tewdles RN

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

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All Content by tewdles

  1. tewdles

    Help with Braden Scale

    tewdles replied to Blackheartednurse's topic in General Nursing

    The Braden scale considers multiple factors...sensory perception, moisture, activity, mobility, nutrition, friction and shear. A homebound person is not necessarily at risk but a chairbound person...
  2. tewdles

    Where does the public get the idea that nurses make a ton of money?

    tewdles replied to edogs334's topic in Patient, Colleague Relations

    well we all agree on a few points it seems... -what constitutes a "ton" of money varies from region to region and person to person... -nurses have great responsibility and deserve to be paid...
  3. tewdles

    New Grad in Hospice

    tewdles replied to Nicole2010's topic in Hospice, Palliative

    I think you should feel very encouraged. It sounds like you have a supportive management team. IMHO, 13 is a large caseload for a new hospice nurse...even one with nursing experience. Please do...
  4. tewdles

    What did you say?!?!

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

    I agree...however, I am not always "nice" or "proper" in-spite of what my patients and families may think. I certainly wouldn't suggest someone else behave in the same fashion as me...we each walk...
  5. tewdles

    What did you say?!?!

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

    I jumped out of planes in my youth, took up scuba in my middle age, I think I will get my first tattoo when my granddaughter gets hers...she's almost 6. I might have looked at him and said..."are you...
  6. tewdles

    New Grad in Hospice

    tewdles replied to Nicole2010's topic in Hospice, Palliative

    Most hospices start out very inexperienced case nurses with just a few "simple" routine patients. Nothing too exotic or intensive. Very elderly bedridden people. Nobody too young, certainly no Pedi...
  7. tewdles

    Stood up for myself today, and it felt GREAT!!

    tewdles replied to Tiffany, RN, BSN's topic in Operating Room

    Excellent. I hope that you feel even more empowered to advocate for your patients. I am very pleased that you have a supportive
  8. tewdles

    Sorry. My bad; ER nurse.

    tewdles replied to Zen123's topic in Telephone Triage

    OK, seriously...if I am sending my hospice patient from his home to the ER, I call them and speak with the charge about who/why and what we want done (hospice POC is king of the hill even in ER). So...
  9. tewdles

    fed up with the families

    tewdles replied to smartnurse1982's topic in Private Duty

    And of course, the OP's post points to why vacations are important to nurses in this field. Yet, paid vacations for visit staff represent no financial gain to the agency
  10. tewdles

    Do routine, non-controlled meds need to be behind double lock?

    tewdles replied to cathyrn01's topic in General Nursing

    When I worked in community health each health center had a "pharmacy" which was basically a large variety of non-controlled prescription medications. Our protocol called for the door to that room to...
  11. tewdles

    Why are some nurses so rude to students?

    tewdles replied to kayty2339's topic in General Nursing

    I realize that I went to nursing school in the dark ages...but the bedside nurses were not responsible for patients assigned to nursing students while the students were on the floor...the instructor...
  12. tewdles

    When is it appropriate to push the button?

    tewdles replied to Used Foley's topic in Hospice, Palliative

    Cardiac RN, in my region we use PCA pumps even when the patient is no longer able to push the button. In the home setting, this allows the family the ability to use the PCA feature to safely and...
  13. tewdles

    Weeping legs and wounds

    tewdles replied to rnkalee's topic in Hospice, Palliative

    As we all know, this type of problem with dependent edema is all to common in our patients. I recently read an article describing an approach to management of the edema and discomfort which included...
  14. tewdles

    Why are some nurses so rude to students?

    tewdles replied to kayty2339's topic in General Nursing

    I would add only that if the attitude of the unit nurses (as a group) seems to be toxic...more nurses are angry and rude than not...I would look at the management attitude. As they say, "sh.. rolls...
  15. tewdles

    Management Personality Thoughts

    tewdles replied to Tait's topic in General Nursing

    This is my take on it... Talk to her, remind her that the fact that you both covet the same position is no insult to her or you...it is a career choice PERIOD. So, you both want it - but beyond that...
  16. tewdles

    Scared Nurse

    tewdles replied to briteside's topic in General Nursing

    Congratulations on your remission! That is the most important thing... I am a breast cancer survivor, so I understand some of your anxiety...I could recommend things like community or public health,...
  17. tewdles

    rn field case management

    tewdles replied to tamcal413's topic in Case Management

    Hospice nurses provide short term *acute" case management and bedside care. Have you considered this
  18. tewdles

    As a nurse, what do you do?

    tewdles replied to nursestudent1975's topic in General Nursing

    you did fine... you offered your assistance... you stayed and observed when she refused help... and now you are looking for more information, I think you will be fine in nursing school. I would do...
  19. tewdles

    Mandatory cut-off age for being a bedside nurse?

    tewdles replied to Katie5's topic in General Nursing

    LOL... Soylent
  20. tewdles

    Question about dying patient

    tewdles replied to Scrubby's topic in General Nursing

    Did you intend for this to be poetic?... I often counsel my patients and families with a "no regrets" philosophy and your words reflect an important part of that. Well
  21. tewdles

    Mandatory cut-off age for being a bedside nurse?

    tewdles replied to Katie5's topic in General Nursing

    They can mandate my retirement age after they mandate one for
  22. tewdles

    Can a new graduate be a hospice RN?

    tewdles replied to fireball78's topic in Hospice, Palliative

    Dependent upon location/region...nursing skills needed can vary tremendously, but this is a VERY abbreviated list. I routinely care for people with both fresh and chronic stomas of all...
  23. tewdles

    Reason for subcutaneous infusion?

    tewdles replied to LucidResq's topic in Hospice, Palliative

    Fluid balance is a very big deal in hospice...and IV pain meds often require too much volume (over time). Secondly, people in the end stages of a disease who do not have an implanted port would...
  24. tewdles

    Have you ever been unable to make a scheduled visit?

    tewdles replied to Poi Dog's topic in Home Health

    If I am unable to make a scheduled visit I call the patient to arrange another visit date/time...then I advise the office. I say check with your office, your agency may have a policy about this very...
  25. tewdles

    Sorry. My bad; ER nurse.

    tewdles replied to Zen123's topic in Telephone Triage

    that is funny....whats the punch