tewdles RN

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

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All Content by tewdles

  1. tewdles

    Duragesic and Tegaderm

    tewdles replied to Kim Valentine's topic in Oncology

    You are correct that this is not a safe practice and you should not participate. If the doctor wants to assume responsibility for that...okay...but not on your license! As well, you must not cut the...
  2. tewdles

    Any help for home care nurse in bug infested/dirty homes?

    tewdles replied to homelpn's topic in Home Health

    In filthy settings I do not take my full case bag into the home. Period. I leave my stuff in the car and bring in ONLY what I know I will need. I do not sit down and I do not remove things from the...
  3. tewdles

    Should I quit?

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

    I agree, sounds like they do not value her as a nurse and expect her to fail and leave. My guess would be that the facility utilizes "warm body" staffing as a standard rather than "right fit". This,...
  4. tewdles

    system of breaks is for licensed staff in SNF

    tewdles replied to gigimon's topic in Geriatric, LTC

    I think there is great value in having several breaks during the course of your day. I also think that in the absence of adequate support it is very difficult to accomplish several breaks. From a...
  5. tewdles

    Very nervous.....any helps?

    tewdles replied to jordydan7295's topic in Home Health

    Don't worry about it. You will have things to talk with them about. Your dressing change doesn't have to be in silence...describe what you are doing, tell them what your assessment is, ask them...
  6. tewdles

    Health Care Reform

    tewdles replied to Stickyrunner325's topic in Activism, Healthcare

    Costs must be contained. Currently the escalation of cost of health care has much to do with the cost of insurance premiums, the cost of medications, and the cost of hospital care. A reasonable...
  7. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    Now they have no one but themselves to blog about. I hope that they actually got the training and mastery of skills that they needed to provide for his care at home. The family attitude created such...
  8. tewdles

    I want Sundays and Mondays off.

    tewdles replied to Blackcat99's topic in Private Duty

    I don't know any home care nurses who work "night shift". Perhaps you are thinking private duty in the
  9. tewdles

    Cheyne-Stokes and haldol?

    tewdles replied to cmonkey's topic in Hospice, Palliative

    There are a couple of specific reasons that we use haldol for COPD patients. Remember that comfort is the primary goal for most hospice patients and use that thought as a back drop for most...
  10. tewdles

    RN "Super Union"

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

    And so your solution to the bad medicine you describe is for nurses to shut up and allow the hospitals and insurance companies to continue on in that fashion? You mention "cost saving" tactics of...
  11. tewdles

    I want Sundays and Mondays off.

    tewdles replied to Blackcat99's topic in Private Duty

    Sounds like you need to do a bit of research about home
  12. tewdles

    On call pay?

    tewdles replied to Finallydidit's topic in Geriatric, LTC

    I hope you are a salaried professional with this type of responsibility written into your job description. Otherwise you are being taken advantage of,
  13. tewdles

    Care Planning

    tewdles replied to vwevans's topic in Hospice, Palliative

    Hospice plans of care are individualized and I am not aware of a resource for them other than general nursing resources. They typically revolve around symptom management (ie: N/V), alterations in...
  14. tewdles

    On call pay?

    tewdles replied to Finallydidit's topic in Geriatric, LTC

    the on call pay I described was a 90-150hr/mo requirement of the job. some weeks we were "out" a lot, sort of depends on the census,
  15. tewdles

    RN "Super Union"

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

    Onekidneynurse, Certainly I am wondering where you might have found any suggestion within my post that "the sky is the limit". You made some excellent posts about nursing positions, duties, and...
  16. tewdles

    Why do you put up with the abuse?

    tewdles replied to lilla_fjaril's topic in Operating Room

    Any closed unit can be vicious. Sort of depends upon what management sets as the standard and supports on a casual level. You sound pretty angry...not saying you have no cause...if so you should...
  17. tewdles

    On call pay?

    tewdles replied to Finallydidit's topic in Geriatric, LTC

    $3/hr. straight pay from the call until you return home (unless you are over 40hr for that week). they don't pay the on call amt when you are on the clock even tho you continue to carry the pager...
  18. tewdles

    What do ICU nurses do?

    tewdles replied to mcpnurse's topic in Critical Care

    I so glad hoozdo added the last
  19. tewdles

    I need serious encouragement/reasons to stay at my BORING job

    tewdles replied to DaisyChains's topic in First Year After Licensure

    we have to look no further than the halls of our school system to see why women are mean to each other in the workplace! preadolescent and adolescent girls can be some of the most vicious creatures...
  20. tewdles

    Snow and your supervisors

    tewdles replied to Jules A's topic in General Nursing

    we only get snow days in michigan if the snow is so deep the plows get stuck...then the hospital sends the snowmobile team out to pick you
  21. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    "heal with steel"... the surgeon's
  22. tewdles

    How do you count liquid narcotics?

    tewdles replied to Plagueis's topic in General Nursing

    You have the gist of it...most liquid opioids come in a white bottle with a clear stripe for measuring...it generally has ml embossed on the side. We do evaluate that at each visit and question if...
  23. tewdles

    National Nurses Organizing committee

    tewdles replied to JonathanL's topic in Activism, Healthcare

    So was there something about my post that you disagreed
  24. tewdles

    RN "Super Union"

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

    Some employers will cut expense corners any way they can....some will use age discrimination as a tool knowing that it is unlikely they will be challenged. Hospitals will continue to look for ways to...
  25. tewdles

    National Nurses Organizing committee

    tewdles replied to JonathanL's topic in Activism, Healthcare

    Not everyone pays taxes...some are too poor. Not everyone pays for health insurance...some are too poor. Not everyone will pay for the reformed health insurance...some are too poor. The reform...