tewdles RN

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

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All Content by tewdles

  1. tewdles

    Patient doesn't know he's terminal

    tewdles replied to AmericanChai's topic in General Nursing

    I will be a patient advocate...this generally does not include lying to a competent
  2. tewdles

    Needs a Hospice Nurse's help!!

    tewdles replied to JRS75's topic in Hospice, Palliative

    It sounds like your aunt is in the last stages of dementia and would very likely qualify for hospice support. This support could very well result in your uncle realizing his goal of keeping his wife...
  3. tewdles

    Patient doesn't know he's terminal

    tewdles replied to AmericanChai's topic in General Nursing

    wow...and we wonder why we torture people in the hospital before they die...perhaps because of this type of health practice.... hhhmmm, is this how it works....lets not tell the person what their...
  4. tewdles

    Legal? new employer wants list of all meds taken and medical records

    tewdles replied to babblingbrook's topic in General Nursing

    wondering if OP resides and works in RTW
  5. tewdles

    Legal? new employer wants list of all meds taken and medical records

    tewdles replied to babblingbrook's topic in General Nursing

    Just out of curiousity...where are you located? (what
  6. tewdles

    increased confusion with pain med

    tewdles replied to Ms.RN's topic in General Nursing

    Riding out pain and confusion for a couple of weeks can be devastating for an elderly
  7. tewdles

    What does Assessment mean?

    tewdles replied to Bug Out's topic in General Nursing

    IMHO, that is largely dependent upon the nurses in question. I have worked with nurses good and bad at all levels. There are amazing LPNs who can assess the pants off a nurse practitioner...there...
  8. tewdles

    increased confusion with pain med

    tewdles replied to Ms.RN's topic in General Nursing

    You should recommend trying another analgesic to the doc. Review your patient's history and current med profile. Think about what type of pain you are treating and make a couple of suggestions to...
  9. tewdles

    Non-Hospice appropriate patients admitted or kept on Hospice

    tewdles replied to Mamanurse62's topic in Hospice, Palliative

    In my experience it is the LTC and sometimes AL facilities where inapprop admissions occur most often. Sometimes it is a mechanism of the person being sick enough to qualify at time of admission but...
  10. tewdles

    Not allowed to SIT during 12 hour shift and MORE

    tewdles replied to katieusa's topic in Medical-Surgical

    This is just silly...sounds like ineffective
  11. tewdles

    End of life care gone wrong

    tewdles replied to rachelgeorgina's topic in General Nursing

    me thinks all elderly women with COPD are "tough ol
  12. tewdles

    Boredom in long-term patients!

    tewdles replied to Mbshil's topic in General Nursing

    I know of a hospital unit who had a similar situation. They gave him things to do...and he appreciated it. the child/life specialist and social workers came up with a plan for his mental stimulation,...
  13. tewdles

    Any wound nurses out there?

    tewdles replied to pedsrnjc's topic in General Nursing

    It is generally not a good idea to advance a stage 1 intentionally,
  14. tewdles

    Nursing with Gilberts Syndrome?

    tewdles replied to Chai spice's topic in Nurse Disabilities

    This syndrome is generally NOT causative of significant illness or disability and is often diagnosed accidentally. A diagnosis of Gilbert syndrome would not disqualify a person for most professions...
  15. tewdles

    Pain scale in corrections

    tewdles replied to Truegem's topic in Correctional

    I don't work in corrections. I imagine there is a considerable burden of substance abuse and escapism in that environment. The failure then is not the scale you are using...the scale is fine, the...
  16. tewdles

    Non-Hospice appropriate patients admitted or kept on Hospice

    tewdles replied to Mamanurse62's topic in Hospice, Palliative

    Wow. I am guessing that your hospice is engaged in active marketing in the LTC, ALF
  17. tewdles

    How safe is it to be a Visiting Nurse?

    tewdles replied to starbin's topic in Home Health

    Hey, sometimes the dog is fine but the cat is the queen who hides under the bed until your back is turned! Once had a patient with a big bird...dang thing went nuts one day when the MSW visited, not...
  18. tewdles

    Safety and protection while working....

    tewdles replied to luvmy2angels's topic in Home Health

    some urban CHC nurses have CCWs and carry when in the bad parts of town, at least that is my experience in
  19. tewdles

    Where do I find healthcare if I'm poor

    tewdles replied to Onekidneynurse's topic in Activism, Healthcare

    thank you for that post herring....I worked for a time in community health, it was extremely
  20. tewdles

    Pain scale in corrections

    tewdles replied to Truegem's topic in Correctional

    Only if the patient can communicate with you and is able to understand the scale...otherwise use a different
  21. tewdles

    What do you start IVs with in your OB unit?

    tewdles replied to LNDRN2's topic in Ob/Gyn

    Gotta have a big line...surgery risk and all...they have lots of fluid on board with HUGE veins so it is an easy
  22. tewdles

    End of life care gone wrong

    tewdles replied to rachelgeorgina's topic in General Nursing

    I am sorry for the inadequate care that your grandmother received at the end of her life. I wish that the scenario you described was uncommon, but I am afraid that similar experiences are too common...
  23. tewdles

    Comfort Care -- End of Life

    tewdles replied to pinky22786's topic in Hospice, Palliative

    okay...I am not in the habit of trying to insult or irritate people so please accept this post with that knowledge. If you work in LTC you should expect that the comfort orders will be ATC rather than...
  24. tewdles

    Circulating c-sections

    tewdles replied to shebbie's topic in Ob/Gyn

    In our unit the labor nurse for the mom prepped patient could circulate but often did not because she generally had paperwork/documentation to complete given the turn of events and necessity of an...
  25. tewdles

    Stress level on a neuro floor

    tewdles replied to ruralgirl08's topic in Neurological

    Every specialty area has it's own unique set of stressors for nurses. The fact that you are only 6 months into this unit is, all by itself, stressful. When we change specialties it takes a minimum of...