tewdles RN

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

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All Content by tewdles

  1. tewdles

    this hit too close to home...

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

    leslie...you are a true professional and a caring family member. I am sorry that this difficult situation has visited your family but am confident that "right" will prevail with you monitoring the...
  2. tewdles

    I don't understand the diff between ADN & BSN????? Help!!!

    tewdles replied to Misslady113's topic in Diploma, ADN, BSN

    in a nutshell... ADN prepares the nurse to practice professional nursing. BSN prepares the nurse to practice professional nursing, research, publish, manage staff, educate peers, etc. It is a more...
  3. tewdles

    Would it be best to go for the BSN or ADN in my situation?

    tewdles replied to Kosis's topic in Diploma, ADN, BSN

    are you joking
  4. tewdles

    system of breaks is for licensed staff in SNF

    tewdles replied to gigimon's topic in Geriatric, LTC

    This is a good point...many, many employers automatically put an unpaid lunch break into your shift. So, if you do not take it you are actually donating 30 minutes of your time to the company! In...
  5. tewdles

    Is this a problem? taking your neighbors blood pressure

    tewdles replied to HappyNurse2005's topic in General Nursing

    holy cow! such fear over taking a BP! unless a nurse does something stupid mechanically in the process there is nothing to sue for...nothing. remember, the neighbor asked you to check it. where...
  6. tewdles

    VA nursing vs Hospice

    tewdles replied to twokidsmom,rn's topic in Hospice, Palliative

    right...forgot to mention that flexibility thingie...yeah...thats a really big part of the
  7. tewdles

    Do you usually stay in the specialty you start out in?

    tewdles replied to tigerlily345's topic in General Nursing

    Not my experience...stayed many years, developed skill sets and expertise and then moved on to learn something new...rinse and
  8. tewdles

    Inpatient Hospice Nurses ..I need your advice on pharmacy situation

    tewdles replied to txspadequeenRN's topic in Hospice, Palliative

    what leslie said....you need another plan. You are quite correct that your patients cannot be allowed to suffer because of some pharmacy glitch. What must happen is that the pharmacy must have a copy...
  9. tewdles

    Is this a problem? taking your neighbors blood pressure

    tewdles replied to HappyNurse2005's topic in General Nursing

    There is nothing wrong with checking a BP on a person upon request if you have the skill and the equipment. It is wrong to suggest anything to them other than to contact their PCP as a result of the...
  10. tewdles

    Verification of NG tube placement

    tewdles replied to Bwick's topic in Medical-Surgical

    My experience is that NGs are verified by xray after insertion. They are measured and marked and checked by aspiration and auscultation each shift or each time they are used. If the tube is...
  11. tewdles

    It sounds amazing!

    tewdles replied to nuwbee25's topic in Home Health

    Hey sorry to discourage you...not usually my style. I would suggest that you talk with the NM and let her know that 35+ psych visits per week will be too many for you right out of the box...and try...
  12. tewdles

    Mandatory White Uniforms for RN's- your experience

    tewdles replied to lauramae18's topic in General Nursing

    Starting my morning out with a smile thanks to this post and the mental image I know have in my
  13. tewdles

    Started new job...how long til I'm comfortable?

    tewdles replied to PAERRN20's topic in General Nursing

    Rule of thumb in nursing since the days of good ole Flo... It takes about 6 months in a completely new specialty before you don't feel dangerous. In 12 months you should feel reasonably comfortable...
  14. tewdles

    Nursing Management Getting Down & Dirty On The Floors

    tewdles replied to DoGoodThenGo's topic in General Nursing

    hhhmmm... I was one of those NMs in the 80s and 90s. I did not wear starched whites cuz we were in a PICU, but I was one of the go to people. I frequently relieved nurses for breaks in the sickest...
  15. tewdles

    leaving homehealth/ 2 weeks notice

    tewdles replied to lovenursebeing's topic in Home Health

    I agree...2 weeks notice, thanking them, etc. Bad employers will sometimes just invite you to leave immediately after the notice, so you may not have a choice...but at least YOU will have acted...
  16. tewdles

    Mckesson Horizon Home Healthcare

    tewdles replied to gaus0023's topic in Home Health

    There are things I liked about McKesson, I liked that I could communicate with other disciplines within the patient record. I liked that I could narrate a plan for next visit, in case I was not the...
  17. tewdles

    I need some advice on suctioning trachs

    tewdles replied to Blackcat99's topic in Private Duty

    Just remember to suction only on the way out, no longer than you can comfortably hold your own breath without taking a deep breath first. Good
  18. tewdles

    Marketing VP wants contacts at employees' church

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    Clearly you are not compelled to provide this information. Personally, I would not have a problem with my agency providing information to my congregation. Too many people are ignorant of hospice...
  19. tewdles

    It sounds amazing!

    tewdles replied to nuwbee25's topic in Home Health

    Psych nursing visits in home care can not only be time consuming and emotionally draining, they can also have risk associated with them. Think of it this way...you are visiting a mentally ill patient...
  20. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    Looks like last blog was Feb 17. They have had him home a couple months now. Sounds like all is going well for them and that Kevin is, perhaps, becoming more interactive. They don't comment on...
  21. tewdles

    Consumer group sues Anthem Blue Cross over policy changes

    tewdles replied to herring_RN's topic in Activism, Healthcare

    Of course Anthem must raise their premiums in order to insure a profit margin after they pay dozens of executives multi-million dollar compensation
  22. tewdles

    When you arrive on an accident scene

    tewdles replied to canoehead's topic in Emergency

    I have been the first vehicle to the site of a serious head on collision. At the time I was a PICU nurse with extensive trauma experience and was a ground and air transport nurse. In that...
  23. tewdles

    Case Management in Hospice Care_____Please Read And Help....

    tewdles replied to dobletruble's topic in Hospice, Palliative

    Perhaps I misunderstood your post. Clearly there are nurses who work in hospice and palliative care who are not case managers. I work with admission nurses, triage nurses, oncall visit nurses, per...
  24. tewdles

    VA nursing vs Hospice

    tewdles replied to twokidsmom,rn's topic in Hospice, Palliative

    I would not recommend hospice nursing for someone who does not have a sincere desire to work in the field. It is demanding in every imaginable way and although it can be an incredibly gratifying...
  25. tewdles

    New Grad going into Hospice

    tewdles replied to NurseMarla's topic in Hospice, Palliative

    I would disagree if you are supposing that most patients in hospice are "stable"...they are not, they are dying. The median length of hospice care is typically less than 30 days in my area, and this...