tewdles RN

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

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All Content by tewdles

  1. tewdles

    Death of the Physical Assessment

    tewdles replied to blondy2061h's topic in General Nursing

    There clearly is a difference in the physical assessment that you would receive as an inpatient in a hospital vs. a well patient on a routine office visit. You do make some excellent points that...
  2. tewdles

    Getting on the same page

    tewdles replied to CoffeeRTC's topic in Hospice, Palliative

    Bottom line is that hospice nurses offer tools to the family which are known (evidence based) to alleviate or improve symptoms that are reported or observed. It is entirely up to your mother as pcg...
  3. tewdles

    "Denial" situation update

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    So is your manager implying that IDT is not "brainstorming"? Is she unhappy with MSW for not helping the family to come to terms with the situation? Is the clinical manager speaking with the medical...
  4. tewdles

    RN "Super Union"

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

    I do not think that nurses have priced themselves out of the market. Nurses are worth every cent and more for the work and responsibility they have. New grads cannot find work because hospitals do...
  5. tewdles

    Admission Process question

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    This is an interesting question. I may ramble, so apologies right up front. If the patient is competent to make this choice and desires to provide informed consent for hospice care and services, I...
  6. tewdles

    Health Care Reform bill jeopardizing the future of nursing?

    tewdles replied to AVMadd's topic in Activism, Healthcare

    This is the same for hospice as well. All hospice payment is paid per diem according to the patient status; routine, respite, or inpatient. As one might imagine, some routine patients are very...
  7. tewdles

    New to Home Health...feel like an idiot

    tewdles replied to KatieNoelLPN's topic in Home Health

    Don't fret...there are lots of resources online for you. And ask your
  8. tewdles

    Patient requesting.....

    tewdles replied to nursemomof3boys's topic in Home Health

    Bottom line, doesn't matter if it is in her best interest...if she is competent to make this decision then you should honor it. Make sure to notify and document carefully and appropriately. You are...
  9. tewdles

    McKesson Horizon

    tewdles replied to KatieNoelLPN's topic in Home Health

    I like several features about McKesson and dislike others...McKesson is much more suited to home care than to hospice. Just like with any software there are upsides and downsides. I liked the way I...
  10. tewdles

    new terminology for fetal monitoring

    tewdles replied to TC06's topic in Ob/Gyn

    You simply need to describe it in your documentation as you did for us. Painting the picture is the important part...the terminology is secondary. When I was in OB it was ok to describe the...
  11. tewdles

    My skills are being wasted! vent thread

    tewdles replied to JBudd's topic in Emergency

    You are describing a management issue. A "not my job" attitude is contagious and dangerous. Management should nip this in the bud and work to fan the flames of teamwork,
  12. tewdles

    RN "Super Union"

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

    I have never worked as a unionized RN. I have, however, worked for a couple of companies who worked their professional staff like slaves, refused to pay overtime, required ungodly amounts of oncall...
  13. tewdles

    No stop date?

    tewdles replied to desalana's topic in Patient Medications

    MD needs to provide complete prescription including stop date if
  14. tewdles

    What is "stacking"?

    tewdles replied to whisperinrain's topic in Patient Medications

    we call this practice alternating...for obvious reasons and it leaves little question as to what the plan
  15. tewdles

    New national nurses union forms

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

    a few points... a post earlier commented on "nationalization" potentially costing us 1/6th of our budget...health care cost currently run 16-17% of our GDP and are projected to reach 20% in a few...
  16. tewdles

    Getting Hired

    tewdles replied to HopefulNurse90's topic in Diploma, ADN, BSN

    Depends largely upon where you want to work and what you want to
  17. tewdles

    Just wanted to post a "thank you" to all hospice nurses..

    tewdles replied to traumaRUs's topic in Hospice, Palliative

    Thank you for advocating for your patients by speaking frankly with them about their health and quality of lfe as they begin to
  18. tewdles

    skills needed---help please?

    tewdles replied to danyd's topic in Hospice, Palliative

    For profit hospices will want you on the road as quickly as possible and they will, additionally, want you case managing a full load as quickly as possible. Not for profits will be more concerned...
  19. tewdles

    Hospice Admissions nurse

    tewdles replied to neonurse97's topic in Hospice, Palliative

    holy cow patties! I am pretty sure I would not be able to do 4 admissions in one day...what a brain
  20. tewdles

    Sick Of Co-workers Calling In ALL the Time

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

    I, too, am accustomed to and expect strict absence policies. Having said that, I also have had the great good fortune to work for some terrific organizations who were very compassionate with issues...
  21. tewdles

    Advice needed!!!!! (Sorry it's long!)

    tewdles replied to rmbt418's topic in Home Health

    I hope it works out for you...vaya con
  22. tewdles

    Need positive reinforcement- people can be so mean!

    tewdles replied to momofr&b's topic in Home Health

    gee, everything besides scotch and chocolate irritate me when I have pms.....and I wish I didn't have pms anymore, I'm
  23. tewdles

    Tired of bedside nursing

    tewdles replied to youngebloodrn's topic in Men in Nursing

    Good suggestions
  24. tewdles

    Working all the time in HH

    tewdles replied to NURSET2007's topic in Home Health

    Do you work in michigan? ANY employer who requires their nursing staff to complete their documentation on a hand held PDA is heartless and
  25. tewdles

    Hospice Admissions nurse

    tewdles replied to neonurse97's topic in Hospice, Palliative

    So true AtlantaRN. I currently work for a larger nonprofit in Michigan that has an admission team. They are busy enough that the case nurses have to take turns helping them with after hours and...