tewdles RN

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

Member

  • Content

    3,156

  • Visitors

    33,354

  • Followers

    0

  • Likes

    37

All Content by tewdles

  1. tewdles

    FMLA Vs. Workers Comp. I need an answer plz

    tewdles replied to cwood88's topic in Home Health

    very helpful reply
  2. tewdles

    Office nurses ARE real nurses!!

    tewdles replied to BSN75's topic in Ambulatory Care, Clinic

    HHHMMM A good office nurse makes sure that the abnormal PaP results get immediate attention, that the routine medical management of chronic diseases is scheduled, and that the person visiting feels...
  3. tewdles

    Will there be a strike at City of Hope, Duarte?

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

    I appreciate your point of view tackles. We are in a conundrum in the big union vs local union issue. As nurses we often need both. We need to have someone to speak for us as a group to our...
  4. tewdles

    Where to get more patient interaction?

    tewdles replied to Joe NightingMale's topic in General Nursing

    academia gets you lots of interpersonal interaction it just won't be with
  5. tewdles

    Denial, not just a river in Egypt

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    AAAhhhhh Atlanta...these cases are so sad and heartbreaking...aren't they? I think we all have families who don't want us to use the word hospice. My employer allows us to make that call ourself, of...
  6. tewdles

    Question about imending death

    tewdles replied to wsp4905's topic in LPN, LVN Corner

    Is mottling the term you are looking
  7. tewdles

    Trying to find my path in nursing

    tewdles replied to Flutteryby's topic in Hospice, Palliative

    I am sorry that it was personal loss that inspired you toward hospice. My sincere condolences. Many hospice facilities will hire new grads. It is true that your assessment skills may not match...
  8. tewdles

    Denial, not just a river in Egypt

    tewdles replied to AtlantaRN's topic in Hospice, Palliative

    This is the season isn't it, Linda? Sounds like you did everything just like a pro. As they say, we have to meet these patients and families "where they are"...problem is, some of them are not in the...
  9. tewdles

    What is "stacking"?

    tewdles replied to whisperinrain's topic in Patient Medications

    I don't know what stacking is. When we are using multiple meds to treat a symptom in hospice we call it polypharmacy in my neck of the
  10. tewdles

    Will there be a strike at City of Hope, Duarte?

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

    Nurses don't like strikes because we are patient advocates...and we know that hospitals need nurses to safely care for patients. We know that patients cannot possibly enter the hospital for an...
  11. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    You are absolutely correct about this...too often we dance around the truth with families who are struggling with these issues...we end up feeding their denial. I recently got in trouble while...
  12. tewdles

    Difficult familily members (VENT)

    tewdles replied to Spritenurse1210's topic in General Nursing

    yup...we use wipes...something less harsh than soap but smells good. Nope...don't wipe the barrier away, as said before, clean up the soiled stuff and replace as needed. There are ALWAYS family...
  13. tewdles

    Trying to understand the death of an Organ Donor

    tewdles replied to missingunc's topic in General Nursing

    The vast majority of my experience with organ donation comes from my many years in the Peds ICU...so the donors were all very young, none older than 16yrs. Clearly, these patients did not have living...
  14. tewdles

    Staffing

    tewdles replied to ontheroad!'s topic in Ob/Gyn

    Back in the day we seldom had no laboring patients...but it did happen on a rare occasion. We maintained 2 L&D nurses in the hospital with a scrub tech even if their were no L&D patients, to...
  15. tewdles

    Baby warmers in PACU?

    tewdles replied to NM_Nurse's topic in Ob/Gyn

    Clearly not standard and putting both the mother and the baby at risk. Has this manager considered what she is doing? These women are post anesthesia patients...first and foremost...then they are...
  16. tewdles

    So very confused, please advise asap

    tewdles replied to lisa_1031's topic in General Nursing

    your post made me smile
  17. tewdles

    Where do you wear your stethoscope

    tewdles replied to Sarahjean43's topic in General Nursing

    I carry a nursing bag...so it stays in there with my other tools until I need it. When I am wearing a lab coat is stays in the pocket as I prefer not to wear it "around" my neck. I occas drape it...
  18. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    If I am not mistaken, this young man (kevin) is in a specialty hospital which I presume cares primarily for long term but complicated patients. There are plans underway for the family to transition...
  19. tewdles

    High-risk long-term antepartum patients, what do you do?

    tewdles replied to studentnurserachel's topic in Ob/Gyn

    Grrr Okay. My personal/professional experience is in a regional hospital that had a dedicated high risk antepartum unit so...sort of an oranges and tangerines comparison. The bottom line is very...
  20. tewdles

    Morphine drip----help

    tewdles replied to roadtorn's topic in General Nursing

    In most states palliative care does not require a terminal diagnosis, hospice does. Regarding the family member and the comment about morphine killing the patient more quickly...I generally ask that...
  21. tewdles

    How do you let go of the patients?

    tewdles replied to AmericanChai's topic in General Nursing

    As nurses we sometimes fall in love with some of our patients. We enjoy our visits with them. We are touched by them and they add wonderful things to our experiences as a nurse and a human....
  22. tewdles

    significant dates or occasions to die

    tewdles replied to americanTrain's topic in Hospice, Palliative

    We cannot know if this is true or not...but we see it all the time. Monday my patient died 30 mins before his newest grandchild and only grandson was born. He had told me the week before that he...
  23. tewdles

    few questions about clinic working

    tewdles replied to Mommy Of Two 87's topic in Ambulatory Care, Clinic

    Occasionally you can find clinic positions where the clinic is associated with a large hospital system. If so, the starting pay is often the same or similar for the nurses...same or similar contracts...
  24. tewdles

    INCREDIBLE CNA/NNOC victory in Houston.

    tewdles replied to Chico David's topic in Collective Bargaining, Union

    This is a human phenomenon...self before others. This truth is quite evident in the healthcare reform debate as
  25. tewdles

    mileage reimbursement question

    tewdles replied to Squeaky44's topic in Hospice, Palliative

    what she