tewdles RN

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

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All Content by tewdles

  1. tewdles

    Question about the FAST scale

    tewdles replied to amagicalmind's topic in Hospice, Palliative

    What about the other elements of the FAST scale? Is she ambulatory? Continent? What is her PPS? The team should collaborate to place her in the proper diagnosis category, perhaps she better meets a...
  2. tewdles

    Is providing continuous home care required?

    tewdles replied to nurseebol's topic in Hospice, Palliative

    The RN determines there is a need, the MD orders that level of care, and the staff coordinate coverage. Imminent death, in and of itself, is not an indication for continuous care. There must be a...
  3. tewdles

    Nurse Advocates: Past, Present, and Future

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    I love the patient advocacy of nursing. It is a large part of what gives me pleasure about my
  4. tewdles

    PAY rate /FOR HOME HEALTH SERVICES with Hospice Agency

    tewdles replied to cincin1222's topic in Hospice, Palliative

    I agree that there are many unanswered questions here...what state are you
  5. tewdles

    Need serious advice- dealing with smell

    tewdles replied to JZ_RN's topic in Ambulatory Care, Clinic

    Ongoing education is obviously needed provided in a compassionate, nonjudgmental, and sensitive manner. A social worker would be extremely helpful in providing the support that these patients need....
  6. tewdles

    Super Obese

    tewdles replied to anotherone's topic in Patient, Colleague Relations

    This could be another symptom of her mental
  7. tewdles

    Role of Hospice RN at a death.

    tewdles replied to HillieRN's topic in Hospice, Palliative

    Your calm presence, "in the moment" with the grieving family members is sometimes all they need. Listen to them, find themes in their comments to use to guide them toward a celebration of the life...
  8. tewdles

    Do you know how much $$$ your Hospital CEO makes in one year?

    tewdles replied to lkulmann's topic in Activism, Healthcare

    Hmmm...that was a pretty broad generalization about AN members who may like a post, a sour one at
  9. tewdles

    Is providing continuous home care required?

    tewdles replied to nurseebol's topic in Hospice, Palliative

    In order to bill CMS for hospice care, hospices must be able to provide care according to the CoPs, which includes GIP, RESPITE, and CONTINUOUS CARE, along with ROUTINE level of care. Many hospices...
  10. tewdles

    Going to Facilities

    tewdles replied to idobelieve's topic in Hospice, Palliative

    This is why it is important to have a collaborative partnership with the hospice team. The hospice nurse may not have any idea that your staffing may not allow that sort of
  11. tewdles

    Nurses are getting younger

    tewdles replied to Brian's topic in General Nursing

    make sure you clean those dummies really well before I have to use
  12. tewdles

    Super Obese

    tewdles replied to anotherone's topic in Patient, Colleague Relations

    I doubt that these folks were "once healthy". I suspect that they had an underlying mental health issue that was inadequately treated even before it expressed itself in the self destructive abuse of...
  13. tewdles

    Do you know how much $$$ your Hospital CEO makes in one year?

    tewdles replied to lkulmann's topic in Activism, Healthcare

    Just wanted to go on record laughing out loud about the notion of prosperity trickling down from the CEO suite to the nurses of the hospital.
  14. tewdles

    What is wrong with these kids? (Mystery Diagnosis)

    tewdles replied to Double-Helix's topic in PICU, Pediatric

    Any
  15. tewdles

    Going to Facilities

    tewdles replied to idobelieve's topic in Hospice, Palliative

    Consider the facility your partner in providing care to the patient. Discover what their protocols are, your hospice should have a contract with any SNFs you visit. You will certainly discover some...
  16. tewdles

    Death Cafes should nurses be a part of them?

    tewdles replied to PrayeRNurse's topic in Activism, Healthcare

    We don't often get to see the silly side...funny
  17. tewdles

    To Suction, or Not to Suction

    tewdles replied to IKnowYouRider's topic in Pulmonary

    How about some comfort meds...an expectorant and a suppressant? Suction for comfort, otherwise let him control that part. Is he a DNR? If he is old he may have paradoxical response to
  18. tewdles

    Death Cafes should nurses be a part of them?

    tewdles replied to PrayeRNurse's topic in Activism, Healthcare

    I wonder if "Death Cafe" isn't sort of an off putting
  19. tewdles

    Home med lists make me crazy.

    tewdles replied to imintrouble's topic in General Nursing

    In my view, outside of the pharmacy setting, reconciliation of medications rest squarely on the shoulders of the RNs. It is a huge problem...but...because it is nurses rather than some professional...
  20. tewdles

    Medical Marijuana

    tewdles replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I never used marinol. I much preferred a lozenge made from the essential
  21. tewdles

    On call- what it really means:

    tewdles replied to SuzieVN's topic in Hospice, Palliative

    Bottom line is hospice provides 24/7 call with visit nurses availble to meet the pt
  22. tewdles

    On call- what it really means:

    tewdles replied to SuzieVN's topic in Hospice, Palliative

    In every hospice agency that i have worke, on call staff were payed an hourly "stipend" to carry the pager. Those individuals provide the nursing expertise 224/7 that the patients and families need....
  23. tewdles

    Lack of Healthcare Accessibility Affects Every Patient, Every Nurse, Every Hospital.

    tewdles replied to RNGoldie's topic in Activism, Healthcare

    I think young people have been engaged in adolescent sex for as long as there have been adolescents, they specialize in risky behavior, always
  24. tewdles

    Lack of Healthcare Accessibility Affects Every Patient, Every Nurse, Every Hospital.

    tewdles replied to RNGoldie's topic in Activism, Healthcare

    This may show up as a double post...sorry if it does. I don't equate making choices and tools available to sexually active young adults with encouraging them to engage in that
  25. tewdles

    What is wrong with these kids? (Mystery Diagnosis)

    tewdles replied to Double-Helix's topic in PICU, Pediatric

    Any updates? My curiosity is surely