it anymore!

    tewdles replied to shortsuzy87's topic in General Nursing

    give 2 weeks notice...go to your doc and ask for a brief LOA secondary to your symptoms of anxiety and stress...consider a limited usage of antidepressants or similar to regain your sense of...
  13. tewdles

    Please be honest!

    tewdles replied to kalinka's topic in General Nursing

    my husband went into nursing because of all the
  14. tewdles

    Home Health RN should Unionize and Strike

    tewdles replied to Willow Moonsidhe's topic in Home Health

    Sounds like the company I worked for Willow...they told me crap to get me hired and then NOTHING was true about the actual job. I didn't mention that although I was responsible for a HUGE territory...
  15. tewdles

    Turn every two hours

    tewdles replied to Alnitak7's topic in General Nursing

    I think you make some good points, wooh. I believe in the power of the individualized nursing POC...so repositioning is according to patient need rather than according to a static "rule". I think we...
  16. tewdles

    screaming doctors....how can we handle them?

    tewdles replied to KSU-SN's topic in Patient, Colleague Relations

    Much good advice here and a bit of much needed levity. Bottom line is that he does this because he gets away with it...period. Most docs give this behavior up when they encounter nurses and units...
  17. tewdles

    Burnt out on bedside nursing

    tewdles replied to jlbic's topic in General Nursing

    the best advice I can give is to take care of yourself. You are clearly feeling stressed and have the symptoms to prove it. When I found myself in this situation I visited my health professional and...
  18. tewdles

    Turn every two hours

    tewdles replied to Alnitak7's topic in General Nursing

    Regular repositioning of patients at risk for complications of immobility is a common intervention in a nursing plan of care. IMHO, we should not have to have mandates to provide basic nursing care to...
  19. tewdles

    Hospice, TPN, Ovarian Cancer

    tewdles replied to AJ28's topic in Hospice, Palliative

    I am in Michigan and not all hospices here would agree to pay for TPN. It is absolutely all about interpretation of the rules and values of the company as they relate to care of the
  20. tewdles

    pressure ulcer???

    tewdles replied to laina chow's topic in Medical-Surgical

    I have certainly seen stg 3 (and worse) ulcers on debilitated patients in the hospital...where the wound started in the hospital. Any patient with mobility problems, circulation problems, nutritional...
  21. tewdles

    Patient education with pancreas cancer

    tewdles replied to peachmouse's topic in Oncology

    Discover where the knowledge deficits are and focus teaching there. If this person does not have advanced directives you should be teaching in that area. Surely they have medications which require...
  22. tewdles

    Home Health RN should Unionize and Strike

    tewdles replied to Willow Moonsidhe's topic in Home Health

    I think I understand the concern. Basically RNs become OASIS machines. I know that when I worked in HH I primarily did OASIS, post hosps, recerts, and discharges. I "case managed" 48 people. I had...
  23. tewdles

    Hospice, TPN, Ovarian Cancer

    tewdles replied to AJ28's topic in Hospice, Palliative

    I had a patient a few years back...young woman with children...similar circumstances. There came a point that SHE knew that her TPN was making her miserable and she was finally able to find peace in...
  24. tewdles

    Genetics in Nursing

    tewdles replied to Alexis4's topic in General Nursing

    P e r i n a t o l o g
  25. tewdles

    Does her family know how sick she is?

    tewdles replied to SuesquatchRN's topic in Geriatric, LTC

    I would suggest that nurses are certainly supposed to have conversations with their patients about health care options and choices they have. If we are caring for the whole patient we help them to...