tewdles RN

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

Member

  • Content

    3,156

  • Visitors

    33,353

  • Followers

    0

  • Likes

    37

All Content by tewdles

  1. tewdles

    what do you think of this pain med schedule?

    tewdles replied to Ms.RN's topic in General Nursing

    Just for baseline...these are not ridiculously high doses of opiates...and people who have significant chronic pain can tolerate higher doses of MSContin than 80mg TID (with break through and adjuvant...
  2. tewdles

    Nursing Diagnoses

    tewdles replied to believeallispossible's topic in General Nursing

    All of my patients have nursing care plans....the delivery of my nursing care is directly related to the problem list and that is where I document changes in patient condition which affect what I do....
  3. tewdles

    Question about dying patient

    tewdles replied to Scrubby's topic in General Nursing

    how unfortunate.... It is my experience that physicians are not all that great at recognizing the signs of imminent death either...so I wouldn't be too hard on a first year nursing
  4. tewdles

    Home health nurses and documentation problems - please help me understand.

    tewdles replied to nursetobeoneday's topic in Home Health

    not familiar with that situation...our documentation was required within
  5. tewdles

    Need help with rude surgeon

    tewdles replied to ghostRN's topic in Operating Room

    There is no question there is a "learning curve" when working in any specialty. In your case, you have a learning curve of applying excellent fundamental surgical nursing care while working with...
  6. tewdles

    epidural and decel question

    tewdles replied to JadeRN7's topic in Ob/Gyn

    I agree...the patient has a right to be informed... You said that your charge nurse disagrees and this is actually a teachable moment... If you are a brave, adventurous, motivated soul...do some...
  7. tewdles

    Kennedy Ulcer

    tewdles replied to SarasLPN's topic in Geriatric, LTC

    This is what we commonly refer to as the "butterfly" pattern of pressure ulcer on the coccyx in the my region. In my experience it is most common in the very elderly bedbound and terminal patients....
  8. tewdles

    What happens when a max security inmate is unconscious in their cell?

    tewdles replied to stephied's topic in Correctional

    And I think you are being pretty cavalier with SOMEONE ELSE'S life...what are you a US Senator??? I invite you to get yourself a job in high risk corrections and practice what you preach......
  9. tewdles

    what do you think of this pain med schedule?

    tewdles replied to Ms.RN's topic in General Nursing

    you really didn't give me information that allows me to say if this seems appropriate for this patient. people experience "constellations" or clusters of pain symptoms...mixed bags of suffering if...
  10. tewdles

    Hello my name is.......and I am OBESE

    tewdles replied to madwife2002's topic in General Nursing

    I just don't know why some people don't seem to have a natural 'gag' reflex or just choose not to use it? Is this a reference to
  11. tewdles

    BSN or certification in case management first?

    tewdles replied to thekid's topic in General Nursing

    Agree with Missbecky...the two are not mutually
  12. tewdles

    is it ok if i write on somebody else's nursing notes and then she/he would sign it?

    tewdles replied to pennylane18's topic in Geriatric, LTC

    She is the one going to court...until she says "but I didn't write this...", then you will be going to court also. At that point you are both in hot water and will have to explain first what actually...
  13. tewdles

    Fraud and wow...I'm disappointed.

    tewdles replied to akRN68's topic in General Nursing

    This type of fraud happens sometimes in hospice and home care when nurses get lazy and complacent... There is not much you can do for her...but it is a reminder to take care of yourself as a
  14. tewdles

    Suicide

    tewdles posted a topic in Hospice, Palliative

    I am wondering how many of my hospice colleagues have experienced the suicide of a patient. How supportive was your employer following the event? I recently experienced this loss and was taken aback...
  15. tewdles

    Suicide

    tewdles replied to tewdles's topic in Hospice, Palliative

    annacnatorn, What a horribly traumatic experience for you! I am so sorry that this has happened to you. You wrote it as if the incident was recent... It is unfortunate that this patient/family...
  16. tewdles

    Do Nurses ever receive any recognition?

    tewdles replied to angmcav's topic in General Nursing

    I must admit that nurses get a great deal of recognition in hospice...as do the aides. Public recognition is always flattering...but, for me, it is the opinion of the people I care for that matters...
  17. tewdles

    From where do you start your mileage?

    tewdles replied to anticoagulationurse's topic in Home Health

    what callioter said...calculate mileage for first and last visit as if you are starting and ending at your
  18. tewdles

    ED given a bad rap

    tewdles replied to imanedrn's topic in Emergency

    my apologies for misreading your
  19. tewdles

    ED given a bad rap

    tewdles replied to imanedrn's topic in Emergency

    you could take a tip from the movie "memento" and tattoo the names and clues on
  20. tewdles

    ED given a bad rap

    tewdles replied to imanedrn's topic in Emergency

    i am hoping that you are not quite as unempathetic as your post
  21. tewdles

    Had to Share !

    tewdles replied to Keepstanding's topic in School

    Sigh...sounds like a happy
  22. tewdles

    known addicted patients going out to smoke

    tewdles replied to pugmom3's topic in Medical-Surgical

    I am a huge advocate of team meetings to sort out patient issues. Great advice
  23. tewdles

    trach patient

    tewdles replied to Ms.RN's topic in Geriatric, LTC

    This is part of what case managers are supposed to do...to facilitate a smooth transition from acute care hospitalization to the next place...doesn't always work that way though and not all hospitals...
  24. tewdles

    Pain Scale

    tewdles replied to makes needs known's topic in General Nursing

    I actually think that some people are conditioned by their exposure to the health care system to inflate their pain reports...as if they feel that they won't actually get medicated if they tell me...
  25. tewdles

    patient choked after taking pills..

    tewdles replied to cebuana_nurse's topic in Geriatric, LTC

    Take a deep breath...you should be okay...the patient survived and apparently suffered no complications from this incident. We all make mistakes, especially when we are new to nursing or a particular...