Leonardo Del Toro

Leonardo Del Toro RN

"Wound care - geriatric care

Member

All Content by Leonardo Del Toro

  1. Nurses Just Need to Learn How to Say NO!

    Thank you for your input. yes, this article is only designed to be inspirational or to make you think. Of course "just saying no" here is a figurative speech. I myself have a hard time saying no too!...
  2. Nurses Just Need to Learn How to Say NO!

    That is precisely the idea of this post: how can we transfer the pain of our lack of support to management (and at the same time spare the patients)? The idea of saying no is nothing more or less than...
  3. Nurses Just Need to Learn How to Say NO!

    Yes. Saying no is not an easy task. There are risks and consequences and it is like walking on eggs. The idea of the article is to channel some of that power nurses have to take care of so many...
  4. Don't be an Autobot

    Every patient is a different case, and every RN is a different case. Some patients are easy to get to know and easy to be personable. Others are reserved and want to keep things at a distance. Some...
  5. recently let go of a job

    I feel you pain. Unfortunately no one wants to train anyone theses days. I know several stories like yours. You eventually will get there and become the person they are expecting, and whey you do...
  6. What Do You Love About Nursing?

    For a while I've been wanting to write two articles: one titled "5 reasons why you should not choose nursing" and the other "5 reasons why you should become a nurse" The interesting thing however is...
  7. Don't write an order like this

    Ativan 0.5mg tab give 0.5 tab qHS Can you catch the error prone problem with this
  8. Be honest: do you feel valued by your employer?

    Employee appreciation and loyalty is a thing of the past. This is true for nursing as well many other professions. Is a doggy dog world out there. My advice for nurses is to be unattached from being...
  9. Disappointed with Nurses at first job

    First you have to realize that health care is for profit. The priority is profit. The owner of these business is doing everything according to - how can I make more money with this business? Nurses...
  10. Dr. told patient, "Nurses are STUPID".

    Report...report...report, stupid doctors. I would never let something like that go by. A doctor can call me stupid to my face anytime he/she wants. But don't call me stupid in front of my patients -...
  11. Advice regarding my first failure in my senior year.

    You have nothing to worry about. Calm down, this is just nursing school, nobody died. There is always another chance and you are young. So relax and have a talk with
  12. Feel like I'm too dumb to be a nurse

    I would not feel guilty at all. Yes it takes a while to know when things are serious and when pt's situations can wait. Regardless, you should contact the physician immediately if you see anything...
  13. Never chart this

    The minute I suspect a pt will be a problem (of some sort) I begin to write a book about him/her. Every hostile thing they say, non compliant atitudes, disrespectful behavior, any behavior. I document...
  14. Can a supervisor force you to take a second floor?

    Usually, a nurse's job description is kind of murky. So a lot of "stuffing the bag" goes on and nurses are forced to do things outside of the box. However, when it comes to safety I reserve the right...
  15. Nursing Home Geriatric nursing

    One of the most telling signs of a bad nursing home is the size. Places that are over 50 beds have a tendency to be hard places to work for. Not always but places with less than 35 beds are usually...
  16. Nursing in crisis

    These are two huge subjects: the new grad problem and the crisis in nursing. They are related but two different things. The fact new grads can't get training has the same roots as why nursing is such...
  17. Don't write an order like this

    Here's another one...Imodium for farting. When you make a mistake; the way orders where written is never a consideration, so yes I go with the nurse that said: give your damn
  18. Don't write an order like this

    Yes the order is actually for a half tab or 0.25mg Ativan. Very
  19. Never chart this

    I have to disagree with the drunk and the bath. Nasty, pervert and loony has a lot of judgment and is also not very accurate. You can actually chart every single instance but just use another...
  20. would you take a job with a mean doctor?

    I don't tolerate mean doctors. I will not work with them if I can avoid. If I can't I report and write notes about their unprofessional attitudes. i.e. it a Dr is a jerk to me on the phone and give me...
  21. Controversial Patient Odors in Nursing

    Hardly anything grosses me out, not even the stinkiest of wounds (which can be easily fixed by applying crushed flagyl) from cachectic patients. I used to be grossed out by the smell pt exude when...
  22. Quitting job during orientation?

    I would say stick it out. If they like you one more reason to stay. I would only quit a job (and jobs are hard to come by) it it was unsafe or if the people there didn't like me. By the time another...
  23. Why Do Nurses Quit?

    Nurses have a serious problem saying NO. And that is a problem
  24. Why Do Nurses Quit?

    I know...I work in a SNF, I pass meds to an average of 20 patients. Very complex med pass with lots of pills, narcotics, injections, treatments, while I pass meds I'm interrupted every 5 minutes,...
  25. Why Do Nurses Quit?

    I think nurses leave for a variety of reasons. Some do because they simply didn't realize what they were getting into; some are just shocked by how brutal and hostile nursing environment can be at...