tewdles RN

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

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All Content by tewdles

  1. tewdles

    Let's talk about the basic facts about the health care reform bill...

    tewdles replied to morningland's topic in Activism, Healthcare

    http://www.kff.org/insurance/upload/7670_02.pdf
  2. tewdles

    Trying to explain hospice care to pt's and their families

    tewdles replied to Wicked Wahine's topic in Hospice, Palliative

    Sounds like you did a respectable job, considering that you are not a hospice nurse. You gave her sound information in a compassionate manner. I think you are right that it is appropriate to get a...
  3. tewdles

    Which Clinal Skills do I Need to Brush Up On the Most for Hospice Nursing?

    tewdles replied to iluvdetroit's topic in Hospice, Palliative

    Patient assessment is the key to hospice nursing. You likely have rusty but retrievable clinical skills...expect to use your port and PICC skills. Foleys, complicated wounds, trachs, and all type of...
  4. tewdles

    Swallow study in ES Dementia patient

    tewdles replied to americanTrain's topic in Hospice, Palliative

    well, good luck...keep yourself strong. Families such as this are an emotional trap for hospice nurses... Make sure that MSW is sharing some of the teaching responsibilities with you for this case...
  5. tewdles

    Let's talk about the basic facts about the health care reform bill...

    tewdles replied to morningland's topic in Activism, Healthcare

    What I do not understand is what statements like..."you liberals sure hate corporations"...actually add to the conversation. In what way does a statement like that encourage meaningful debate or...
  6. tewdles

    Swallow study in ES Dementia patient

    tewdles replied to americanTrain's topic in Hospice, Palliative

    If the hospice medical director and case manager do not agree that a swallow study is appropriate for this patient it will not be ordered. If the family feels strongly that it needs to be done they...
  7. tewdles

    Allscript

    tewdles replied to ShayRN's topic in Hospice, Palliative

    nope...we use hospice pharmaceia
  8. tewdles

    New health care bill..

    tewdles replied to Keptonkurtis's topic in Activism, Healthcare

    Welcome to heath care. I hope that your studies are going well and that you develop a real passion for nursing as you achieve your goals. I think that our system is broken and that there is a great...
  9. tewdles

    End-of-Life Care in the Setting of Cancer: Withdrawing Nutrition and Hydration

    tewdles posted a topic in Hospice, Palliative

    http://www.medscape.com/viewarticle/718573 I happened upon this article while doing some research. While it is likely simply review of common knowledge and practice of experienced nurses in this...
  10. tewdles

    New health care bill..

    tewdles replied to Keptonkurtis's topic in Activism, Healthcare

    please notice that I made no comments about the significance of one vs the other, you read my post and formed that opinion....I simply posted the numbers for informational purposes. obama did say his...
  11. tewdles

    New health care bill..

    tewdles replied to Keptonkurtis's topic in Activism, Healthcare

    To date about 6,000 American troops have died from injuries resulting from the wars in Iraq and Afghanistan. Currently, as many as 18,000 Americans die every year because of poor access to health...
  12. tewdles

    Be careful of what you ask for....

    tewdles replied to FLmomof5's topic in Activism, Healthcare

    Nurses who work for large employers who provide health insurance coverage do ok.... Nurses who work for employers who do not provide health insurance do ok, but spend a great deal of money out of...
  13. tewdles

    Where Do You Dispose of Narcotics?

    tewdles replied to All4Seasons's topic in PACU

    In hospice we are no longer allowed to dispose of unused opioids in the sink or toilet. Now we are instructed to waste them into a baggie containing kitty litter or used coffee
  14. tewdles

    Healthcare Reform and nursing...question

    tewdles replied to AntonellaB's topic in Activism, Healthcare

    Gee, I don't think I made you angry... I am thinking you were angry waaaay before my post... Just the same...long posts without paragraphs are not easy to read...but hey, if you are only looking for a...
  15. tewdles

    Healthcare Reform and nursing...question

    tewdles replied to AntonellaB's topic in Activism, Healthcare

    Really, angry posts in huge paragraphs are not fun to read. Perhaps you could break up the anger with a double space or two every now and then... While you are adding spaces perhaps you could consider...
  16. tewdles

    Health Care Bill

    tewdles replied to VerbalGrl715's topic in General Nursing

    I agree...the first fire bath for reform took a great deal of the teeth out of it. My hope is that the American people will now have the stomach to put in place strict term limits for ALL elected...
  17. tewdles

    Driving

    tewdles replied to nursemomof3boys's topic in Home Health

    lol... that attitude cost me 2 jobs in
  18. tewdles

    Driving

    tewdles replied to nursemomof3boys's topic in Home Health

    I am in Michigan...certified home care agencies, particularly the larger for-profits, fire nurses like teenagers spit out gum. I am thinking your spunky attitude might might cause you some trouble in...
  19. tewdles

    Any advice on how to deal with death and dying?

    tewdles replied to meluhn's topic in Hospice, Palliative

    A big danger in hospice is empathizing too closely with our patients. When we care for people who are in similar age groups or circumstances as ourselves it becomes easy to feel their pain too...
  20. tewdles

    Perfume allergy...what to do?

    tewdles replied to Rocknurse's topic in General Nursing

    regardless the pathophysiology, the symptoms associated with sensitivity to olfactory stimulation are real and noxious. it is true that this represents a unique set of challenges for those who suffer...
  21. tewdles

    Just in case you need that extra little "boost" to get you through your shift...

    tewdles replied to twentytenRN's topic in General Nursing

    I have the burnished silver inscribed with... "Mothers are all slightly insane." J. D.
  22. tewdles

    Please tell me about continuous care lvn/lpn duties

    tewdles replied to ~MIA~'s topic in Hospice, Palliative

    congratulations!
  23. tewdles

    who draws your labs?

    tewdles replied to GraceNotes's topic in Public, Community Health

    when I worked in community health we had a Medical Assistant who was assigned to the lab daily. She did all of the phlebotomy and the nurses helped if she had a difficult draw. This worked well for...
  24. tewdles

    Perfume allergy...what to do?

    tewdles replied to Rocknurse's topic in General Nursing

    You have every right to document this with your physician and request that your employer advocate for you. I just worked for a large hospital organization which had a no tolerance policy for staff...
  25. tewdles

    Desperate to resign from dir of nsg position in az

    tewdles replied to florence09's topic in General Nursing

    I agree that it is best if you can provide the customary 4 week notice. Seriously, the time will fly by as there will be many ends to tie up and plans to create which will smooth the transition...