tewdles RN

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

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All Content by tewdles

  1. tewdles

    Is healthcare a right or privilege?

    not really interested in having some sort of ego contest in this thread...you may interpret my posts any ol' way you want and assign whatever descriptors to them as your experiences
  2. tewdles

    Is healthcare a right or privilege?

    please remember that "stupid" was not my word, I merely borrowed it. As well, I never suggested that there were not lobbyists for everyone's "cause". I did, however, state that "stupid" people...
  3. tewdles

    Can a new graduate be a hospice RN?

    fireball78, I feel your pain...I was never a med/surg nurse, never had the desire. You are correct that hospice is not an easy specialty and that there really are no easy specialties in nursing. For...
  4. tewdles

    Can a new graduate be a hospice RN?

    I think it is easier for new grads entering hospice to do so in the facility setting. That environment provides opportunity for greater support and mentoring. Case managers in the field benefit...
  5. tewdles

    Is healthcare a right or privilege?

    who is being
  6. We had LOST parties at my house every week...homemade pizza, cold beverages, and all the kids home to watch. We felt disappointed by the ending...it was sort of an easy way out for the writers. They...
  7. tewdles

    Is healthcare a right or privilege?

    I could be wrong, but I think that "stupid" people have little access to lobbyists, similarly, "poor" people rarely find lobbyists anxious to take up their cause as
  8. tewdles

    Dont want to get anyone in trouble

    Just wake her up! give her a little shake...wake her up, talk to her, engage her in the work... this is not rocket science...it is hard sometimes to stay awake during night shift...be a team player...
  9. tewdles

    Help with Health Fair!

    My experience is that costs generally come from marketing/advertising. Most things you would give as "gifts" can be donated. Health fairs need to have fun things for kids and adults to do, sometimes...
  10. tewdles

    Affinity Hospice

    Bubbles... I am quite sure that there are several other hospices also hiring in the Detroit and Downriver
  11. tewdles

    Question about office job vs. hospital job

    I found that the physicians I worked with in Community Health appreciated that I was a professional partner with them in care of our patients...unlike the MAs who were skilled employees. Development...
  12. tewdles

    Need Help with hostile enviroment?

    Yes, I agree that you definitely need an active MSW relationship in this home. It is not appropriate for parents to allow a child to verbally abuse a professional nurse in their house...period. This...
  13. tewdles

    Dont want to get anyone in trouble

    why is she sleeping??? because she can.... wake her up, enlist her help, talk to her, ask her questions... One of two things will happen...she will change her ways and become part of the team or she...
  14. tewdles

    Visitation

    You need to write a policy...FAST...and make regular accomodations for a family member to stay overnight with your pedi patients. There is good reason to allow a parent or designee to stay in the room...
  15. tewdles

    where to start out?...anyone switched from adult?

    please note that I have been a nurse for more than 30 years. I started in the neonatal ICU. From there I went to the Peds ICU where I spent many years in several roles. I would most certainly not...
  16. tewdles

    Need advice on staff motivation

    You are the clinical manager, part of your job is to inspire the clinical staff to the level of team work and excellence that you desire. I would recommend identifying what you believe to be the top...
  17. As a manager I follow the policy...in most cases that means no sleeping during work by anyone. Basically the flow is "catch them", "counsel them", and potentially "can them". I have never, in...
  18. tewdles

    The "older" Hopsice Nurse

    Oh gosh I do not think that 50's is older...but my knees and hips do! If I could go back and relive my youth I might reconsider playing
  19. tewdles

    The "older" Hopsice Nurse

    So true lakewin, the middle of the night calls are much more difficult to recover from as we age...at least in my experience. I worked for an agency that required as much as 150 hr/mo of on call for...
  20. tewdles

    Morphine Protocol

    You are absolutely correct caliotter3...if there is a written protocol available it should be physically provided to each and every nurse providing the care...especially agency staff. Sounds sort of...
  21. Nurses must stand up for themselves. By and large, doctors who vent their frustration and anger about situations upon the nurses discover where they may get away with it and where they may not......
  22. tewdles

    Morphine Protocol

    I am not sure what this protocol is...we don't use that language in my neck of the woods. It does make me wonder if they have the patient's pain plan written out. I worked for a hospice which had a...
  23. tewdles

    Where are the professionals?

    I am in agreement with the post blaming management. The tone and work ethic of a unit or department is set by management. If management allows unacceptable and outrageous behavior it will continue...
  24. tewdles

    The "older" Hopsice Nurse

    in my mid 50s and still going strong. It is harder to get up and down from the floor...and my hip creaks if I have to go up too many
  25. tewdles

    Pain Follow-up

    I am investigating pain follow-up practices in hospice and would like some input from my peers... If you have a patient who reports pain during your visit, would you complete the visit and leave the...