tewdles RN

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

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All Content by tewdles

  1. tewdles

    Last minute refills.... grrr...

    tewdles replied to bsn2b2013's topic in Ambulatory Care, Clinic

    You are being too hard on yourself No matter what area of health care we work in we will be confronted with people who make choices which are inconvenient and even problematic for us. When I worked in...
  2. tewdles

    Getting Calls When Not On Call?

    tewdles replied to missninaRN's topic in Hospice, Palliative

    maintaining boundaries can be a real problem in hospice...you are entitled to your personal time and you did nothing wrong by redirecting the caller to the accepted
  3. tewdles

    Trying in vain to get in a vein

    tewdles replied to robinbird's topic in General Nursing

    avoid starting just distal to any obvious
  4. tewdles

    Is healthcare a right or privilege?

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

    I am a little surprised that there are no comments about the 2 references I
  5. tewdles

    Rectal Tube not available, use large foley to bsb?

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    this is good info, I have never used a foley as a rectal
  6. tewdles

    Very disappointed in treatment by fellow co-workers

    tewdles replied to mondkmondk's topic in Geriatric, LTC

    wow...what would happen if we just acted like the professionals that we are supposed to
  7. tewdles

    New Grad LPN from Michigan!!!!Need a job!!

    tewdles replied to kikwon89's topic in LPN, LVN Corner

    good luck...there are nursing jobs in michigan but the competition is at an all time
  8. tewdles

    Gum Chewing

    tewdles replied to NinetyNine's topic in General Nursing

    It always amuses me how carried away we get about silly things (chewing gum debates). We are professionals, we can be professional and chew
  9. tewdles

    Comfort Measures ONLY

    tewdles replied to Katie5's topic in General Nursing

    In hospice I would medicate the patient and remove the CPAP...pt comfort is priority, rate of deterioration is not so much. That philosophy is hard (sometimes) for those outside of the hospice...
  10. tewdles

    Gum Chewing

    tewdles replied to NinetyNine's topic in General Nursing

    Not even water in bottles, capped? If so, I wonder if the nursing exec is limiting him/herself to 2-15 min and one 30 min "hydration" breaks in the work
  11. tewdles

    Comfort Measures ONLY

    tewdles replied to Katie5's topic in General Nursing

    I completely agree with the use of palliative care rather than comfort measures in all official documents. It is true that all order sets I have ever seen, or worked with, use the more precise...
  12. tewdles

    whats less stress.... pacu or OR?

    tewdles replied to adio412's topic in General Nursing

    I think that each nurse has different tolerance levels for different types of stress. No nursing job is without stress, period. You don't think OR nurses have stress? Ask them how stressful it is...
  13. tewdles

    Comfort Measures ONLY

    tewdles replied to Katie5's topic in General Nursing

    Comfort measures are generally outlined in standing order sets within the hospital. In the absence of standing orders signed by the MD, specific orders should be written. Comfort orders generally...
  14. tewdles

    Gum Chewing

    tewdles replied to NinetyNine's topic in General Nursing

    dry mouth/mucous membranes is a side effect of some medications which may have no relationship to
  15. tewdles

    Worried about a couple fellow co-workers and what this may mean for the rest of us

    tewdles replied to mondkmondk's topic in Geriatric, LTC

    Clearly the info you have and have shared with us does not seem to warrant termination...but what you have shared is not the whole story. Unfortunately, there is quite a bit of reactionary and...
  16. tewdles

    foley catheter change

    tewdles replied to Kirstie's topic in Dialysis, Renal, Urology

    Are you kidding me? The man complains of excruciating pain with insertion and the doctors refuse to sedate him???? How about pain control, do they refuse that too?? Sounds like legal torture to...
  17. tewdles

    Gum Chewing

    tewdles replied to NinetyNine's topic in General Nursing

    ya...I chew gum occasionally na...I don't have a nurse's station, just my car and most of my patients or families probably never realize that I have gum in my mouth even though I spend an hour or more...
  18. tewdles

    Just because you are a nurse...

    tewdles replied to silentRN's topic in Activism, Healthcare

    yes...we have to pass
  19. tewdles

    Nurse-Patient communication/teaching...

    tewdles replied to DalmatiaRN's topic in General Nursing

    Both approaches have value in the appropriate situation. For instance, it is not very helpful for me to tell my terminal COPD patient that smoking is going to kill him...it may be helpful, however,...
  20. tewdles

    How would you design Health Care Reform

    tewdles replied to Not_A_Hat_Person's topic in Activism, Healthcare

    expanding medicare seems to be a popular option, but it doesn't seem to be that popular with our politicians...why do you suppose? are they intent on making something more difficult than it requires...
  21. tewdles

    texting at work

    tewdles replied to questionsforall's topic in Nursing Professionalism

    emt, I appreciate your sentiment. I don't think any of us have a problem with using a work related app on your pda...I do. we all know that there are people who abuse the freedom to carry a personal...
  22. tewdles

    Scrubs or Street Clothes

    tewdles replied to nurse42long's topic in Home Health

    omg...rural hospice and home health nursing is soooo much different than urban...you dodge chickens and we worry about gunmen and
  23. tewdles

    Just because you are a nurse...

    tewdles replied to silentRN's topic in Activism, Healthcare

    indeed...our current system is patently
  24. tewdles

    Is healthcare a right or privilege?

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

    I blame myself, I cannot get away from this thread. There is information available in a number of places...this is a good place to start. http://www.urban.org/publications/411588.html...
  25. tewdles

    Is healthcare a right or privilege?

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

    Bottom line...our current system is unsustainable at a shocking 16% (and rising) of our GDP with too many dying for lack of access. We can just say no to reform or we can seek to do better. I am an...