nutella

nutella MSN, RN

Member

All Content by nutella

  1. yeah we room the patients who are totally confused and yell out /scream out by
  2. Single expression for patient/client/resident

    Hi, please check your
  3. The last decade there has been a huge progress in terms of safety when it comes to administering chemo in the hospital/ outpatient clinic. Nowadays the chemo is mixed in pharmacy and not on the floors...
  4. Action plan for discipline?

    I want to point out that it sounds like you are having more than this issue - because usually small or single incidents get addressed by the manager without HR (unless that is what they always do at...
  5. Overseas Work...In Germany?

    One thing I need to correct you - nurses in germany are not CNAs though they will perform more basic care than nurses in the US. What you do as a nurse depends on the floor, the hospital, and your...
  6. Doctor Behaving Badly - What would you do?

    A culture of safety is essential and widely recognized. Here is a primer sheet from the IHI : http://www.ihi.org/education/ihiopenschool/Courses/Documents/SummaryDocuments/PS%20106%20SummaryFINAL.pdf...
  7. Advice you have for novice nurse you wish you knew?

    Forget about your personal life for a year. Do not plan something right after work because most likely you will not get out in time. Make sure you have tissues, and if you use mascara make sure it...
  8. Thinking about hospice nursing

    Literally the most important question in home hospice is : - what is the productivity? I found that 5 visits/day is ok but everything that is above it is rough unless you also have nursing home...
  9. Palliative Care Round Up

    As nurses, we are well equipped to provide care for patients when they are acutely ill but we also need to learn how to address the other needs of patients who are chronically ill and moving towards...
  10. Your funniest "are you serious?!?!" MIDAS report

    I agree with your statement all the way - investigating near misses and adverse events provide the opportunity to look at the system that is in place with the goal to create or improve a system that...
  11. CHPN - Is there an online class

    I did one of the online assessment tests before I studied focused on the exam. The test was to help me find out where I am at with my knowledge. Based on that I outlined a plan to study. I did not...
  12. Aggressive Case Mgr. Making me Nuts

    Have you tried to tell her something like: I understand that patient 1 and 2 will be D/C today. When the physician finds they are ready for D/C and the D/C orders are in I will get right on it. I...
  13. Quick advice

    New nurses can't be alone in a dialysis building unless they have so and so much experience... However, if you like OR and the tasks I would give it a try. I had a long clinical in an OR during...
  14. WILTW 9/19/16: Dystonic Tasks and Masks

    Ladyfree - great that you are doing so well! I had PTSD that went into remission, flared up when I did not even thought about it 10 years ago, and went back into remission some while ago. I find it...
  15. Palliative Care Round Up

  16. Palliative Care Round Up

    Thanks - this is the advantage of online material ---- it is waiting for you when you have time .... It is a lot but even if you choose just one thing to watch or read it will add to your perspective...
  17. what makes a good nurse?

    Is that
  18. Overseas Work...In Germany?

    You got that right. Nursing is not highly regarded in Germany and some other countries in Europe. The idea is that nurses are just there to wipe behinds and do "dirty work" or function as an assistant...
  19. Teaching Patients "A Lesson"

    Sounds like a common nursing home drama .... The big question is always why she is doing that. I suggest you get familiar with the patient and background story including mental health. Some residents...
  20. Pouchitis

    I googled the term and there is a lot of information out there for example this here Pouchitis: Causes, Symptoms & Treatment | Cleveland Clinic to help understand what the actual issue is, what...
  21. The part that I am not understanding fully is what your job would entail. You write about home visits and on call but also about a physician's office and case management. Can you elaborate more? The...
  22. RN to BSN with restricted license

    I wanted to add some encouragement here - I think it is great that you were able to keep your job and that you went back to school! You persisted in going forward and I wish you the best for your...
  23. Post CABG patients

    That sounds too high for the expected acuity. I worked in several hospitals and the common ratio in those hospital for step down level is 1:3. I worked on med/surg tele that was basically taking step...
  24. WILTW 9/13: Social Calls and Social Justice

    Thanks for letting me know that you find those posts helpful! I am invested in re-integrating palliative care into primary bedside nursing and want bedside nurses to have the tools they need to...
  25. Writing a letter to the CEO or director of the hospice team and express why you are thankful and so on. I always find that letters like that carry you through the times when nobody appreciates what...