tewdles RN

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

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All Content by tewdles

  1. tewdles

    Health Care Reform

    tewdles replied to Stickyrunner325's topic in Activism, Healthcare

    I repeat...we can and should do better...do you have any suggestions or are you satisfied with the status quo? Do you feel that we can continue on our path of exploding costs which will result in...
  2. tewdles

    Urgent: ANA Position Paper

    tewdles replied to SheaTab's topic in Activism, Healthcare

    it is interesting to me that i know this, you know this, many nurses know this...but by and large many, many other disciplines and professionals do not know this. of course, we get kudos when we are...
  3. tewdles

    Need positive reinforcement- people can be so mean!

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

    You are right, people can be very mean. I find that people who have a tendency toward impolite and rude behavior are more likely to act those tendencies out when you are in their "territory", the...
  4. tewdles

    Is This Discrimination?

    tewdles replied to kemkem's topic in General Nursing

    This is ridiculous and needs to be challenged...unless of course it was a joke. Wear your glasses to work. They cannot possibly win this in the court of public
  5. tewdles

    Pink Gloves Dance to Jay Sean's "Down" for Breast Cancer Awareness

    tewdles replied to mich321's topic in General Nursing

    how much fun was
  6. tewdles

    What is the BEST and WORST nursing fields?

    tewdles replied to nurse441's topic in General Nursing

    My worst job was in hospice. My best job was in hospice. For me, it was all about the
  7. tewdles

    WHITE Scrubs--Oh Dear

    tewdles replied to etaylor900's topic in Scrubs, Uniforms, Gear

    I like
  8. tewdles

    A Definite Over Stepping of Boundaries

    tewdles replied to scribblerpnp's topic in Hospice, Palliative

    The hospice will continue to have a relationship with the bereaved for 13 months. It is extremely inappropriate for a hospice professional to become engaged in a personal relationship, particularly a...
  9. tewdles

    Pain management in med-surg.

    tewdles replied to Becca608's topic in Pain Management

    we all need to vent occasionally. good
  10. tewdles

    How much pay per visit or salary?

    tewdles replied to BChapp3182's topic in Wound, Ostomy, Continence

    Sounds like you were interviewing with home care? The insurance reimburses the same per visit for skilled nursing...LPN, RN, APN...all skilled nursing. You do not want that job...trust me...you...
  11. tewdles

    baby bucket?

    tewdles replied to snuffyRN's topic in Pediatric

    unbelievable
  12. tewdles

    prospects for a chronic narcotics patient.

    tewdles replied to Guest219794's topic in Pain Management

    Yes, there are high functioning people with chronic pain and opioid therapy. The practice is clearly not without problems or difficulties, but with agent rotation and good use of adjuvants many...
  13. tewdles

    Pain management in med-surg.

    tewdles replied to Becca608's topic in Pain Management

    With a report of 10/10 pain I would administer the IV dose ASAP to get control of the pain immediately. I would then be certain to provide good pain assessments and would administer the oral meds...
  14. tewdles

    IM antibiotic

    tewdles replied to RoyalNurse's topic in Emergency

    Sounds like you have no good choice. You cannot use the 5/8 inch as it is not long enough. The 18g is, well...it is barbaric! Please notify your department manager that you need 23g 1 and 1.5 in...
  15. tewdles

    Impaired nursing not cool

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

    As charge nurse you ARE responsible for the nurses practicing on your shift...you are accountable for who has what assignments, etc. If she messes up and there is a law suit you will be...
  16. tewdles

    RNs Aren't Built To Break

    tewdles replied to Hawaiian's topic in General Nursing

    Beautifully written. Wonderful sentiment...nurses aren't built to break...but we do break sometimes. We are not always brave and noble and self sacrificing. Sometimes we are just people...heart...
  17. tewdles

    overwhelmed

    tewdles replied to chenoaspirit's topic in Home Health

    Home health can be brutal. Too many home health employers work the life right out of RNs and then simply move on to the next nurse that needs/wants a job. I recommend giving MDs the office number so...
  18. tewdles

    Help! Admitted patient and he died 30 hours later...

    tewdles replied to loveLA824901's topic in General Nursing

    as a hospice nurse i will suggest that this gentleman was possibly dying when he got to you. the grossly audible rhonchi could be identified as terminal congestion. he was experiencing a...
  19. tewdles

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

    tewdles replied to laurasc's topic in General Nursing

    I will chip in as another voice of an "experienced" nurse. Boundaries are extremely important in nursing. There are certainly good examples of nurses who have cared for a patient in the hospital,...
  20. tewdles

    May be forced into change of specialty

    tewdles replied to Cthulhu's topic in Hospice, Palliative

    All nursing experience is valuable when considering a hospice position. Hospice nurses in the field (visiting patients in their homes) need to have the confidence to function pretty autonomously....
  21. tewdles

    Eating healthy on the run-post your tips.

    tewdles replied to BChapp3182's topic in Home Health

    I use a small wide mouth thermos. It works really well to keep hot foods nicely warm until I eat them. I preheat the interior with very hot water (straight out of the BUNN coffee maker) before I put...
  22. tewdles

    Vents and Feeding Tubes

    tewdles replied to pat8585's topic in Home Health

    Certified Home Health Care...Episodic. Ordered for a period of time. Care is not continuous but by visit. There are goals for care that are expected to be achieved in 60-120 days. The anticipation...
  23. tewdles

    Hospital Falters as Refuge for Illegal Immigrants

    tewdles replied to Anxious Patient's topic in Activism, Healthcare

    "Btw, detroit...thats doing so horrible and becoming a ghost town? Per capita income comes out to an inhuman $14,000. How does that stack up on a global scale? Nicaragua - $2779 Honduras - $2793 Cuba...
  24. tewdles

    MA's in hospitals, replacing RNs ?

    tewdles replied to time4meRN's topic in General Nursing

    The problem that I encountered when working regularly with MAs was that too many of them did not know what they did not know. Too many were sort of blissfully ignorant of the limitations of their...
  25. tewdles

    Are we experiencing mass burnout in healthcare?

    tewdles replied to SheaTab's topic in Activism, Healthcare

    There are quite a number of physician owned surgi-centers, hospitals, etc. Recent studies have shown that the cost of healthcare is significantly increased in those areas where the docs have a direct...