tewdles RN

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

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All Content by tewdles

  1. tewdles

    Hospice Nurses...please read my thread

    tewdles replied to Werblessed's topic in Hospice, Palliative

    I replied to another post of yours. Male nurses are not common in hospice and the diversity is sorely needed. Give hospice a thought...you may find your
  2. tewdles

    Health Care Reform

    tewdles replied to Stickyrunner325's topic in Activism, Healthcare

    i don't see that they are only throwing money at this problem. that is part of the reason that people are so afraid of this reform. because it is representing change...a deviation from the status...
  3. tewdles

    Where to get more patient interaction?

    tewdles replied to Joe NightingMale's topic in General Nursing

    Dependent upon where you are in your life and profession I would suggest hospice. The patients are increasingly diverse and complicated wounds, tubes and stomas of all types are increasingly common....
  4. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    Actually, hourly eye drops are doable...the family is THERE, they have been TRAINED to provide that care! The facility should stop fighting and start fixing this situation...empower this family to...
  5. tewdles

    Grr! "Customer Service" Nursing Gone Crazy!

    tewdles replied to KaseyBSN's topic in General Nursing

    I agree Virgo...most of us want to care for people...so doing nice things for them when we have time comes naturally. The hospitals are on the wrong track and they will not discover it until they...
  6. tewdles

    Labor and Delivery nursing

    tewdles replied to HopefulNurse90's topic in Ob/Gyn

    L&D nursing can be very intense. If you are in a regional birthing center the place hops and you work your butt off most days. Laboring women can be ok or they can be ogres, they generally have...
  7. tewdles

    Salary Advise for RN in Medical Home (Not home health)

    tewdles replied to wenifer's topic in Nursing Career

    In my experience, an employer who is looking for a nurse to write policy and procedure will likely be searching for a person who has the education and the experience to accomplish those tasks with...
  8. tewdles

    RN "Super Union"

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

    It is foolish to think that nurses across the board have no need for labor unions or that a national organization to speak a single, unified voice for improvement of nursing issues is unnecessary. I,...
  9. tewdles

    When the tables are turned (nurse on the receiving end of care, acted like a fool)

    tewdles replied to Born2BWild's topic in General Nursing

    Holy cow! First because you have managed to work as a nurse and did not get the HBV, by choice! Secondly because, well, because you totally lost it over something simple and sort of silly. Are panic...
  10. tewdles

    Interesting blog Describes view from family's eyes

    tewdles replied to Whiskeytown's topic in General Nursing

    There is no question that families providing bedside vigils for extended periods of time often become more problematic for nursing staff than helpful. This is not because the families are bad people...
  11. tewdles

    Would you work less hours (less $$) for a better shift?

    tewdles replied to HeartsOpenWide's topic in General Nursing

    I once worked part time for two different units in the same hospital...that allowed me to maintain a full time status with my employer. I had the added benefit that if I was working in unit A which...
  12. tewdles

    Question about Nursing

    tewdles replied to Duttygal86's topic in General Nursing

    I agree that rude nurses is a reflection of the culture of that department. I believe that this attitude is the responsibility of the management of the department and the attitude changes when...
  13. tewdles

    mileage reimbursement question

    tewdles replied to Squeaky44's topic in Hospice, Palliative

    mileage is typically paid in my region from the first home onward, unless that person lives further from my home than the office. In that case, I charge for mileage to that first visit as if I was...
  14. tewdles

    Speaking of facebook...inappropriate...but am I within my rights...?

    tewdles replied to laurasc's topic in General Nursing

    In hospice we regularly attend the visitation and less often the funerals of our patients. We do clock in and out for those functions. In that respect it is both personal and professional. It is...
  15. tewdles

    Grr! "Customer Service" Nursing Gone Crazy!

    tewdles replied to KaseyBSN's topic in General Nursing

    I will comment that when I have a family member in the hospital my family maintains a 24/7 presence in the facility. There are too many errors made in the hospital setting for our comfort and we stay...
  16. tewdles

    Working all the time in HH

    tewdles replied to NURSET2007's topic in Home Health

    most certified home care agencies that i am aware of are for-profit endeavors. their first objective is profit. they provide quality care as the profit line will allow. in other words...if quality...
  17. tewdles

    Health Care Reform

    tewdles replied to Stickyrunner325's topic in Activism, Healthcare

    Unfortunately our quality is not that great...our outcomes are not that great...(when compared globally) NOT because we don't have some of the best people, facilities, and technology...RATHER, in...
  18. tewdles

    Impaired nursing not cool

    tewdles replied to sasha2lady's topic in LPN, LVN Corner

    I have never worked in any facility other than a hospital, so my knowledge of charge nurse responsibilities ends there. When I was charge in a PICU and when I ran the PICU the charge nurses made...
  19. tewdles

    Speaking of facebook...inappropriate...but am I within my rights...?

    tewdles replied to laurasc's topic in General Nursing

    You did have a unique situation! Many of us have encountered "unique" situations BECAUSE we are nurses and we interact with people from all stations of life every day. Wonderful relationships are...
  20. tewdles

    Grr! "Customer Service" Nursing Gone Crazy!

    tewdles replied to KaseyBSN's topic in General Nursing

    The re-defining of the nursing job has been going on for some time...back in the 70's many hospitals cut costs by cutting environmental staff. The nurses were expected to clean the sitz tubs, empty...
  21. tewdles

    texting at work

    tewdles replied to questionsforall's topic in Nursing Professionalism

    it is only a matter of time before a healthcare worker has his/her cell phone records subpeoned in a malpractice case... for those who think that text messages won't be problematic...ask the former...
  22. tewdles

    anticlotting medications

    tewdles replied to jmaverick101's topic in Patient Medications

    http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm190787.htm FDA states patients shouldn't be on Plavix and...
  23. tewdles

    FDA states Prilosec & Plavix not to be given together. But....

    tewdles replied to elprup's topic in Patient Medications

    I would say that at about 50% of the patients I receive into hospice who are on a PPI also have Plavix on their POC. Thanks for the info, I will share with my
  24. tewdles

    Intractable pain question

    tewdles replied to tewdles's topic in Hospice, Palliative

    Update...patient to receive pudendal block today, she had a trial injection yesterday which resulted in pt successfully sitting in a chair (something she had not done for weeks)! I am hopeful that...
  25. tewdles

    Intractable pain question

    tewdles posted a topic in Hospice, Palliative

    I have a middle aged woman with advanced vulvar cancer on my caseload. Co-morbs of HTN, smoking. She has significant pelvic/perineal tumor burden which is the source of her pain. It is mixed...