nutella

nutella MSN, RN

Member

All Content by nutella

  1. LTC Hospice

    Home hospice: Family provides 24/7 care and hospice nurse comes in for assessment/teaching, usually a couple of times a week or at least once a week depending on how the patient /family is doing....
  2. Boundaries .... there is a difference between being helpful and relating to other peoples struggles in a constructive way and some kind of no boundary action that results in chaos, enabling people,...
  3. GIP physician regs

    When you look at the regulations here http://c.ymcdn.com/sites/www.hospicefed.org/resource/resmgr/hpcfm_pdf_doc/gip_report_2008_hospice_gene.pdf it says on page 6: "f) Standard: The Medical...
  4. misconceptions about nursing pay

    I want to second
  5. Career change here too

    To be honest - I think there is one major flaw in your plan. I think it is unrealistic to assume you would be able to go to nursing school and keep an engineering job part time. Also, your income as a...
  6. Why I'm leaving nursing

    I do not understand why you consider lecturing in palliative care. First of all it requires some solid experience in palliative care to be effective as a teacher or nurse. Secondly, it is a burn-out...
  7. Administering opiates

    Narcotics..... it depends really on the hospital with their P&P, on the patient and opiate naive or not, the situation, and what the goal is. When there are concerns about patients asking for iv...
  8. Hard Truth of Nursing

    I left management but I am working as a nurse. I am not a bad manager and enjoyed clinical management for the most part but I was not willing to understaff and burn out nurses, which led to constant...
  9. WGU will not accept me

    It seems that their learning format is geared towards nurses who have a working knowledge and that makes a lot of sense. You can apply to other schools or find a nursing job. I do not think that you...
  10. I tend to agree with you that nursing is a high stress job in many regards and that a person needs to be somewhat resilient - people who are overly sensitive and/ or take things personal usually do...
  11. I would love to teach this part of nursing ... I am hoping to go and become a train the trainer for the ELNEC curriculum because I want to offer this basic palliative care education for our hospital...
  12. So, what's it like?

    I totally agree that there is a huge difference between level 1 and doing "all things known to mankind" and the community hospital. Personally, I enjoyed the devices and patients who pose...
  13. I am glad that you have this opportunity ! I hope you find this enlightening! Not all palliative care teams do the same thing that my team does and the role of the nurse can vary but I think it can be...
  14. Social Class and Nursing

    What your question and poll does not address is the fact that the social class of nurses who live in a partnership/married is also determined by their partner. Your income, upbringing, and behavior...
  15. Activism is important but it is hard to mobilize nurses even when their work conditions are "bad". Obesity .... it has been my experience that gaining weight is very easy and I probably have to stay...
  16. Needle stick injury HIV positive

    You need to talk to occupational health and preferrably also to somebody from infectious disease. They will be able to answer your questions regarding the statistical risk and your individual risk...
  17. I could not agree
  18. The trend I am seeing in my own community where I live is that students generally speaking seems to suffer from high stress, crazy expectations from other people, a lack of positive outlook into the...
  19. LOL . So - I have seen such thing. It is not an "actual contract" in the way we understand contracts - a binding agreement. They call it "contract" to use a strong language that will encourage...
  20. What I tell HS students is that it is important to have a realistic picture of what it means to be a nurse nowadays. Fact is that nursing is stressful generally speaking, you need to have good...
  21. So, what's it like?

    There are important differences. The teaching hospitals I worked at are all on the forefront of innovation, discovery, teaching, best practice... there is a high expectation around the standard of...
  22. Problem with co-worker - called racist?

    It is all about the little things in work - relationships. It appears that most people care about feeling respected and valued. So there is a difference between thinking that the other person...
  23. Called in on days off...what to do?!?

    This kind of scenario and expectation from higher management/admin is why I left management. They literally pressure the "middle manager" into burning out staff. And, this was also the reason I left...
  24. New nurse feeling inadequate

    To be honest - that sounds like pretty much garden variety anxiety of a new nurse! It is normal imo to feel that way given that you are still learning, adjusting, new... As you got more experiences,...
  25. Frequent cancellations

    No, you are not wrong thinking that way! Unfortunately, this is the new way that administration tries to deal with the fluctuating census. They will hire you full-time but with some kind of...