tewdles RN

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

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All Content by tewdles

  1. tewdles

    giving no judgement , opinion..just the facts

    tewdles replied to clvlpn34's topic in General Nursing

    I work in hospice. I am asked by family all the time...should I come, should I call cousin Harry, etc. I simply put the ball in their court..."Dad is dying, I don't know what the time line is. You...
  2. tewdles

    D.o.n addicted to narcs

    tewdles replied to logical_jackieo's topic in General Nursing

    IMHO the biggest issue you should be concerned about is the disposal of controlled substances for which you are responsible. Please be careful to document carefully about the removal of any meds...
  3. tewdles

    Are we experiencing mass burnout in healthcare?

    tewdles replied to SheaTab's topic in Activism, Healthcare

    Tabitha, I appreciate your enthusiasm for this subject. Forgive me for being on the opposite end of that spectrum at this point in my life. I encourage you to continue to seek ways that you can...
  4. tewdles

    pt. load for case managers

    tewdles replied to holiday2525's topic in Hospice, Palliative

    There is no LPN on our team. There are a couple of contingent RNs who see patients. I have turfed several of my visits to them, but I provide the vast majority of the nursing visits to the patients...
  5. tewdles

    How long will he last?

    tewdles replied to Guest219794's topic in Hospice, Palliative

    In the absence of any hydration it would be reasonable to anticipate that he will not survive more than a week. However, having said that I must caution that each situation is VERY different. I just...
  6. tewdles

    Admission orders the day before?

    tewdles replied to cockynurse80's topic in LTC: Directors, Assistant

    I am curious as to why the facility would object to this. Take a related example...in L&D units, there are anticipated admissions for scheduled CS or inductions perhaps. The background...
  7. tewdles

    Health-care historian: GOP opposing ideas it long espoused

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    Just out of curiosity... do you feel that Ford's approach worked well for the people of the
  8. tewdles

    Are we experiencing mass burnout in healthcare?

    tewdles replied to SheaTab's topic in Activism, Healthcare

    Nurses experience burn out for a variety of reasons. Working longterm in a career that is largely unempowered is one of the reasons. The people who make decisions about care in the hospital and...
  9. tewdles

    Nursing order

    tewdles replied to PJROR's topic in Patient Safety Issues

    I don't work in LTC, why would you do daily rectal
  10. tewdles

    Low Census??

    tewdles replied to 2bTraumaRN2008's topic in General Nursing

    It may be possible that in some areas the economy is adversely affecting the census. If folks have lost their insurance or their jobs they will not be using medical services unless
  11. tewdles

    pt. load for case managers

    tewdles replied to holiday2525's topic in Hospice, Palliative

    I completely agree that 12-18 is a manageable hospice caseload, depending upon the area. We have one nurse who manages 16 patients all in one facility. That is decidedly NOT a stretch. Honestly, I...
  12. tewdles

    Help with my goal please?

    tewdles replied to Reminisce's topic in General Nursing

    I hired a registered nurse to work in the Peds ICU, back in the day. She was bright, a hard worker, and a good addition to the team. She was also a high school drop out that decided to move forward...
  13. tewdles

    Discharged from the hospital without answers; the death of Jane Q. Patient

    tewdles replied to NRSKarenRN's topic in Activism, Healthcare

    very sad
  14. tewdles

    Question on Pediatric IM injection sites

    tewdles replied to Rhonda V's topic in Pediatric

    Agree. save the deltoid area for SQ vaccines in those under 3yr. Sometimes kids get this many injections in one visit because they are seriously behind in the immunization
  15. tewdles

    Hospice verbage

    tewdles replied to onetiredmomma's topic in General Nursing

    Part of the distinction is the prognosis of the patient. Comfort care occurs for the terminally ill, generally those imminently dying, while palliative care can occur at anytime unrelated to...
  16. tewdles

    continuous care

    tewdles replied to saribeth's topic in Hospice, Palliative

    dang
  17. tewdles

    continuous care

    tewdles replied to saribeth's topic in Hospice, Palliative

    "(2) Continuous home care day. A continuous home care day is a day on which an individual who has elected to receive hospice care is not in an inpatient facility and receives hospice care consisting...
  18. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    Agreed, but that does not mean that I "want to disagree with
  19. tewdles

    Starting to doubt nursing....

    tewdles replied to thongvo89's topic in General Nursing

    Your first two career choices do not necessarily require close physical contact with people. Nursing does...for the majority of us. People throw up on us some times, they bleed on us. We have to...
  20. tewdles

    How do you chart a med or lab error

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

    I was advised by an attorney and the risk manager for a large midwestern hospital to never chart that you commited and error of any type. Chart the facts but do not characterize something as wrong or...
  21. tewdles

    I'm a nurse. Not a housekeeper!

    tewdles replied to EpiattIPNurse's topic in Private Duty

    As health professionals in this setting we set ourselves up for unreasonable expectations by "trying to be nice" in the beginning. When we start out performing duties which are not related to our...
  22. tewdles

    Back Pain and nursing

    tewdles replied to Kasey77's topic in General Nursing

    I would caution a nurse with known back pain about working in L&D. There are too many situations in that area where the physicality of the nursing is "back breaking". Think in terms of gravid...
  23. tewdles

    pt. load for case managers

    tewdles replied to holiday2525's topic in Hospice, Palliative

    My goodness missninaRN, where are you located? That is awful that you are a hospice all by yourself! I will pray for
  24. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    kidney...because you quote and challenge a large percentage of my posts does not translate into I "want to disagree" with
  25. tewdles

    Do you need an order to give the flu vaccine?

    tewdles replied to MikeyBSN's topic in General Nursing

    I think it is important to note that when I worked in community health I was, actually, the "immunization coordinator". I established and supervised the vaccination practice for 6 community health...