nutella MSN, RN

Latest Activity

1. Case Management Nursing (CM)

   nutella replied to traumaRUs's topic in Case Management

   I did hospice case management and now work in a hospital setting again. The stress level was not lower to be honest. The case load was always higher than what they told me when I interviewed for the job, they always expected me to see more pat per 8 ...

2. Roll Call - Who's Been Around the Longest and Your Accomplishments

   nutella replied to traumaRUs's topic in General Nursing

   I have been here since 2003 but I do not post excessively...

3. Swastikas & Nursing | Refusing care based upon moral objection?

   nutella replied to guest042302019's topic in General Nursing

   As a nurse, I have never refused an assignment based on somebody else's convictions. However, if somebody makes racist comments I will tell them that this is inappropriate, I do not wish to engage in such conversation and that we do not discriminate....

4. Highly Sensitive People in Nursing: Stress & Burnout - Research

   nutella replied to RNliveoak's topic in General Nursing

   I am not sure why a highly sensitive person would consider nursing????

5. Accused of not giving dilaudid

   nutella replied to KMULL002's topic in General Nursing

   First - make sure that you have an MD order that allows you to give only 1 mg because if 1.5 is ordered and you give only 1 mg that sets you up for trouble. They can order prn mild pain and moderate pain or so. The point is to make sure you do not vi...

6. Normal Saline as a flush for PEG

   nutella replied to WittySarcasm's topic in General Nursing

   flushes through the feeding tube (g tube or j tube or GJ tube are usually tap water flushes because it goes into the stomach or jejunum and mimics the "normal way of eating and drinking" - using the guts. Sometimes tap water is not consider a safe ch...

7. RN's are you happy with your career, why or why not?

   nutella replied to anjoku13's topic in General Nursing

   Nursing has been a great career for me - I worked in different fields and areas, was always able to get a job and a secure income. I love what I do as well. But - health care in the US is totally crazy right now and nursing itself is a tough job beca...

8. Is it worth going back to get my rn when I make 57,000 a year?

   nutella replied to LPNTORN704's topic in General Nursing

   I think it is only partly about money - it is perhaps more about how satisfied you are with your job now and in the future. As an RN you have added responsibilities but also more knowledge and have more job possibilities outside of longterm care. But...

9. Difficulty Level: ABSN vs NP school

   nutella replied to PhillyNurse11's topic in NP Students

   Your biggest problem will be that you work 8 hour days. Every nurse I know who went back to NP school worked 3 x 12 h shifts while going to school and many had to take some vacation days for clinicals.

10. Scared.....No Nursing?

    nutella replied to Name9335's topic in General Nursing

    Hi Name, I read some of your other replies as well. I wonder if you are distracted easily and that is what is getting in the way at times. But I need to say that nobody is perfect and perhaps you just have to work on getting a structured routine in p...

11. Do Not Resuscitate Order for suicidal patient

    nutella replied to mep726's topic in Activism

    Have you considered that patient usually have to be a "full code" for surgery and usually for ~ 24 h after - after which time the physician should discuss with the surrogate decision-maker what the plan is going forward. So - for you in the OR it is ...

12. new staffing laws in mass? CA nurses

    nutella replied to lorie101's topic in General Nursing

    Safe care and high quality care in any hospital - and even more so in community hospitals - depends on the bedside nurse being able to "put everything together" - as we all know, the task oriented workflow creates problems when nurses do not have the...

13. Research Results are in: To Suction or Not To Suction, End of Life & Hospice Patients

    nutella replied to NickICU-RN's topic in General Nursing

    First of all, the cited study Shimuzu et al from 2014 took place in Japan. Secondly, the article has a lot of more information about perception of "death rattle" - as always, perceptions need to be seen and interpreted within cultural context. I thin...

14. MSN options

    nutella replied to sbr8y55's topic in Post Graduate

    My MSN had a concentration in quality and patient safety. Is there a reason why you are not considering a nurse practitioner program? Management is a crazy job in healthcare, not many jobs in education, forensic???? there are probably no jobs eithe...

15. Would You Rather: ICU or Floor?

    nutella replied to dontbetachy90's topic in General Nursing

    IMO step down is the worst - even worse compared to telemetry floor because patients are high maintenance with often dysfunctional situations/ families etc but lack of resources .... ICU is great - I haven't worked in critical care for some while but...