tewdles RN

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

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All Content by tewdles

  1. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    i am thrilled to actually have give and take discussion...sharing of ideas rather than attacks. i agree that it is a scary thing...potentially a huge change. i have no idea what the answer actually...
  2. tewdles

    Report DON for illegal drug use

    tewdles replied to Easydusitks's topic in General Nursing

    Are you suggesting that this DON has been diverting drugs and/or is impaired at the workplace? Is her social behavior affecting her work performance.? If not, how do you have this information?....
  3. tewdles

    What's wrong with this picture?

    tewdles replied to GCTMT's topic in Activism, Healthcare

    This will certainly be true if we do nothing other than deny we need change and berate those who advocate for
  4. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    We currently spend 16% of our GDP on healthcare in this country...all too soon it will be 20%. It is important for ALL areas of our country's prosperity that we figure out how to get control of this...
  5. tewdles

    Health Care Reform

    tewdles replied to Stickyrunner325's topic in Activism, Healthcare

    This is a good question. Getting sick people the care they need without putting them into bankrupcy is part of what this reform is all about. If we can accomplish this without upsetting the apple...
  6. tewdles

    Medicare for everyone is a public option

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    I haven't asked anyone to close
  7. tewdles

    when does a RN start taking CE (countinuing education)?

    tewdles replied to mzjennx's topic in First Year After Licensure

    You start right away...make continuing education part of your ongoing practice. There are webinars, seminars, online courses, and college courses. If you subscribe to a nursing publication you will...
  8. tewdles

    What's wrong with this picture?

    tewdles replied to GCTMT's topic in Activism, Healthcare

    Another glimpse into the power held by the insurance companies. Politicians from both parties mouth the words and "wisdom" of the insurance
  9. tewdles

    Health coverage 'plan' was no insurance at all

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    And so, I ask again, what would be an appropriate fix...or are you satisfied with the status quo? I am interested in discussing options and am weary of simply defending myself against posts which do...
  10. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    Very little is the same in America as it was when America was born. If we cannot change according to the needs of the population then we, as a country, will become weak and obsolete. We change our...
  11. tewdles

    "We need to spend more on prevention" debated

    tewdles replied to adlockwood's topic in Activism, Healthcare

    I sadly agree adlockwood. Attempt at intelligent discussion of this topic is often sidetracked by personal insults, strawmen, and generally aurgumentative behavior. There are writers who have...
  12. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    In medicine we often "presume to know the best interests" of others...and we make recommendations for care based upon that. I also have had no insurance, have had the option of cobra, etc. It is not...
  13. tewdles

    Health coverage 'plan' was no insurance at all

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    A poor person with medicaid who cannot afford the prescription is not good...what would be an acceptable fix for this? That is sort of the purpose of this thread, right? To discuss how insurance in...
  14. tewdles

    We're out of ideas.....can you help?

    tewdles replied to laurasc's topic in Geriatric, LTC

    The suggestion to avoid asking permission is right on point. It is similar to pediatrics...you inform them of the procedure and DO NOT ADD "OKAY?" on the end of the statement. Get your stuff ready,...
  15. tewdles

    question on administering OTC meds

    tewdles replied to timpanzee's topic in Patient Medications

    You may do that, just like any other citizen may...however, if someone had a "bad day" and decided to sue you, you actually have a license that you could lose cuz it is illegal to prescribe or...
  16. tewdles

    Health coverage 'plan' was no insurance at all

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    I have experienced a Medicaid patient standing in the pharmacy in tears, sick with influenza and bronchitis, crying because she had no money to pay for the prescription that the doc had given...
  17. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    I am currently a po white person, I didn't mind too much. I might have been offended if they had referred to "white
  18. tewdles

    Hospice Charting and Recertifications

    tewdles replied to abcwood's topic in Hospice, Palliative

    Use the Medicare hospice guidelines for your recertification. Debility is the hardest diagnosis, IMHO. I agree that it is best to discharge than to be charged with fraud. I started a new hospice...
  19. tewdles

    pt. load for case managers

    tewdles replied to holiday2525's topic in Hospice, Palliative

    A caseload of 12-15 patients is pretty standard. That certainly varies as the census flexes with deaths and admissions. Four to five visits a day is typical. The agency I currently work for has...
  20. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    Are you kidding?
  21. tewdles

    Where do most of the uninsured live?

    tewdles replied to HM2VikingRN's topic in Activism, Healthcare

    I'm sorry, apparently you assumed some things based upon my statement. If you actually read what I wrote you will note that I did not say any of the things in your first statement. I did not say...
  22. tewdles

    We're out of ideas.....can you help?

    tewdles replied to laurasc's topic in Geriatric, LTC

    I agree with previous posters...you have gotten some sound advice. As mentioned earlier you need to contact the DPOA. This is a serious situation and the DPOA needs to get involved, no choice, this...
  23. tewdles

    found ANOTHER one :(

    tewdles replied to HappyNurse2005's topic in Ob/Gyn

    Always tough, I'm sorry that you've had 2 close
  24. tewdles

    How are you spending your retirement?

    tewdles replied to Grace Oz's topic in Retired Nurses

    That is nice of you. Hey, life is about relationships...and I have some good ones. I may now face a financially humble last couple of decades, but I still count my life as successful and happy. I...
  25. tewdles

    Anyone fighting for healthcare in Miami?

    tewdles replied to phosphorus's topic in Activism, Healthcare

    Did you try going to the regional