nutella

nutella MSN, RN

Member

All Content by nutella

  1. SO BAD at drawing blood, starting IV's??

    nutella replied to Chimio's topic in General Nursing

    5 times and you are surprised that you are not good with it? Let me give you some perspective - after 20+ years I am still a total looser when it comes to blood draws and IVs. I did not have to do...

  2. Experienced RN new to HD Sad and discourages.

    nutella replied to Melissaharvey913's topic in Dialysis, Renal, Urology

    Ok - the fact that you will work at a different clinic and be evaluated by somebody else makes me wonder if they consider letting you go. Nothing is ever "unbiased" Clinic managers and staff know each...

  3. Asked to Move to Another Floor?

    nutella replied to aurora119's topic in General Nursing

    Hospice: it is a very different focus and still requires a lot of critical thinking, great communication skills, and some med/surg skills. Some people do well with minimal med/surg experience but it...

  4. LTC/Rehab CNA to Hospice CNA?

    nutella replied to DigTilDaylight's topic in Hospice, Palliative

    I am sorry you are having a hard time due to depression and the work load! As far as hospice CNA work goes: Usually the hospice CNA has only one patient at a time for perhaps 2 hours a day - it...

  5. RN Clinical Sales Liaison ???

    nutella replied to nurse.j.'s topic in General Nursing

    As far as liaison goes - it depends on how CVS is structured for liaisons and how much travel and business there is. For example : I work with a liaison from an infusion company on and off to...

  6. New nurse and feeling so discouraged

    nutella replied to KHT's topic in General Nursing

    I am sorry you are having a rough time! It is very normal as a new graduate nurse to have problems with managing an assignment especially when you get an admit. It takes probably around 6 months off...

  7. "What is an important to you?" and the PPS

    nutella posted a topic in General Nursing

    Hi - I wanted to increase some awareness about the most underused question to patients/families based on my recent experiences including a family pushing for a patient with endstage dementia to get a...

  8. Anxiety following patient death

    nutella replied to Hockeynursing's topic in General Nursing

    It is not your fault that the patient died and you did not "cause" it. As you know, logically speaking, a PPS 10% indicates the patient was already doing poorly and in the active dying process from...

  9. Dr. complaint

    nutella replied to Kavikziggy77's topic in Patient, Colleague Relations

    No - you were not wrong. It points to the fact that the resident has some bowel problems, which is common. A regiment that helps before it gets to this point would be favorable including dulcolax supp...

  10. 24 hr on call

    nutella replied to nurseinmaryland's topic in General Nursing

    Basically what you are understanding is that you would be on call after your regular 8 hours or so and that the whole week/ all the time? I would clarify and if they are positive about it go and find...

  11. Coming Soon? Will Nurses be Taking Over the Lab?

    nutella replied to Nerd eNurse's topic in General Nursing

    I agree with you 100% here. There needs to be evidence that the person is actually able to perform the task, works within standards of

  12. Coming Soon? Will Nurses be Taking Over the Lab?

    nutella replied to Nerd eNurse's topic in General Nursing

    It seems that you are not dealing with regulatory stuff on a daily basis. Not only CMS but generally all regulation language is somewhat difficult to understand for the person who is not working in...

  13. Coming Soon? Will Nurses be Taking Over the Lab?

    nutella replied to Nerd eNurse's topic in General Nursing

    No - I do not think that the purpose is for nurses to engage in complexity lab tests. It seems to me that you wonder a lot about this whole issue. The ones who are highly upset is the personnel that...

  14. Coming Soon? Will Nurses be Taking Over the Lab?

    nutella replied to Nerd eNurse's topic in General Nursing

    Well - ok here is the thing: People do not read the stuff thoroughly and to make it more dramatic say something like "CMS says the BSN is equivalent to the BS biology or Chemistry" and try to make it...

  15. LTC Hospice

    nutella replied to HisjuleRN's topic in Hospice, Palliative

    Here are some important resources for you: http://geriatrics.uthscsa.edu/tools/Hospice_elegibility_card__Ross_and_Sanchez_Reilly_2008.pdf http://hpna.advancingexpertcare.org/ this is our professional...

  16. I did it! I finally found my niche.

    nutella replied to Clint1076's topic in Hospice, Palliative

    congrats to you as well ! I hope that you will find the work in hospice rewarding and

  17. No dnr

    nutella replied to aphillipi's topic in Hospice, Palliative

    What I found makes most sense when talking about advanced care directives with patients who are reluctant to change their code status despite the fact that the outcome will be negative to have a...

  18. Time management and brain sheet

    nutella replied to MissNurs2016's topic in General Nursing

    Look at those sheets for ICU for ideas and there are also many others on pinterest and such Brain Sheets - Straight A Nursing Student Main thing is to keep oversight and patient safety. Structure you...

  19. Analysis Nurse Practice Problem

    nutella replied to jrodri's topic in General Nursing

    I encountered such a problem and found it not uncommon. Practice problem nurse lack of knowledge about palliative care as it applies to end-of-life care in the acute hospital setting. Situation:...

  20. Job Market- in Mass

    nutella replied to TREndzetta's topic in Massachusetts Nursing

    MA is saturated and extremely difficult to get a job as a new grad. Not only in Boston but also hospitals that are further out. BSN is pretty much standard plus if possible at least some kind of...

  21. Nurses Fight Back! Why Some Hospitals are Despicable

    nutella replied to allnurses's topic in General Nursing

    It is mostly due to the fact that healthcare and healthcare decisions are financially motivated from all sides. Since that does not result in better care - only higher costs with more profit margin...

  22. I did it! I finally found my niche.

    nutella replied to Clint1076's topic in Hospice, Palliative

    Good for you! I hope you enjoy hospice - it is a great field when you work for the right company and enjoy community

  23. What to look for in a good hospice company

    nutella replied to deemarie's topic in Hospice, Palliative

    I found that most people who come from hospital oncology or med/surg etc are disappointed as they seem to think that home hospice is "less work" or "less crazy". The biggest difference is the 1:1...

  24. No dnr

    nutella replied to aphillipi's topic in Hospice, Palliative

    You might want to consider that this is a nursing forum for nurses and not primarily disgruntled family members. While it is correct that a patient does not have to be DNR/DNI to be admitted to...

  25. DCS and I don't see eye to eye.

    nutella replied to Harley's mom's topic in Hospice, Palliative

    I am not sure what a DCS is - manager? You need to address the conflict and underlying emotions but if unable consider looking for a different place. Also, take a step back and try to look at it in an...