nutella

nutella MSN, RN

Member

All Content by nutella

  1. PRN vs routine pain meds

    nutella replied to Cdnbscn's topic in Patient Medications

    Of course the MD may not share your view and may not prescribe medication in a different way. There is much more focus on narcotics and drug seeking behavior so it can be hard for MDs as well...

  2. Chronic Patient Dilemma

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

    Just another thought - perhaps check with your patient on compliance with BP meds in general and fluid restriction. If somebody is not compliant with BP meds, it can become sort of labile - up and...

  3. Curious how Magnet Hospitals & employment?

    nutella replied to WCSU1987's topic in General Nursing

    I worked at three different Magnets (in addition to other hospitals) and one of them clearly hired pretty much exclusively BSN unless it was a specialty that they could not fill otherwise. That one is...

  4. Do Nurse Practitioners Assist In "Pulling the Plug"?

    nutella replied to SunshineeStudent's topic in General Nursing

    NPs who work as hospitalists are involved in a lot of activity. What the full scope is depends on your state and there is also the question how the hospital utilizes NP. In my state, NP have to enter...

  5. New job

    nutella replied to ToriAneal's topic in General Nursing

    The way it usually works is that you report to your orientation (which should be more than one hour...). At that time they will give you more information, usually a schedule, and also take pictures...

  6. Having to meet with the hospitals lawyer

    nutella replied to Mhsrnbsn's topic in General Nursing

    I had to meet with a lawyer after an event done by another person. I was the person discovering the problem and taking steps. The lawyer explained to me that that they write down all the fact and what...

  7. Favoritism and the "Power clique"

    nutella replied to Hospice RNCM's topic in General Nursing

    I worked in home hospice and loved working in the field. A new DON came when the old retired - and the ship began to sink. It started to get really crazy, can't get into detail but main thing is that...

  8. Patient ratio

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

    To be honest : that is the right approach. I think they did not word it clearly so it makes sense to you. The problem for RN new to dialysis is that they have to get proficient in the technical...

  9. US LVN/LPN working in Germany

    nutella replied to Xandria2323's topic in International Nursing

    There is no equivalent for the LPN in Germany. There used to be something like "krankenpflegehelfer" who went to a school for a year but they changed that some years ago. Now Krankenpflegehelfer go to...

  10. 7/30 This week, I learned Deanna Troi sucks

    nutella replied to ixchel's topic in General Nursing

    I am sorry you feel offended. What you are "hearing" is actually not what I tried to say - it seems that I worded it in a non sensitive way or it just struck a nerve. However, I apologize if it makes...

  11. No RN experence NP "non-nurse"

    nutella replied to Malenurse1235954's topic in Student Nurse Practitioner

    To be honest - what I have seen in reality / practice is that the NPs that never worked as a regular RN or only very limited hours to fulfill BON criteria and instead went straight into the advanced...

  12. THICK SKIN

    nutella replied to Roda dendron's topic in General Nursing

    are you hypersensitive or just very reactive or not enough social skills? You need to realize that nursing is a stressful job. Most people are not the best when they under stress and that includes all...

  13. 7/30 This week, I learned Deanna Troi sucks

    nutella replied to ixchel's topic in General Nursing

    Organized chaos, I hope I do not sound mean but your son is your responsibility and your child. I get that you would like your mom to be available, but she has her own life. I do not have any family...

  14. Question about Cussing on the job.

    nutella replied to Roda dendron's topic in Nursing Professionalism

    There are policy and procedures that address what constitutes workplace violence, harassment, and etiquette. The reason is that a "violent" workplace creates a culture that is not congruent with the...

  15. 7/30 This week, I learned Deanna Troi sucks

    nutella replied to ixchel's topic in General Nursing

    Meanmaryjean - I am so sorry for your loss. I am glad he got to see you graduate - he must have been so

  16. 7/30 This week, I learned Deanna Troi sucks

    nutella replied to ixchel's topic in General Nursing

    I actually worked in hospice and also as a hospice liaison and that does not solve that problem because the liaison nurses are not there

  17. Question about Cussing on the job.

    nutella replied to Roda dendron's topic in Nursing Professionalism

    No. That is known as workplace incivility. Besides that - what does that even mean "crossed the line"??? Usually when there is a conflict people talk about it. If somebody crosses boundaries or does...

  18. 7/30 This week, I learned Deanna Troi sucks

    nutella replied to ixchel's topic in General Nursing

    I agree that there is some amount of burnout, frustration ,discouragement, and hopelessness generally speaking in healthcare and more so in nursing. I learned this week that the above is a result of...

  19. Dialysis or LTC?

    nutella replied to DierkyBrewster's topic in General Nursing

    You need to check it out in person I think. Chronic dialysis is busy for nurses. Depending on how well the clinic is run and how the staff works together it can be a great experience or not. Generally...

  20. Medication errors- is nursing for me?

    nutella replied to Simonesays's topic in General Nursing

    I hope things will work out for you! I suggest that before you sit down and write an email to actually sit down and journal about the whole experience, your thoughts and where you are at. That process...

  21. Confessions of a Hospital Administrator: The Good, the Bad and the Ugly

    nutella replied to ServantLeader's topic in General Nursing

    OP - nice article. Are you familiar with Quantum Leadership? Quantum Leadership: Advancing Innovation, Transforming Health Care:

  22. Medication errors- is nursing for me?

    nutella replied to Simonesays's topic in General Nursing

    Everybody makes mistakes, we are human beings. Important is that the patient is ok and you seem to feel accountable. We know that when mistakes happen that there are usually underlying system failures...

  23. New Nurse difficult patients and exhaustion

    nutella replied to Scuba_NurseBSN's topic in General Nursing

    Yes, it is totally normal to be super tired and exhausted as you are adjusting to your new role. Walking around the whole day and paying attention / focus and learn while getting oriented is very...

  24. Doctor in Education-nursing ?

    nutella replied to nutella's topic in Post Graduate Students

    Thank you - I like to be a nurse and like some amount of patient contact. I am not in a traditional bedside role anymore and doubt I would be happy with it at this point in my life. And the only...

  25. Doctor in Education-nursing ?

    nutella replied to nutella's topic in Post Graduate Students

    I did not realize that there is a PhD in education and a EdD. Do you mind telling me what you researched in education? Was it based on nursing education? Thanks for you