nutella

nutella MSN, RN

Member

All Content by nutella

  1. New hospice nurse: Burned out!!!

    I had many reservations about bedside nursing but to be honest - if you want to survive and get your job done in a timely manner, it is a must nowadays. And patients get used to it, a lot of providers...
  2. New hospice nurse: Burned out!!!

    I am not sure you understand the work of a home hospice or hospice facility nurse - it is very complex and requires a lot of critical thinking. The skills needed to be successful are very specific....
  3. Do you ever resent your job(s)?

    To be honest - it is just like that when you have two jobs or one job and in school or job and family ... personal time becomes a luxury. Personally, I do not think it is helpful to resent the own...
  4. Subtle deterioration on the floor

    I very much agree with you here. It is imperative to do some investigation as to why the problem occurs as well as search in the literature. This has led me to recommend solutions or action that was...
  5. Subtle deterioration on the floor

    Yes - it is a major teaching hospital with the resources. I now work at a different place that does not have the same resources and there is definitely a lot of more "waiting" going on based on the...
  6. Tell me why you regret about becoming a Nurse

    I do not regret nursing. It was between chemistry /biochemistry and nursing school - I decided for nursing school. It was the right decision for me though I think I would have done well in a science...
  7. Health administration vs MSN

    I decided against the administration masters degree and instead decided for a MSN because it is more flexible. Some hospitals actually started to favor the CNL (clinical nurse leader) masters degree...
  8. You need to discuss this with the manager. First of all you should be paid for the time you stay longer but secondly, there needs to be some form of rule about going at the end of your shift. If you...
  9. Subtle deterioration on the floor

    I agree strongly - alarm fatigue is real. If a physician determines that a HR of 45 or what is "normal" for this patient, an order can be placed that indicates exactly that and to allow moving the...
  10. Subtle deterioration on the floor

    I agree that it is the bedside assessment that most often reveals "something is wrong" even though objectively numbers may not be "that bad". Which is exactly were the Novice to Expert nurse model...
  11. Subtle deterioration on the floor

    Once the initial trigger event lead to the physician determining that there is no danger , for example HR 45 /min without symptoms in athletes, it would be just monitored and not called another...
  12. Subtle deterioration on the floor

  13. Question from non-nurse

    Family Caregiver Support Program Life as a Caregiver and Dealing With Stress Caring for Aging Parents - AARP and there are many more resources out there. Caregiver strain and the stress of caring for...
  14. I worked as a paramedic before becoming a nurse and liked the medical field but I wanted more choices and decided to go to nursing school when I was 21. I did not really feel any "calling" or felt...
  15. Career Change-confused!!

    OP - I am with the nurses who suggested that you shadow a nurse. Not necessarily 12 hours but at least four or so. The reason is that it seems there is a somewhat romantic perception of nursing and...
  16. I do not think there is something wrong per se about asking for PTO when you want it. You might not get it though and that will leave you with having to work the shift or find a partner to trade. What...
  17. PTSD

    There have been some articles in the last few years that suggest that PTSD is over diagnosed. It seems that the reason for it is that people do not always get diagnosed by a person that has the...
  18. The event that has stuck in my head and which is still sometimes talked about by my children is this: 12 years ago, I took both my kids who were young to the local swimming pond in a park. It was just...
  19. I learned a lot about the relationship between acid reflux / GERD and vocal cord dysfunction. My daughter had an episode of sudden shortness of breath not that long ago in which she felt her throat...
  20. Nurses with eating disorders?

    I worked with nurses who had/have eating disorders. One of them brought it up casually when stress was high. The other one had to look for a different position as the high stress triggered the ED. I...
  21. I need help for my mom ex Nurse

    Call elder services and see if they can help with figuring out some resources for example if she qualifies for Medicaid. Elder services is a great resource. The senior center can probably give you the...
  22. Hi, I wonder if you guys could give me your opinion. I have started to look into PhD programs as well as other options for post master's education. My MSN is almost done, I am not becoming a NP as I...
  23. Doctor in Education-nursing ?

    Thanks for your reply! I guess it would be hard for me to quit my job and go all PhD student/research as my first child will go to college this month and we pay for it. In the meantime I had the...
  24. Torn Between Two Careers

    I think nurses can have different priorities based on their personal life and what is going on. When I became a nurse, most nurses were on the younger side with no kids or family to take into...
  25. got fired/terminated

    I have worked as a manager in the past and it depends a bit on the company on what you are "allowed" to say and what not. While the law may allow you to say that the person got fired, it can create...