tewdles RN

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

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All Content by tewdles

  1. tewdles

    Pain Scale

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

    Yes...the faces scale is very useful for developmentally delayed adults and
  2. tewdles

    Suicide

    tewdles replied to tewdles's topic in Hospice, Palliative

    omg tencat, that is horrible! My friend actually doesn't work for a huge hospice...she works for a hospice run by a largish catholic health
  3. tewdles

    Pregnant inmate died after hours of agony in Syracuse jail

    tewdles replied to realnursealso/LPN's topic in Ob/Gyn

    I think you ask a fair question here... IMHO it boils down to basic nursing knowledge of potential problems with a known pregnant patient (nursing school stuff) AND good nursing judgment...
  4. tewdles

    What is Wrong With This Picture?

    tewdles replied to realnursealso/LPN's topic in Ob/Gyn

    That video was hard to watch... I feel bad for the inmate...and wonder what happened leading up to the moment it starts getting
  5. tewdles

    Getting Paid for Admissions that are Refused

    tewdles replied to LuLu2008's topic in Home Health

    You should minimally be paid your mileage and time for a "nonbillable visit". The fact that the patient did not sign on is a problem for the agency but should not be a problem for the professional...
  6. tewdles

    Pain Scale

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

    Hmmm, the pain scale is part of a pain assessment...not the whole ball of wax.... I wonder how it appears "simplified" and "without scope"... and I wonder what we would use to document patient pain in...
  7. tewdles

    Pain Scale

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

    It is perfectly acceptable to report the patient's pain exactly the way the patient describes it, as well as to add the assessment of the nurse. However, it is important to remember that patients...
  8. tewdles

    Suicide

    tewdles replied to tewdles's topic in Hospice, Palliative

    I ask because my employer also immediately activated a "bereavement" team to speak with the disciplines who had been visiting this patient and then offered me time off. I have a friend who experienced...
  9. tewdles

    Pregnant inmate died after hours of agony in Syracuse jail

    tewdles replied to realnursealso/LPN's topic in Ob/Gyn

    Bad, bad, bad nursing
  10. tewdles

    Suicide

    tewdles replied to tewdles's topic in Hospice, Palliative

    how did your employer support you in the days immediately following the suicide,
  11. tewdles

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

    tewdles replied to madwife2002's topic in General Nursing

    Imagine if the alcoholic or drug addict "had" to have a little bit of their poison several times everyday... My guess is that there would be very few "recovered" alcoholics and addicts. We are...
  12. tewdles

    Employee retention

    tewdles replied to anticoagulationurse's topic in Home Health

    I cannot say if the turnover is greater in HH as compared to other specialties... but my experience is this, some HH and hospice agencies are so concerned with the bottom line and the visit that they...
  13. tewdles

    Pain Scale

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

    Sorry....what I posted was descriptors to help you decide where the patient fits in the categories of the tool. The idea is to observe the patient for at least 2 minutes and then rate them in the...
  14. tewdles

    Apical Pulse Rate

    tewdles replied to healthstar's topic in General Nursing

    An apical pulse by palpation/touch is not standard nursing assessment. As many posters above have indicated, one cannot assess the quality of the heart tones by touch and this is an important part of...
  15. tewdles

    Pain Scale

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

    The standard in hospice is to use the 1-10 scale with a comprehensive pain assessment in which we differentiate between locations and types of pain. For example, if the patient has abd pain and hip...
  16. tewdles

    case manager turnover

    tewdles replied to mimiv123's topic in Hospice, Palliative

    High case nurse turnover is suggestive of something amiss in the
  17. tewdles

    How do you respond to a resident who gets attention by pretending to be in pain?

    tewdles replied to HoneyDinkley's topic in General Nursing

    The problem with this assumption "just for argument's sake" is that the determination that she is attention seeking and not in pain is that it is out of step with her diagnosis. As a previous poster...
  18. tewdles

    Appropriate for Hospice?

    tewdles replied to lesrn2005's topic in Hospice, Palliative

    I, fortunately, have not ever worked for a hospice which asked me to "find something to keep him/her on". The hospices that I have worked for are diligent about discharging people who no longer meet...
  19. tewdles

    problems using INRatio machine

    tewdles replied to spejsa's topic in Home Health

    My experience with the INR machine is as posted by others....it MUST be flat and unmoved after turn on if you want it to work...you MUST have a big ol hanging drop of blood and a pipette works well to...
  20. tewdles

    Question about DNR patient.

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

    Why is this man in a SNF? Does he have dementia or other neuro problem which affects his decision making? A family meeting should be conducted to discuss the prognosis and goals with all players. A...
  21. tewdles

    do any home hospices provide linens 4 hospital beds

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    Does this mean that your hospice does not provide wipes for the caregivers to use in caring for the patient? I have not worked for a hospice which provides linens...I have worked for 4 different...
  22. tewdles

    Co-worker switched hospices, now poaching our pts.

    tewdles replied to curiousauntie's topic in Hospice, Palliative

    shake a bag of potatoes...a little dirt and occasionally a bug or two falls
  23. tewdles

    pt. load for case managers

    tewdles replied to holiday2525's topic in Hospice, Palliative

    Hospicetex, I make some prn visits...generally only to patients on my case load, very rarely for patients of the other case managers. Our agency has contingent nurses who are available for those...
  24. tewdles

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

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

    You advocated for the patient who was sedated for surgery without actually having consented to same. He screwed up. What does he think he is going to be reporting to management...that you were...
  25. tewdles

    pt. load for case managers

    tewdles replied to holiday2525's topic in Hospice, Palliative

    welcome to hospice tinnnk... I hope you are connected with a wonderful hospice agency and find yourself "reblooming" as a nurse in this