tewdles RN

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

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All Content by tewdles

  1. tewdles

    Drug seeking or real pain? How do you tell?

    tewdles replied to JudyPRN's topic in Pain Management

    I love your post footballnut... I wish all ED nurses had your attitude about pain and pain
  2. tewdles

    Dirty little secrets to managing LTC

    tewdles replied to Kashia's topic in Geriatric, LTC

    "One thing I hate is the huge number of Miralax, metamucil, beneprotein, 2 cal, benefiber and other such supplements/liquids we're giving out. People HATE them and I have to stand there and take...
  3. tewdles

    Patient advocates? what does that look like?

    tewdles posted a topic in General Nursing

    I am interested in feedback on this situation... Imagine a mid 20s young woman who likely has PCOS but has not received a definitive dx. Last year, she bled for 8 months and then went to the ER of a...
  4. tewdles

    Patient advocates? what does that look like?

    tewdles replied to tewdles's topic in General Nursing

    That is a good question morte...and I wondered it right out loud as well. The patient had asked to speak to a nurse each time she contacted the clinic. My experience with this university and its...
  5. tewdles

    What are acceptable scrub colors for guys?

    tewdles replied to j_tay1981's topic in Men in Nursing

    oh I soooo wanna see that vintage dress on some of the male nurses I know (especially my DH)
  6. tewdles

    Affinity Hospice

    tewdles replied to Bubbles's topic in Hospice, Palliative

    I don't know anything about this particular hospice. I do know that they have an office in Southgate Michigan, which is my stomping grounds...haven't run into any of their nurses that I am aware of....
  7. tewdles

    what can I read about dealing with death and family of the dying

    tewdles replied to Grnrn's topic in Hospice, Palliative

    Good luck to you, thank you for taking the time to prepare yourself so that you will be therapeutic for the family. I would always recommend Dr. Kubler-Ross, her work is dated but remains valuable. I...
  8. tewdles

    Patient advocates? what does that look like?

    tewdles replied to tewdles's topic in General Nursing

    Some docs and nurses do volunteer, but that is the topic of a different thread. Do you think these nurses were advocating for this 27 yr old
  9. tewdles

    patients with the same name

    tewdles replied to jorjaRN's topic in General Nursing

    I have never had it happen in the hospital but when I worked in community health we frequently had patients who had the same first and last names and often the same middle initial. We had 3 young...
  10. tewdles

    Patient advocates? what does that look like?

    tewdles replied to tewdles's topic in General Nursing

    I appreciate your responses...I was concerned that perhaps I have a skewed view of what nurses ought to be doing relative to patient advocacy... I am reassured that maybe nurses ARE stilled trained...
  11. tewdles

    Dress code.....

    tewdles replied to indianahope's topic in Hospice, Palliative

    I worked for a hospice where all field staff were required to wear navy blue scrubs...profession or setting didn't matter. I worked for another where all nursing staff were required to wear white....
  12. tewdles

    Dress code.....

    tewdles replied to indianahope's topic in Hospice, Palliative

    I wear casual clothes. I use a white lab coat if I am visiting patients in a hospital setting. Our field staff are not allowed to wear denim
  13. tewdles

    What are acceptable scrub colors for guys?

    tewdles replied to j_tay1981's topic in Men in Nursing

    who cares about the color unless they make your butt look
  14. tewdles

    Tricks for finding landmarks- ventrogluteal IM injection

    tewdles replied to MissIt's topic in Patient Medications

    I prefer this site for IM
  15. tewdles

    Who is the Doctor? Meds Covered?

    tewdles replied to RNGreen's topic in Hospice, Palliative

    I agree, Linda, that HP's MUGs are very helpful... In my previous hospice job we didn't use HP but we had a pharmD who reviewed all the profiles at time of admission...that was a huge bonus and I...
  16. tewdles

    IV's for Hospice

    tewdles replied to Turtle in scrubs's topic in Hospice, Palliative

    I agree Leslie, our inpatient nurses deal MUCH more frequently with IVs than I do in the field...and that is quite alright with me...lol. Inpatient hospice units and nurses are gifts from God,
  17. tewdles

    Am I wrong to feel this way?

    tewdles replied to NightNurseRN's topic in General Nursing

    I really appreciate your honest post... Many of us have been patients in acute care settings, many more of us have been a family member of a hospitalized patient. The majority of the posters here are...
  18. tewdles

    Who is the Doctor? Meds Covered?

    tewdles replied to RNGreen's topic in Hospice, Palliative

    Wow... The referring physician generally decides if he/she is going to manage the hospice care...often, because this is a hospitalist or specialist, they defer to the medical director. It should be...
  19. tewdles

    IV's for Hospice

    tewdles replied to Turtle in scrubs's topic in Hospice, Palliative

    I am a field RN and I start IV's with some regularity, as well as access ports/PICCs, etc. I do draw blood fairly regularly as I have patients who are on medications which requires some...
  20. tewdles

    Am I wrong to feel this way?

    tewdles replied to NightNurseRN's topic in General Nursing

    Of course she loves him...but I would bet the focus of their marriage has been her, her needs, her desires...etc. I see situations like this ALL THE TIME in hospice...although it escalates to new...
  21. tewdles

    60 hospitals cancelled due to health care reform

    tewdles replied to SilentMind's topic in Activism, Healthcare

    not
  22. tewdles

    PASSED 3/23/2010: HR 3590 Patient Protection+ Affordable Care Act

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    changes which are very scary for some
  23. tewdles

    Anyone leave ED for homecare and regret it?

    tewdles replied to Boston-RN's topic in Emergency

    Boston-RN... I have a friend who left ED for hospice...she is into it about 3 years and feels very positively about the experience (the clinical part anyway). She is currently considering going back...
  24. tewdles

    Acute Care after Hospice?

    tewdles replied to LPN_2005/RN_10's topic in Hospice, Palliative

    From the sounds of it, you need to stop worrying about next year. An inpatient hospice unit is going to give you excellent med/surg experience. The next employer you interview with may be ignorant...
  25. tewdles

    Healthcare reform

    tewdles replied to moneyline702's topic in Activism, Healthcare

    We have created a class of political elite which has, by and large, become out of touch, arrogant, and greedy...not to mention incredibly bogged down in the election process itself. The possibility of...