nutella

nutella MSN, RN

Member

All Content by nutella

  1. Already been told I shouldn't be a nurse (Rant)

    nutella replied to misskayy's topic in General Students

    It is absolutely unacceptable to make fun of students. That applies to nursing school as well as CPR courses and so on. I never made fun of other people when I taught first aid. It is inappropriate...

  2. "Do you want to live?"

    nutella posted a topic in General Nursing

    My work is in palliative care and takes place in a hospital. I get that nobody has time so to speak. All healthcare workers including physicians, nurses, aids and others have the same dilemma: More...

  3. "Do you want to live?"

    nutella replied to nutella's topic in General Nursing

    I agree that there are many barriers to addressing advanced directives in a way that is accepted by patients, their families, the governing entities and clinicians alike. What I want to point out is...

  4. "Do you want to live?"

    nutella replied to nutella's topic in General Nursing

    Nurses are the biggest patient advocates.... There is so much confusion and mistrust about advanced directives - good that you

  5. "Do you want to live?"

    nutella replied to nutella's topic in General Nursing

    I agree that it would be most beneficial to have those conversations upstream with the physician who knows the patient best or most and who the patient trusts. And when something happens and the...

  6. Books for a New Hospice RN

    nutella replied to KYRNCA's topic in Hospice, Palliative

    Hi - I think it is normal to be nervous - home hospice or hospice in the community is so different from most other nursing!! I really liked that we had standing orders for all our patients, which...

  7. What Has Happened to Hospice?

    nutella replied to Tencat12's topic in Hospice, Palliative

    yes, sadly that seems to be the trend right now. Quantity of patients over quality. The same with productivity. I was hired for ~ 18 - 24 patient CM because some of them were palliative with one...

  8. Hospice car

    nutella replied to Agnp2b's topic in Hospice, Palliative

    If you have enough space in your sports care for all the supplies.. if you live in a winter area it might become a problem in winter if your car is not that good with snow. I am not sure that I would...

  9. Books for a New Hospice RN

    nutella replied to KYRNCA's topic in Hospice, Palliative

    Congratulations! Are you going to work in the community? Consider a membership in the : http://hpna.advancingexpertcare.org/ Essential books - which I have used and continue to use: HPNA

  10. Patient is a sex offender with a tracker on his ankle

    nutella replied to Alex_RN's topic in General Nursing

    There are circumstances when the nursing supervisor/manager should be informed when a patient who is a sex offender is being admitted. For example - some small facilities have combined pediatric/adult...

  11. Is hospital nursing an unbearably dirty job?

    nutella replied to lisaniles's topic in General Nursing

    We are dealing with real life and real life situations. And life is messy, chaotic, smelly, not always clean and so on and forth. Granted, there is a difference between your kid's poop / vomit and...

  12. CHPN certification

    nutella replied to Elle23's topic in Hospice, Palliative

    Working in oncology typically counts in terms of hours to sit for the exam. As far as I know, it has gotten more strict and nurses who qualified to sit for the exam in the past may not be considered...

  13. Which field of nursing is the most technically hard?

    nutella replied to Guest878640's topic in General Nursing

    It depends very much on your personality, interest, years in nursing, resilience and ability to cope. Personally, I found critical care / ICU the easiest because I have an affinity for all things...

  14. Is being a CNA a really hard job?

    nutella replied to Veronicax's topic in Medical Assistant, CNA/MA

    I have a hard time picturing you with mask, goggle and several braces trying to move patients. The work of CNAs usually includes ambulating, turning, lifting - and often without a device. There is...

  15. Hospice patient is requesting food, but the family denies her

    nutella replied to RNgemini's topic in General Nursing

    "now on hospice. Her condition rapidly declined after she broke her hip and had surgery. She has severe dementia, is incontinent, and is very weak and bed-bound at this point." There are several...

  16. New to nursing

    nutella replied to beckakc's topic in General Nursing

    May I point you towards a webpage that contains the education you may need to answer part of your question? Diabetes Insipidus | NIDDK Right in the first paragraph it tells you that : "People with...

  17. Family not supportive, is nursing really that bad?

    nutella replied to emnicole's topic in Pre-Nursing Students

    The question is not so much if nursing is a "bad" or "good" job. The real question in my opinion is: 1. Are you able to deal with the realities of today's healthcare systems and todays view on nursing...

  18. Health care administration - non nurses

    nutella posted a topic in General Nursing

    I am somewhat puzzled by the idea of people studying to become healthcare administrators with NO experience in the health care field whatsoever. Some have the goal of becoming a "clinical...

  19. It is a broken system - rant

    nutella posted a topic in General Nursing

    Healthcare is more like a jungle as opposed to an orderly system. The recent weeks I took care of many patients 90 + , quite few of them actually 95+. I get that autonomy is viewed as the "highest...

  20. Coping w/th working outside a desired specialty

    nutella replied to destirichardson's topic in General Nursing

    You have the power over your mind. Re-frame the way you think about it! We all face situations where we have to do something we do not want to or do not like to. Instead of being a downer because you...

  21. It is a broken system - rant

    nutella replied to nutella's topic in General Nursing

    Personally, I favor looking at DNR/DNI as what it is - a medical treatment, which is ordered by a physician. If it is a medical treatment, a physician should make the decision based on a medical...

  22. It is a broken system - rant

    nutella replied to nutella's topic in General Nursing

    I appreciate your critical comment re self-reflection and introspection. In general, I agree with the notion that healthcare decisions are not ours - they are what the patient and family decide. But...

  23. It is a broken system - rant

    nutella replied to nutella's topic in General Nursing

    The sad thing is that we have everything in place. I work for a palliative care team in the hospital. There is no lack of social worker. We are actually ahead of many places because we have trigger...

  24. It is a broken system - rant

    nutella replied to nutella's topic in General Nursing

    So sad - discussions can be

  25. Is it fianally time to retire NETY?

    nutella replied to hppygr8ful's topic in General Nursing

    I think it is important to name what is not ok in our profession. Even though I was never the victim of NETY when I was a new nurse and I think it is a horrible thing to do to new nurses, I have seen...