tewdles RN

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

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All Content by tewdles

  1. tewdles

    Is it me or are Social Workers running the show?

    tewdles replied to ShayRN's topic in Hospice, Palliative

    This is not an issue in our hospice, however, there is an expectation that the MSW will work to insure that the patient is SAFELY returning to their home. I really appreciate having an engaged and...
  2. tewdles

    Been a nurse for 5 years... now 2 med errors in one week. Help.

    tewdles replied to jen42's topic in Patient Safety Issues

    You are okay...take a deep breath...and remember that most errors are made because of distraction, so adjust to decrease distractions and interruptions where possible. Good
  3. tewdles

    sick and tired of defending working in geriatrics..

    tewdles replied to ulmaulma's topic in Geriatric, LTC

    I very much appreciate the excellent LTC nurses with whom I work. Thank you so much for the professionalism you bring to your
  4. tewdles

    can you be a DON/ADON without having your license?

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

    Any job duties which require the DON or ADON to function as a nurse would, of course, require a current nursing license - regardless of state of
  5. tewdles

    Nursing students who needs help with 1st ever NS assignment having to deal with pain

    tewdles replied to jcolli01's topic in Pain Management

    If you could wave a magic wand and fix one thing for this woman which would improve her quality of life what would it be? You are correct in thinking that pain should be the focus of your nursing...
  6. tewdles

    I got people fired where I work, and now hate my job

    tewdles replied to shannieliz's topic in Geriatric, LTC

    Pt advocacy is sometimes a lonely place! Anyone who has advocated for a patient based upon some misdeed of another professional will always have concern for how that action may affect their...
  7. tewdles

    Start of care orders

    tewdles replied to Sana2007's topic in Home Health

    I call and speak with the RN who works with the physician many times...given that this nurse knows the practice preferences of the MD she will often okay the verbal order for the poc I have outlined....
  8. tewdles

    How to give 2 weeks notice?

    tewdles replied to amyla27's topic in Home Health

    Just provide a professional letter giving them 2 weeks notice that you are leaving your current position. Make sure to thank them for the opportunity and support. Leave all politics and commentary...
  9. tewdles

    Best way to study for Hospice Certification

    tewdles replied to CRNAorBust's topic in Hospice, Palliative

    Just curious...do you have stats which reflect
  10. tewdles

    JAMA: Antidepressants don't work for most people

    tewdles replied to MikeyBSN's topic in General Nursing

    What is worse is that antidepressants may not help that mild depression, but they may exacerbate it...watch for suicidal
  11. tewdles

    Calculating IV drip rate without a pump

    tewdles replied to chelynn's topic in General Nursing

    wow...old school nursing
  12. tewdles

    What would you do?

    tewdles replied to MayBoo's topic in Home Health

    And so...what did you do? If you did not call 911, why
  13. tewdles

    Is Continuous Care in a client's home history??

    tewdles replied to RKMARK's topic in Hospice, Palliative

    I agree that continuous care is not offered or accomplished as often as it might be. And, yes, I do agree that it is likely related to the financial concern...although, NFP agencies are likely not...
  14. tewdles

    Christian Science Nurses

    tewdles replied to bookwormom's topic in General Nursing

    Bottom line is this...the lay public will have no idea what the difference is between an CS nurse and a registered nurse. Nursing is a profession which cannot afford to allow untrained persons to...
  15. tewdles

    Clock out by 8am or get reprimanded!!!

    tewdles replied to RnM21's topic in Activism, Healthcare

    Professional nurses who create waves in today's nursing market get fired. Period. If the professional nurse is working for a bad employer and decides to take a stand, she should be prepared to lose...
  16. tewdles

    Non-Hospice appropriate patients admitted or kept on Hospice

    tewdles replied to Mamanurse62's topic in Hospice, Palliative

    Yes it is possible. You may well be correct that the root of your discomfort lies in the "for-profit" end of this problem. In order to pursue the goal of the company...which is to be profitable...the...
  17. tewdles

    Hospice Nursing

    tewdles replied to Nurse2919's topic in Hospice, Palliative

    What skills are you concerned about losing?... some hospice patients are complicated and require skill to care and plan for them. The pace is much slower, most of us appreciate that aspect of the...
  18. tewdles

    Forgetting to write an order

    tewdles replied to tolerantgirl's topic in General Nursing

    tolerantgirl...don't get too frustrated. We all go through times of doubt and distress in our nursing careers. What you have described has probably happened to more nurses than you could count and...
  19. tewdles

    Vaccinations

    tewdles replied to BraveNewWorld's topic in Pre-Nursing Students

    thanks for the love
  20. tewdles

    Cabin Fever

    tewdles replied to nebrgirl's topic in General Nursing

    classicdame....I think this was meant to be a
  21. tewdles

    Vaccinations

    tewdles replied to BraveNewWorld's topic in Pre-Nursing Students

    I am surprised that they are requiring the polio and measles vaccines, particularly if you a born in the USA citizen who has pediatric vaccination records available. Personally, if I could...
  22. tewdles

    Forgetting to write an order

    tewdles replied to tolerantgirl's topic in General Nursing

    Bottom line...if you are at a bedside and a doctor gives you a verbal order, it is his/her responsibility to write it...period. Too often docs have been under the misimpression that if they speak an...
  23. tewdles

    I want hospice, but I want to continue treatment.......

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    my recommendation would be to invite this spouse to an interdisciplinary team meeting where the team can discuss the nature of her husbands condition, the prognosis, and the hospice plan of care. this...
  24. tewdles

    New national nurses union forms

    tewdles replied to herring_RN's topic in Collective Bargaining, Union

    I am still thinking that nurses looking for work still have a choice about unions. Just like me they can always choose to work for the non-union shop, there are plenty of them
  25. tewdles

    Cabin Fever

    tewdles replied to nebrgirl's topic in General Nursing

    nursing diagnosis...functional, well being,