tewdles RN

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

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All Content by tewdles

  1. tewdles

    Maternal Intensive Care Unite***???

    tewdles replied to wife&mommyRN's topic in Ob/Gyn

    That was years ago...I don't really know how that department functions in that hospital now. It was a really good fit for me at the
  2. tewdles

    Do you LIKE every patient that walks through your door?

    tewdles replied to Katie5's topic in General Nursing

    I think for me, working in hospice, I can find things to like about each of my patients... Sure, some of them are controlling, sometimes rude or crude, sometimes they stink to high heaven or have...
  3. tewdles

    How Can You Tell if a Pt. Is Addicted???

    tewdles replied to Pretty in Ink's topic in Addictions

    There are thousands of very sad stories about people with chronic pain who are under treated... The fear of addiction and trouble with authorities gets in the way of too many professionals (MDs and...
  4. tewdles

    A question to ponder (insert a little sarcasm while reading)

    tewdles replied to inteRN's topic in Emergency

    I think it is sad if moving patients between units without nurse to nurse report happens with any regularity in any setting...IMHO, it represents a lack of
  5. tewdles

    Maternal Intensive Care Unite***???

    tewdles replied to wife&mommyRN's topic in Ob/Gyn

    I worked in a hospital with a high risk L&D which had a Perinatal unit as well. In that setting pregnant women with critical health needs were cared for in the unit...so the 24 wk gravid with...
  6. tewdles

    Quality and Initiative (Rant)

    tewdles replied to anticoagulationurse's topic in Home Health

    Working for private, for profit HH can be very challenging. Too many become obsessed with the money at some point and the accumulation of wealth becomes (at some point) a higher priority than...
  7. tewdles

    Do you LIKE every patient that walks through your door?

    tewdles replied to Katie5's topic in General Nursing

    Honestly, I do like most of my patients....the families, not so much. But, it is part of the job. As said before, nobody "likes" everybody, but a good professional can still provid excellent care...
  8. tewdles

    Assigning staff vs.floats in ICU

    tewdles replied to evening's topic in Activism, Healthcare

    Sounds like bad management decisions...sick admits to the unit should be cared for by a unit nurse, not a float. Makes me wonder what the heck some of these nursing managers are taught and are...
  9. tewdles

    Healthcare reform

    tewdles replied to moneyline702's topic in Activism, Healthcare

    We need to envision a congress with strict term limits in
  10. tewdles

    Right to die vs. right to live

    tewdles replied to BSNin2007's topic in Activism, Healthcare

    1. doctors examining nancy cruzan concluded that she was in a persistent vegetative state, had no awareness of her environment, and had no hope of ever having awareness of her environment. what reason...
  11. tewdles

    Denial is more than a river in Egypt...

    tewdles replied to cookienay's topic in Emergency

    ya...we can't, by and large cure them...but we can help them. Opioids for pain and dyspnea, anxiety meds, and sleep aids go a really long way to help these people be comfortable. My mom was a COPD...
  12. tewdles

    Denial is more than a river in Egypt...

    tewdles replied to cookienay's topic in Emergency

    An amusing side note...the vast majority of patients I encounter with a laundry list of drug allergies are COPD patients, and very "type A" people...controlling, anxious, and inflexible. Even more...
  13. tewdles

    Unmanageable COPD situation----HELP!!!!!!!!

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    There are a number of questions which crossed my mind when reading your post. First...these can be extremely challenging cases and it is not uncommon for them to be discharged and readmitted to other...
  14. tewdles

    Hospice Software

    tewdles replied to beltongirl's topic in Hospice, Palliative

    I found that McKesson is more geared toward home care but has been "tweaked" for use in hospice. SunCoast is very hospice specific and makes the documentation very oriented to the POC. As said...
  15. tewdles

    roxanol

    tewdles replied to calliesue's topic in Hospice, Palliative

    My experience is that the absorption is more rapid in the SL route, therefore the patient often begins to notice the benefit within 15 minutes vs. 30+ minutes via the oral route. Additionally, I have...
  16. tewdles

    Is healthcare a right or privilege?

    tewdles replied to Treat et Street's topic in Activism, Healthcare

    So is the logical question... Does the fact that we have "certain unalienable rights" gifted from God necessarily mean that a society or government cannot or should not have other "rights" designated?...
  17. tewdles

    When you arrive on an accident scene

    tewdles replied to canoehead's topic in Emergency

    Thats depressing... I'm gonna go take a
  18. tewdles

    Hyperpnea vs. Hyperventilation vs. Kussmaul's

    tewdles replied to Jedi of Zen's topic in Pulmonary

    Back in the day, we considered ventilation the actual movement of air in the respiratory system. Poor movement = poor ventilation. Auscultating breath sounds was the first means to assess...
  19. tewdles

    Hyperpnea vs. Hyperventilation vs. Kussmaul's

    tewdles replied to Jedi of Zen's topic in Pulmonary

    PageRespiratory...I am not looking to correct CO2 when I administer opioids to slow respirations...opioids have a number of benefits in palliative care, as you noted. You have a critical care...
  20. tewdles

    Hyperpnea vs. Hyperventilation vs. Kussmaul's

    tewdles replied to Jedi of Zen's topic in Pulmonary

    I know I went to school a long time ago...and I am not a respiratory therapist (but I stayed in a holiday inn last night)... I believe that respiration is mechanism by which we obtain oxygen from the...
  21. tewdles

    Doctors perform induction and then C/S on non-pregnant woman

    tewdles replied to klone's topic in Ob/Gyn

    yes, strongly worded....and they will complain about the cost of their malpractice insurance and lobby for tort reform to protect themselves from victims like this
  22. tewdles

    Health Care Reform: Should we all go per-diem?

    tewdles replied to HeartsOpenWide's topic in Activism, Healthcare

    I notice many things... I notice that when some people feel strongly about a subject they begin to assign thoughts or feelings to those who disagree with them. I notice that when emotions run high,...
  23. tewdles

    Health Care Reform: Should we all go per-diem?

    tewdles replied to HeartsOpenWide's topic in Activism, Healthcare

    Apparently we have clairvoyant members on
  24. tewdles

    this hit too close to home...

    tewdles replied to leslie :-D's topic in General Nursing

    Peace to you leslie... Your experience points out a couple of really important things.... 1)hospice nurses are not made of stone, we experience all the things lay persons do... 2)hospice is...
  25. tewdles

    Health Care Reform: Should we all go per-diem?

    tewdles replied to HeartsOpenWide's topic in Activism, Healthcare

    Certainly this bill is not perfect...I am not sure we have ever had "perfect" legislation right out of the box. Heck, even the constitution required amendments... Change is rarely comfortable for...