nutella

nutella MSN, RN

Member

All Content by nutella

  1. WILTW 9/13: Social Calls and Social Justice

    nutella replied to LadyFree28's topic in General Nursing

    I learned why so many projects fail how to initiate and start projects with all the science that is actually present. I also learned how to calculate costs /budgeting for projects, stakeholder...

  2. Any Vitas nurses here ?

    nutella replied to AC439's topic in Hospice, Palliative

    Since you prefer to hear from nurses familiar with the company you are working for I am just going to wish you good luck with whatever you decide to

  3. Any Vitas nurses here ?

    nutella replied to AC439's topic in Hospice, Palliative

    Please talk to your educator or manager about your concerns. Of course the agency has to maintain a medication list that is up to date and accurate. Perhaps there is some problem with the EHR,...

  4. New Grad Dialysis RN seeking advice

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

    OP - the crazy days and long days usually refer to acute dialysis because it seems that most acute dialysis nurses dialyze about 8 hours or so to get their hours in - just in case that there is no...

  5. How do I stop coming off as nervous to patients?

    nutella replied to WavyGravy's topic in General Nursing

    Generally speaking, talking to a mental health professional is a good idea and in addition to talking to a prescriber about medication you may want to tool into a therapist who targets anxiety with...

  6. What do you think high school students should know about nursing?

    nutella posted a topic in Pre-Nursing Students

    Hi everybody, as I am preparing a presentation to high school students about nursing I was wondering what other nurses think is important to convey. My usual is to talk about what nursing means...

  7. "NETY" and Other Fallacies

    nutella replied to Ruby Vee's topic in General Nursing

    I would like to point out that respect is not a one way road. As others pointed out in the other topic, it also depends on which definition you use. But generally speaking I found that if I treat...

  8. Yep. Nurses do "eat their young"

    nutella replied to Dianna11's topic in General Nursing

    I read a dissertation not that long ago about lateral violence ("bullying") in nursing - the question was if new nurses still experience lateral violence. Since this dissertation is from this year and...

  9. bumex vs lasix

    nutella replied to iluvnoodles's topic in Patient Medications

    In addition to everything said I wanted to point out that when I worked in acute dialysis, some physicians preferred bumex for the liver patients who also had kidney failure and that bumex as a drip...

  10. Apheresis exp. required for Inpatient Dialysis RN?

    nutella replied to CCK RN's topic in Dialysis, Renal, Urology

    OP - if your administrator "refuses" to support a transfer because he is short staffed you may have another option as well. If you work for D and they have open acutes position in your...

  11. Threatened staff

    nutella replied to RNBSC's topic in General Nursing

    Yes - but the system will only change if it is financially motivating. And longterm care residents in acute care - because there is not longterm care strategy in place to accommodate the aging...

  12. Navy wife: suggestions on nursing school in Hawaii

    nutella replied to Gstarlantz's topic in General Nursing

    When people write about their "dream" and "calling" it is not necessarily received with optimism and encouragement as the reality of nursing often does not match the "dream" or the "calling". It...

  13. Navy wife: suggestions on nursing school in Hawaii

    nutella replied to Gstarlantz's topic in General Nursing

    Hi, I have no idea about nursing programs in Hawaii. I think usually people look at a couple of parameters when they try to decide which nursing school they want to apply to. Very important is that it...

  14. Am I cut out for this?

    nutella replied to hannah53's topic in General Nursing

    I like "inspired by challenge" - I think that hits it 100%. Nowadays you need to be flexible because of constant change, high stress all around, and get along. The way I put it is "if you are...

  15. Threatened staff

    nutella replied to RNBSC's topic in General Nursing

    I would continue to talk to the MD, ask for psych consult/psych NP to evaluate for behavioral management with medications. And you guys should probably put your concerns in writing to management / DON...

  16. Feeling so Bummed

    nutella replied to nursingforme2's topic in General Students

    It is just not healthy to focus and define your well-being in this way. Friendships change as people change and circumstances. Expecting somebody to spend her whole time and share everything with you...

  17. Am I cut out for this?

    nutella replied to hannah53's topic in General Nursing

    What do you mean by saying you have been "degraded"? I think that a lot depends on your own sense of worth/self-worth and that is also reflected in how you take care of yourself. It has become...

  18. Hospital ID Bracelets

    nutella replied to Kris199699's topic in General Nursing

    DSF stands for Double Frappuchino for Sure

  19. PO morphine tablets for SOA?

    nutella replied to elimayrn's topic in Hospice, Palliative

    I would discuss that with the MD and the team in IDT. If the patient wants and needs a long acting narcotic other than MS contin there is also oxycontin - but that is much more expensive. Most of my...

  20. EpiPen Alternative

    nutella replied to YoutubeTheNP's topic in General Nursing

    Wow - that is so cool! I had considered a phone but was not sure how that would work best - do you use a holding thingy or is somebody holding the phone for you? I do have iMovie I think - that you...

  21. PO morphine tablets for SOA?

    nutella replied to elimayrn's topic in Hospice, Palliative

    sorry for chiming in here - if your patient has dysphagia and needs narcotics for pain management or SOB you are better off with liquid morphine ("Roxanol" brand name) in a concentration 20 mg / ml as...

  22. dealing with rude doctors?

    nutella replied to 2016New's topic in Patient, Colleague Relations

    Your options are to report his behavior up to your manager / HR and hope that something will happen (which usually does not happen since they are still "untouchable" in a lot of places and could in...

  23. Crushing meds

    nutella replied to CardiacDork's topic in General Nursing

    So - I have crushed plenty of meds in different settings for ultra thin and regular size tubes. I always had the best results with the use of a pestle and mortar. I would crush everythings very...

  24. Any tips for graft?

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

    When I started in dialysis, my instructor gave me a piece of rigid iv kind of tubing and a dialysis needle and had me practice with that. I was not too confident that it would be like the "real" deal...

  25. Help! Landing Interviews, But Not Jobs

    nutella replied to RNJR1115's topic in General Nursing

    Three interviews are not much. Employers are looking for nurses with critical thinking skills who are assertive, collaborateive , self-directed, resilient, novelty seeking .... So - you have to think...