tewdles RN

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

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All Content by tewdles

  1. tewdles

    Is healthcare a right or privilege?

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

    lets focus on prevention...the unemployed, underemployed and self employed who have limited access to health insurance do not have the same priviledges that the wealthy and insured do in preventing...
  2. tewdles

    What do we talk about when we talk about dying?

    tewdles replied to VTRN774's topic in General Nursing

    Possibly part of the problem is that people are hearing these things when in the hospital...but not from their primary care team during routine
  3. tewdles

    What do we talk about when we talk about dying?

    tewdles replied to VTRN774's topic in General Nursing

    I appreciate your comments, VTRN774. With the fear of "death panels" it is often difficult to find people willing to speak about this topic directly. IMHO, we must give our elderly patients and...
  4. tewdles

    What are the pre-nursing classes like?

    tewdles replied to TCLA's topic in General Nursing

    I struggled with organic chem. If you are a math person statistics won't be too much of a
  5. tewdles

    What do we talk about when we talk about dying?

    tewdles replied to VTRN774's topic in General Nursing

    IMHO we need to say more, earlier, and in plain language. Elderly people with chronic life ending diseases should never be surprised that their COPD (or like disease) is killing them...when they are...
  6. tewdles

    Is healthcare a right or privilege?

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

    In fact, that attitude and opinion is quite popular with the self described social "conservative" groups just now. It is, in reality, simply a boorish form of discrimination against un-, under-, and...
  7. tewdles

    PRN Narcotics?

    tewdles replied to Finallydidit's topic in Geriatric, LTC

    Please...if the person is asking for more pain med in 5 hours and the order is Q6hr prn, call for addtional or new orders.
  8. tewdles

    i hope i know when to hang up my stethoscope,

    tewdles replied to supernurse1230's topic in Geriatric, LTC

    ya...you will take one of those cushy M-F, 8-5 jobs....as an old nurse...and that will irritate some younger nurse...like
  9. tewdles

    Just because you are a nurse...

    tewdles replied to silentRN's topic in Activism, Healthcare

    This libertarian is not so convinced that "democrats" are the most vocal
  10. tewdles

    i hope i know when to hang up my stethoscope,

    tewdles replied to supernurse1230's topic in Geriatric, LTC

    To the OP, glad you got that off your chest... moving on to the next
  11. tewdles

    Just because you are a nurse...

    tewdles replied to silentRN's topic in Activism, Healthcare

    we currently have 2 choices...we can watch the market balance itself...capitalism will cure the woes of the system, people will continue to be financially devastated by health care encounters,...
  12. tewdles

    Changes to On Call Job Description

    tewdles replied to pixiec11's topic in Hospice, Palliative

    IMHO, too many management teams in the CHC and Hospice area try to micro-manage the professional staff rather than engage them in improving
  13. tewdles

    How far from your current home would you be willing to drive (one way) to work?

    tewdles replied to Brian's topic in General Nursing

    I have had the extremes...I walked 1/2 block to work for years...have commuted more than 50 miles... I need to work at this point, the drive is a small part of my consideration for a job...my first...
  14. tewdles

    Easy job?

    tewdles replied to Purple_Scrubs's topic in School

    not just possible,
  15. tewdles

    How do you deal with a rude co-worker?

    tewdles replied to MobileNurseSara's topic in General Nursing

    Report him. Explain to him that he does not have license to verbally abuse nurses, just to practice medicine. Continue to advocate for your patients. I am sorry you have to deal with this...there...
  16. tewdles

    Easy job?

    tewdles replied to Purple_Scrubs's topic in School

    You have an autonomous nursing job. They can be extremely rewarding but equally demanding. You should take pride in the work you do and know that it is decidedly not EASY. Thank
  17. tewdles

    Patient doesn't know he's terminal

    tewdles replied to AmericanChai's topic in General Nursing

    Bereavement will have to deal with the unhappy family. If the family wants people to lie to their alert and cognitively intact family member in the face of a direct question they should be prepared...
  18. tewdles

    Changes to On Call Job Description

    tewdles replied to pixiec11's topic in Hospice, Palliative

    yes...the RN turnover there is amazingly high...yet no one seems to get the idea that perhaps management style should be examined as a potential cause...the management "team" is pretty much convinced...
  19. tewdles

    Changes to On Call Job Description

    tewdles replied to pixiec11's topic in Hospice, Palliative

    Hospices which are poorly managed will misuse employees...period. A friend of mine works for a hospice with an avg daily census of about 100. She is a FT case nurse. She is required to take evening...
  20. tewdles

    Patient doesn't know he's terminal

    tewdles replied to AmericanChai's topic in General Nursing

    IMHO you are on the money...when considering what you coined the "conspiracy of silence". In my experience these requests for deception are frequently based upon a family member's difficult grieving...
  21. tewdles

    When asked "what meds are you giving me?"

    tewdles replied to Kitty Hawk's topic in Geriatric, LTC

    This is available for your PDA or smart phone also...this is my preferred reference in the field as
  22. tewdles

    When asked "what meds are you giving me?"

    tewdles replied to Kitty Hawk's topic in Geriatric, LTC

    I think that it is hard to provide a patient consultation about their meds while you are trying to complete a med pass....you have a time frame and other patients, etc...you have to stay focused if...
  23. tewdles

    More Doctors work for Nurses

    tewdles replied to FinNurse's topic in General Nursing

    what she
  24. tewdles

    Patient doesn't know he's terminal

    tewdles replied to AmericanChai's topic in General Nursing

    well said
  25. tewdles

    Patient doesn't know he's terminal

    tewdles replied to AmericanChai's topic in General Nursing

    I appreciate Kylea's comments..and yes, this is certainly the circumstances sometimes. More often, however, the family is trying to protect their loved one and their decision to withhold the...