tewdles RN

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

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All Content by tewdles

  1. tewdles

    Glioblastoma advice

    tewdles replied to dreamrider212's topic in Hospice, Palliative

    Her symptom burden will depend greatly upon several things... has she had a debulking procedure on the primary tumor? How functional is she now? These patients are often at risk for seizures and I...
  2. tewdles

    Praying in the work place

    tewdles replied to RipeTomato's topic in Spirituality, Religion

    Perhaps you will be happiest in a faith based organization where your fierce Christian beliefs will be most supported in your professional practice. For most of us, faith is a personal issue that is...
  3. tewdles

    Awful Doctors

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

    So, some of you seem irritated with my response. This thread is about awful doctors...thus my response. Of course I wasn't there...I am responding to the description of a verbal altercation that was...
  4. tewdles

    Foley question

    tewdles replied to MomRN0913's topic in Hospice, Palliative

    No, hospice bills and is paid per
  5. tewdles

    To tuck it in or not - that is the question

    tewdles replied to RCBR's topic in Scrubs, Uniforms, Gear

    OR does not require tuck, to my knowledge...if it is important, you are gowned. I wore tucked when I was young and fit\ and sought out styles that would support that choice. Now I am old, and if I...
  6. tewdles

    Pt care- can't get my charting done!!!

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

    Well, it sounds then like something needs to be done about the documentation. Have you discussed the issues in a staff meeting? Can you look at the documentation on a common/large screen to discover...
  7. tewdles

    Foley question

    tewdles replied to MomRN0913's topic in Hospice, Palliative

    I agree that this is the decision of the daughter. However, it is important to support the assessments and recommendations of our teammates. You will be the ongoing case manager, so your...
  8. tewdles

    Question about the FAST scale

    tewdles replied to amagicalmind's topic in Hospice, Palliative

    Exactly, Alzheimer's patients will often lose ambulatory function before many of the other dementias do. Others maintain a verbal skill set that exceeds all other cognitive and functional abilities....
  9. tewdles

    Awful Doctors

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

    MDs do not have the right to verbally abuse nurses. A potential disaster does not require the type of "guidance" this nurse received. The patient was not harmed. A stern discussion in a private...
  10. tewdles

    Pt care- can't get my charting done!!!

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

    I have been a nurse for a long time. Charting started on paper and evolved to electronic. I was actually part of that transition at more than one place of employment. My observation is, in general,...
  11. tewdles

    Burned out and hate nursing

    tewdles replied to RN1023's topic in Health, Stress Management

    You listed most of the reasons that I have NEVER worked M/S. It sounds to me that you have your mind made up, although M/S does NOT represent nursing as a profession, that nursing is not for you. Too...
  12. tewdles

    Burned out and hate nursing

    tewdles replied to RN1023's topic in Health, Stress Management

    Sorry you hate nursing. Many of us love it, inspite of bad employers and work
  13. tewdles

    Going to Facilities

    tewdles replied to idobelieve's topic in Hospice, Palliative

    This is a good point, Stella. We are not better than LTC or SNF nurses, we just have a different specialty and skill set. Just like they are not comfortable with my job, I would be terribly...
  14. tewdles

    My Boss is CEO

    tewdles replied to Esme12's topic in Emergency

    Don't send a note to my
  15. tewdles

    Butterflys as Infusion Devices?

    tewdles replied to jadelpn's topic in Patient Safety Issues

    They are sometimes used for Subcutaneous infusions in home
  16. tewdles

    Praying in the work place

    tewdles replied to RipeTomato's topic in Spirituality, Religion

    It is unusual for the opening reflections of a hospice to be exclusively christian or any other faith
  17. tewdles

    sunlight and nightshift

    tewdles replied to anotherone's topic in Health, Stress Management

    we use the spectrum of lights in the cabin that are similar/same as sunlight, here in Alaska. There just is no sun for several months of the year. 3rd shift is difficult for many of
  18. tewdles

    RN as patient in own hospital

    tewdles replied to shazzrn's topic in HIPAA Challenges

    Yup...report this within your organization. Nursing does not need management with this poor
  19. tewdles

    PRN narcotics for patients who cant request it?

    tewdles replied to EMYrn2011's topic in Patient Medications

    So the bottom line is this, the RN is the better trained of the clinicians. The judgment of the LPN will default to the judgment of the RN. The LPN always has the right to refuse the RNs direction....
  20. tewdles

    Pt care- can't get my charting done!!!

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

    This is a difficult conundrum for nurses. The documentation is, of course, part of your care...if you don't document it wasn't done...but it cannot take priority over direct interaction with our...
  21. tewdles

    Is there a good way to wear a tie with scrubs?

    tewdles replied to Bruce_Wayne's topic in Men in Nursing

    my husband used to put the scrubs on over his dress shirt and tie when he visited closed
  22. tewdles

    Awful Doctors

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

    The fact that a physician may or may not know the correct chain of command does not give them license to verbally abuse a
  23. tewdles

    Awful Doctors

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

    I will apologize that I have not read all of the responses, so this may be a repeat. It would be helpful if your supportive co-workers had the courage to speak up when this physician bullies one of...
  24. tewdles

    Back stabbing coworkers

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

    Be pleasant but otherwise distant. All interactions are professional and concise. Do not consider this person a "team" member with you unless she earns your trust. Ignore drama and gossip and focus on...
  25. tewdles

    Gastric cancer and NGT

    tewdles replied to tnguy31's topic in Hospice, Palliative

    That is unusual, to restrict nutrition for a dying patient who is hungry and WANTS to eat. I wonder if something like Reglan may improve gastric emptying and decrease nausea? Using an NG tube for...