nutella

nutella MSN, RN

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  1. Are Nurses Oppressed?

    For years, I rejected the idea that nurses are oppressed. It was based on my own experience (did not feel oppressed) and my understanding. I thought that oppression is something that only applies to the well known marginalized groups that have been e...
  2. Case Management Nursing (CM)

    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 ...
  3. I have been here since 2003 but I do not post excessively...
  4. Swastikas & Nursing | Refusing care based upon moral objection?

    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....
  5. I am not sure why a highly sensitive person would consider nursing????
  6. Accused of not giving dilaudid

    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...
  7. Normal Saline as a flush for PEG

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

    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...
  9. 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...
  10. Difficulty Level: ABSN vs NP school

    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.
  11. Hemodialysis Big Two Benefits

    I worked for DaVita years ago - I found their benefits ok - they had some special perks. What bothered me was the frequent on call and the poor baseline pay for that job...
  12. Scared.....No 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...
  13. Do Not Resuscitate Order for suicidal patient

    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 ...
  14. new staffing laws in mass? CA nurses

    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...
  15. 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...