nutella

nutella MSN, RN

Member

All Content by nutella

  1. Ever Feel Inadequate?

    Actually - value-based care is your friend here. Because the focus is on outcome and quality , not quantity. Meaning that if you do a good job and the outcome is good the hospital gets paid, if the...
  2. Need advice on 5 year plan

    There is more to consider: If you switch employers how will your benefits be? How will they pay you? Will take a cut or not? How is the overall climate? I had many jobs and the main problem for me...
  3. The new nurse "feels"

    Unfortunately, nursing has become very task oriented. That is the big danger nowadays - nurses are so drilled to complete tasks that they sometimes do not see the bigger picture or how their task...
  4. Am I a bully?

    But change is inevitable and constant. Nowadays, you need to learn to be comfortable with constant change and "journeying" is the new
  5. Ever Feel Inadequate?

    I would say that because leadership focuses and thinks "finances" it has come to the point where healthcare has become a dehumanizing experience in which nurses are seen as less human. I do not...
  6. How can technology help Nurses/physicians

    They definitely need to invent the clinician CADD caffeine pump with bolus function to give up to 4 or so caffeine shots
  7. How long did it take....

    Generally speaking, it has been my observation that new nurses are very stressed out in every way for this first year with increased crying, overwhelm and upset the first 6 months - though the crying...
  8. Refusing to float

    Some places will give the nurse a choice of using paid time off but that also means that you drain your hours. If your floor is the quasi float pool for the hospital and med/surg it means that they...
  9. I am somebody who went into ICU right after graduating from nursing school and it was not a problem at all. BUT it is important to move towards independence and other nurses need to trust you. After...
  10. Why join Sigma Theta Tau?

    LOL that sounds so romantic ! together until death does us apart
  11. OP - how badly do you want to work there? Nursing is rough all around the first year. Some preceptors should not precept in my opinion and I asked once to get re-assigned. Having said that - you need...
  12. Why join Sigma Theta Tau?

    The chapter I belong to actually does community service.... I guess it depends on the
  13. Not enough training

    I worked in home care and while they provided an overall good orientation, there was no way I could learn everything within orientation as some things show up occasionally and then not for a while for...
  14. Why join Sigma Theta Tau?

    I did not join to impress any potential employers. I joined because it connects me with other nursing professionals who are interested in moving the profession forward. Unfortunately, I do not have as...
  15. How do you last?

  16. It's the 1st of July

    I worked in teaching hospital for most of my nursing career and actually enjoyed that environment. Sure, when they switch on the new ones come in it is a bit of an adjustment and take longer to get...
  17. EpiPens....who knew?

    While your attempt to present a logical solution to this situation is admirable you do not take into consideration that your advice is based on the assumption that a person is able to maintain perfect...
  18. EpiPens....who knew?

    All this does not matter to the school nurse who needs to insist on an epipen that is not expired, otherwise the child will not be allowed in school. And - what if after 2 years you take the epipen...
  19. EpiPens....who knew?

    Here is another interesting article Battle of the EpiPen and the writer had to pay $$$ because of the high deductible
  20. EpiPens....who knew?

    I wonder if your daughter has a deductible or such for medication/ healthcare. Folks with high deductible plans often have to pay a certain amount of $$$ before insurance covers. If this is not the...
  21. How to resign from a job

    You write a letter or resignation and go to the manager and ask to talk to her/him. You can say something like "I need to talk to you - I am resigning from my position with 2 weeks notice. Thank you...
  22. LOL - I hope not
  23. Yeah - that might be true - but I really do not want to know what medications my coworkers are taking because it might affect the way I think about that person after. As I admitted - I am not free of...
  24. Advice Greatly Appreciated!

    To be honest, it sounds that your mental health problems (anxiety, depression and whatnot) makes it hard for you to cope with the stress and work of nursing. Nursing is stressful to begin with but...
  25. Simmons FNP school!?

    Simmons is very well known and