tewdles RN

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

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All Content by tewdles

  1. tewdles

    Question for those that hire

    tewdles replied to EDRN-2010's topic in General Nursing

    I hired nurses for a PICU. I hired based upon the person. I am not an advocate of "warm body" hiring and while experience is important I felt that the orientation and precepting we offered was going...
  2. tewdles

    Sign announcing you're an RN on your car?

    tewdles replied to Perpetual Student's topic in General Nursing

    First, many cops today will not opt out of the traffic ticket because you are a nurse...revenue is one of their important jobs in some areas. Second, as many have noted, some people may equate the...
  3. tewdles

    Stepford Wife Triage Nursing

    tewdles replied to Jerry 75's topic in Telephone Triage

    Agree with you Mike...it is one thing to provide guidelines for triaging telephone calls, it is quite another to presume to micromanage the interview of the patient by the nursing
  4. tewdles

    How to chose a hospice to work at?

    tewdles replied to Flutteryby's topic in Hospice, Palliative

    By their very nature, for profit hospices will put profit above all else. Whereas a not for profit hospice is likely to attempt to meet the bottom line (pay salaries, rent, utilities, etc...) and the...
  5. tewdles

    Rules for time off

    tewdles replied to IDnurse48's topic in Nurse Management

    You have a pretty manageable staff size. You could take a couple of options to your staff, give them a short deadline and let them decide between the 2. The professional staff, in particular, will...
  6. tewdles

    Drug Testing At Hospitals

    tewdles replied to crazylilkelly's topic in General Nursing

    It is funny to me that this old thread is resurrected! I am against drug screens for the purpose of employment in nursing. I am against employers looking at my credit report. Neither of these two...
  7. tewdles

    Funny seizure patient cartoon...

    tewdles replied to Larry77's topic in Nursing Humor

    I loved the "dance move seizure" ...
  8. tewdles

    Uniforms and dress codes

    tewdles replied to inkedRN's topic in General Nursing

    I had a job which required me to wear whites. I cannot say that I particularly enjoyed it...I have very hard water at home and laundering was a serious issue for me. As well, I found that I was...
  9. tewdles

    New national nurses union forms

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

    I can't say that I have a "union viewpoint" given that I have never been in a nursing or other type of union. I do however, have a nursing viewpoint which allows me to be sympathetic to the plight of...
  10. tewdles

    Who can order Hospice

    tewdles replied to Mamanurse62's topic in Hospice, Palliative

    I have participated in referrals which came from family members. The daughter or son has called the hospice agency and requested an evaluation. In those cases the agency may meet with the family and...
  11. tewdles

    New national nurses union forms

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

    I understand why you consider this "forced" unionism PICUNP...the nurse deciding to work within this system after the union has been established are compelled to join...thus the "force". However, the...
  12. tewdles

    Advancing Excellence in America's Nursing Homes

    tewdles replied to NRSKarenRN's topic in Geriatric, LTC

    The homes with goals of excellence will likely make good use of these resources. The homes with goals of increasing profit margin will largely ignore any measures which cost
  13. tewdles

    Please help me understand a 60 days recert vs 90 day hospice benefit

    tewdles replied to Momto3CT's topic in Hospice, Palliative

    Unless your agency is practicing in a way that I am unfamiliar with, you only have to generate another assessment to recertify that the patient remains appropriate for hospice care and services. It...
  14. tewdles

    Uniforms and dress codes

    tewdles replied to inkedRN's topic in General Nursing

    Color coding scrubs by discipline is pretty common now. As a professional visiting patients in a hospital setting, I found it to be helpful in identifying staff from a distance (I could look down a...
  15. tewdles

    PRN Narcotics?

    tewdles replied to Finallydidit's topic in Geriatric, LTC

    If you are in LTC and you have a patient with PRN opioid orders who is requesting or requiring doses sooner than the allowed interval please call the provider and ask for additional orders. Perhaps...
  16. tewdles

    RN "Super Union"

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

    I am very familiar with the practice of the RN obtaining the signed consent for a medical procedure. The surgeon absolutely explains the surgery, risks, etc and answers all questions. The nurse is...
  17. tewdles

    Why lvn's /lpn's should not work in labor and delivery

    tewdles replied to LNDBSN's topic in Ob/Gyn

    I am sympathetic to your concern, I am just not sure of it's origin. Is her charting the huge problem, her care of critical or mag sulfate patients, or her lack of name badge? Or is the "huge" in...
  18. tewdles

    Does this sound right?

    tewdles replied to tx2007's topic in Home Health

    I am only familiar with reimbursement by the mile...usually according to the current IRS recommendation. Have you spoken with any of the other nurses working in home health in your area? Dependent...
  19. tewdles

    Need a vent -- disabled parking

    tewdles replied to DolceVita's topic in Nurse Disabilities

    You have given her warning...if you hear one more thing about this...even the tiniest thing, go directly to the school administrators and file a formal complaint. Do not give this foolish woman any...
  20. tewdles

    How to chose a hospice to work at?

    tewdles replied to Flutteryby's topic in Hospice, Palliative

    The case load varies by area and agency. I know hospice case nurses who manage 18-24 pts routinely. The comfortable standard is 12-15, with a mix of private residence and LTC patients. I generally...
  21. tewdles

    How to chose a hospice to work at?

    tewdles replied to Flutteryby's topic in Hospice, Palliative

    I will try to be concise and to the point... You do not want to work for a "for-profit" hospice...period. Make sure to ask them about how they handle admissions, after hours calls, and on call. Ask...
  22. tewdles

    New Grad

    tewdles replied to srm1181's topic in Hospice, Palliative

    You are more likely to get hired as a new grad into hospice if the agency you apply to has a hospice facility. The facility offers the opportunity for new nurses to develop a skill set which will...
  23. tewdles

    family member and giving medical information

    tewdles replied to Ms.RN's topic in Geriatric, LTC

    If the person is not on your list you have an obligation to deny that request. I generally refer the interested person directly to the DPOA or to the patient for answers to those questions. They...
  24. tewdles

    Getting on the same page

    tewdles replied to CoffeeRTC's topic in Hospice, Palliative

    hhhmmm... It is very reasonable, if there is not a good professional connection between your mom and the nurse, to request a change in your grandmothers case manager. Further, if the POC seems to be...
  25. tewdles

    pregnant flight nurses

    tewdles replied to CaliRN29's topic in Flight, Surface Transport

    I flew late into my first pregnancy. Increased air sickness was problematic in the first trimester but I managed to get through it. In my eigth month I tore the ligament in the front of my pelvis...