tewdles RN

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

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All Content by tewdles

  1. tewdles

    Too good to be true?

    tewdles replied to KateRN1's topic in Home Health

    its gonna be okay. Getting involved with a bad employer can really yank a person's insecurity cord! I worked for a couple of really unpleasant places before I found a good match and know from first...
  2. tewdles

    Circulating c-sections

    tewdles replied to shebbie's topic in Ob/Gyn

    I worked in a regional OB center. All L&D staff were trained to circulate in the CS (we of course had our own OR suites). We employed scrub techs who stocked, cleaned, and provided assistance in...
  3. tewdles

    Why do nurses get treated like crap? Is it everywhere?

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

    You often make me smile with your quick
  4. tewdles

    Keeping up on all my nursing knowledge

    tewdles replied to dtermineddenise's topic in General Nursing

    What works for one is, perhaps, not what is best for another.... I like to read. I read on line bunches. I read journals bunches. I read lots of patient records and individual professional notes....
  5. tewdles

    Alzheimer resident made me laugh !!!

    tewdles replied to NurseLoveJoy88's topic in Geriatric, LTC

    When I was young the elderly scared me. In nursing I got as far away from them as I could, I worked in NICU. Now, I just adore them! They make me smile, they teach me things, they break my
  6. tewdles

    Why do nurses sign this way?

    tewdles replied to missdeevah's topic in General Nursing

    I still have to sign some things...attendance sheets at inservices for instance...my signature depends upon what it is for and how hurried I
  7. tewdles

    Stepford Wife Triage Nursing

    tewdles replied to Jerry 75's topic in Telephone Triage

    Mike, my guess is that they don't want you to have some preconceived notion of what their problem is...still
  8. tewdles

    Using the FAST scale in Hospice

    tewdles replied to Axelsmomma's topic in Hospice, Palliative

    Walking with a merry walker is not ambulating un-assisted, IMHO. The merry walker fact is important in that
  9. tewdles

    Start of care orders

    tewdles replied to Sana2007's topic in Home Health

    This is clearly one of the advantages of working in hospice as opposed to home care...if I need an MD consultation and the primary does not respond to my attempts to contact her, I can call the...
  10. tewdles

    Use of C/O in Documentation

    tewdles replied to darrell's topic in General Nursing

    Okay...I admit that I am an old nurse...what the heck is SOA? short on attitude? standing on air? sitting on
  11. tewdles

    Using the FAST scale in Hospice

    tewdles replied to Axelsmomma's topic in Hospice, Palliative

    The FAST scale is reasonably clear about this. Ambulation is separate from continence in the assessment. Loss of ability to ambulate is an indication of severe dementia while incontinence generally...
  12. tewdles

    End stage COPD

    tewdles replied to rachelgeorgina's topic in Pulmonary

    We could give lots of advice here, however, it is imperative that this patient get hospice or in home palliative care...ASAP. Without organized and committed assistance this family will struggle with...
  13. tewdles

    All I want for Christmas is a single payer plan!

    tewdles replied to CaLLaCoDe's topic in Activism, Healthcare

    I have been reading and following the tube feeding thread. I see many thoughtful and compassionate posts there. I see nurses struggling with balancing compassion for patients with frustration they...
  14. tewdles

    How do you deal with a crying child?

    tewdles replied to bambam1288's topic in General Nursing

    For this age keep in mind that fear may begin to play a part in their ability to relate to you and an unfamiliar world. If you can get to a happy place with the child you may be able to pique her...
  15. tewdles

    foley catheters

    tewdles replied to troy09boston's topic in General Nursing

    I love the term "recon" the meatus....LOLTCCOMN (lol til coffee came out my
  16. tewdles

    foley catheters

    tewdles replied to troy09boston's topic in General Nursing

    This was a new one for me, leslie. As you can imagine, as an old OB nurse I have assessed many a lady parts with a gloved finger. I am not certain what the rational was for her concern (unless she...
  17. tewdles

    How do you deal with a crying child?

    tewdles replied to bambam1288's topic in General Nursing

    Remember that your interactions with children need to be age appropriate, so...when you say "child" do you mean infant, or toddler, or school aged? The tools and strategies you would use with an...
  18. tewdles

    foley catheters

    tewdles replied to troy09boston's topic in General Nursing

    insertion can be uncomfortable. some nurses use a sterile lidocaine jelly for the lubricant in an attempt to improve comfort, i am not sure of the efficacy of this practice, but it sounds nice. if...
  19. tewdles

    All I want for Christmas is a single payer plan!

    tewdles replied to CaLLaCoDe's topic in Activism, Healthcare

    Unfortunately, too many people (with some nurses included) believe that compassion is based at least in part upon a determination of a person's actions or behavior "deserving" the compassion of...
  20. tewdles

    Clinic with two doors, a symbol of two-tier care

    tewdles replied to PostOpPrincess's topic in Activism, Healthcare

    Hmmm....we currently have a system which many times values profit over people and outcomes...and I would wish
  21. tewdles

    foley catheters

    tewdles replied to troy09boston's topic in General Nursing

    Always take 2 caths to the bedside with you, if you catheterize the lady parts leave that cath in place to help you visualize the anatomy. Elderly women may have abnormal landmarks with the urinary...
  22. tewdles

    End stage COPD

    tewdles replied to rachelgeorgina's topic in Pulmonary

    funny how docs can be more "afraid" of respiratory depression than of suffering for these COPD folks and so choose ineffective or no treatment at all. Unfortunately all too common an occurance....
  23. tewdles

    how do you deal with difficult physician/surgeons

    tewdles replied to meriposa's topic in Ob/Gyn

    It sounds like the physicians have some mis-information about your role in the office. I agree that you should speak with the manager about it, perhaps you could have a meeting which included the MDs...
  24. tewdles

    Clinic with two doors, a symbol of two-tier care

    tewdles replied to PostOpPrincess's topic in Activism, Healthcare

    interesting
  25. tewdles

    Pain scale (Rated R)!!!

    tewdles replied to nurseyperson's topic in Nursing Humor

    It is difficult to get to the bottom of pain for many patients. Some nurses are committed to excellent pain assessments, some nurses not so much. Some nurses are misinformed and jaded about pain...