tewdles RN

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

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All Content by tewdles

  1. tewdles

    What the word N.U.R.S.E. stands for

    tewdles replied to Hawaiian's topic in General Nursing

    Was that video made by one of allnurses
  2. tewdles

    Who do you think you are!

    tewdles replied to mesa1979's topic in General Nursing

    goodness! The really important thing to remember when (yes I said when) we encounter people who have a penchant for exceeding the parameters of their education and/or licenses, is to document...
  3. tewdles

    how do you give morphine on a pump bedside?

    tewdles replied to ivy2009's topic in General Nursing

    The practice you describe is not standard for palliative or hospice care. Those opioid infusions need to be on controlled, locked pumps. There should be no question, in your environment, about the...
  4. tewdles

    Back Pain and nursing

    tewdles replied to Kasey77's topic in General Nursing

    Try to tough it out. Think about home care or hospice...you will have greater control over your daily schedule...AND...you will get a really good variety of sitting for a short period, walking, and...
  5. tewdles

    Stupid (or impossible) things Joint Commission has required

    tewdles replied to 1Tulip's topic in Activism, Healthcare

    I am pleased that the hospice agency I currently work for is NOT JCAHO certified!! They determined that it cost a bunch of money to be terrorized by crazy people who are charged with increasing their...
  6. tewdles

    What's wrong with this picture?

    tewdles replied to GCTMT's topic in Activism, Healthcare

    Sigh, I think that is just a sad statement, mostly because it could be true I suppose. Afterall, we are in an age where opposition to this reform celebrates "disruption" of dialog as a
  7. tewdles

    Do you need an order to give the flu vaccine?

    tewdles replied to MikeyBSN's topic in General Nursing

    In my current setting of hospice we must have a docs order for the flu vaccine. This is per this companies policy. Another hospice, in same geographic area does not require MD order. So at least in...
  8. tewdles

    What's wrong with this picture?

    tewdles replied to GCTMT's topic in Activism, Healthcare

    My good friend died from her breast cancer at age 39. I had mine at age 38. The last hospice patient on my case load with a primary breast CA dx was 47. 2 of those 3 cancers were discovered by...
  9. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    I don't want to disagree with
  10. tewdles

    Hospital Rejects Birth Plans

    tewdles replied to FocusRN's topic in Ob/Gyn

    Is this for
  11. tewdles

    Working all the time in HH

    tewdles replied to NURSET2007's topic in Home Health

    My experience with CHC was disasterous. I worked for a for-profit org that had ridiculous expectations. I was responsible for 17 zip codes with the assist of an LPN. When I quit my case load was 48...
  12. tewdles

    Having trouble adjusting to role as hospice nurse

    tewdles replied to Imitation of Life's topic in Hospice, Palliative

    CLW2350...I am so sorry that this happened for you and your mother. I hope that she did not struggle with symptoms in the final hours of her
  13. tewdles

    You Know You Really Have To Pee When......

    tewdles replied to Nursing Assistant's topic in Nursing Humor

    You know you waited too long when your co-worker comments that you look a bit
  14. tewdles

    Health coverage 'plan' was no insurance at all

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    I watched that documentary on another media source. It is very interesting and well worth the
  15. tewdles

    What's wrong with this picture?

    tewdles replied to GCTMT's topic in Activism, Healthcare

    Fortunately, not all women who need a mammogram smoke. They will have to find some other thing to forego in order to make up the cost in their budget, yes? "If they aren't sick why do they need to...
  16. tewdles

    To be a well rounded nurse...

    tewdles replied to KalipsoRed's topic in General Nursing

    I cannot possibly know what would work best for you. I followed a path from neonates to peds to adults, from hospital to community health, from birth to death. We each find our own way. Some are...
  17. tewdles

    Voluntarily refusing food and fuids to hasten death

    tewdles replied to 4treasures's topic in Hospice, Palliative

    hisgeogal...eloquently and beautifully stated. You honored your
  18. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    I have noticed something in these threads which gives me pause... We banter about our personal responsibility for premiums, and planning, and even for preventative care. The elephant in the room is...
  19. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    My blended family was working poor while I was a teenager. With the "marriage" of 2 families money was pretty tight. The fact that we had 4 teenagers, 3 of them atheletes living in a household of 7...
  20. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    It is true that our ancestors afforded health care without insurance. It wasn't until the 1920s that the cost of the care began to exceed what people could afford out of pocket. A group of people...
  21. tewdles

    work while on narcotics?

    tewdles replied to deehaverrn's topic in Nurse Disabilities

    I clearly don't know all of the facts, however, based upon your descriptions I suspect that you pain is probably mixed, having some neuropathic element. Perhaps methadone would provide you will...
  22. tewdles

    Transportation of narcotics and other drugs

    tewdles replied to susanerl's topic in Hospice, Palliative

    I am not certain of the intricasies of the law, however, your pharmacist will be well versed in those laws and should be able to clarify this for you. It is my understanding that we are walking a...
  23. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    nice post lamazeteacher, well thought out, eloquently
  24. tewdles

    Big Pharma's Newest Fake Disease

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    Back in the day, I dealt with priapism in children and adolescents with sickle cell. Most of the time ice and pain relief were effective as we aggressively went after their disease exacerbation. In...
  25. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    In fact 16% is accurate...bing or google it. I know, it sounds ridiculously high...which is why I mention it often. For me, this figure is one of the things that transcends partisan politics...we...