nutella

nutella MSN, RN

Member

All Content by nutella

  1. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    nutella replied to allnurses's topic in General Students

    I agree with

  2. BSN and Associate Nurses Are Neck and Neck. Will This Change?

    nutella replied to allnurses's topic in General Students

    I want to re-phrase the whole issue somewhat and put it into the context of needs. Nowadays with the more complex healthcare systems, bedside and front line nurses are needed who have the skills to...

  3. Law suit against my facility...

    nutella replied to NooNieNursie's topic in General Nursing

    Hopefully you have malpractice insurance. If you do not I think one important thing for you is to write everything down. It can take some while until you may be asked to talk to somebody and in that...

  4. Bullying + hospice

    nutella replied to cubelle's topic in Hospice, Palliative

    I have worked for home hospice and been in facilities. It is not so much bullying in my opinion - but I know what you are talking about. See - they all like to cook their own little soup and most...

  5. Working as a LPN/LVN as a German

    nutella replied to MyGray's topic in General World

    Meike - please go to the CGFNS webpage and read about the process of getting nursing education evaluated. There are several components when a nurse wants to work as a nurse in the US. 1. Only RN...

  6. Is Anyone A Highly Sensitive Nurse?

    nutella replied to PrincessNur's topic in Patient, Colleague Relations

    I wonder how a "highly sensitive person" is even able to work in nursing???? After all, this profession does not seem a great fit for the "highly sensitive human

  7. Taking a year off after Graduation

    nutella replied to Nursestudent103.2's topic in First Year After Licensure

    If your problems are anxiety based, any avoidance will only make it worse. There is not need to jump into an acute crazy setting which is not for everybody to begin with. There is nothing wrong with...

  8. I have no words. I have a thousand words.

    nutella replied to anon456's topic in Hospice, Palliative

    This is great writing and I enjoyed reading about your experience in an inpatient

  9. Interesting name for Palliative Care training?

    nutella replied to BiohazardBetty's topic in Hospice, Palliative

    You can call it whatever you want but the true question is : will your education have any impact? We launched a mandatory education via LMS for all nurses on end of life care including a post test. It...

  10. New Charting Regs?

    nutella replied to FleaRN's topic in Hospice, Palliative

    I am not sure what you refer to with "short form" - do you mean a shorter form of assessment? I have used the same assessment for all hospice patients. The only difference was the longer narrative in...

  11. Hep. B in the dialysis chronic clinic

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

    Patient needs to be in isolation room and next to the isolation room you seat the patients who are immune to Hep B so that the nurse who cares for HepB pos only takes care of immune patients at the...

  12. 6/4 WILTW: Oui jete' du Nursing???

    nutella replied to LadyFree28's topic in General Nursing

    Unfortunately, this is not too unusual. I have seen patients where the family reversed the code status from DNR to full code because they were afraid "the doctor would not do anything otherwise" or...

  13. 6/4 WILTW: Oui jete' du Nursing???

    nutella replied to LadyFree28's topic in General Nursing

    I think it is different in the hospital when the focus is still on "acute care" and "treat treat treat" because our acute hospitals are all geared towards performing miracles... I am talking about 90...

  14. 6/4 WILTW: Oui jete' du Nursing???

    nutella replied to LadyFree28's topic in General Nursing

    I am sorry that your dad is not doing well. Even when we are nurses, it hurts us to see our family members struggle and

  15. 6/4 WILTW: Oui jete' du Nursing???

    nutella replied to LadyFree28's topic in General Nursing

    How come? The nurses I talked to on the floors found it helpful but stated that is takes some while to get the idea of

  16. 6/4 WILTW: Oui jete' du Nursing???

    nutella replied to LadyFree28's topic in General Nursing

    I am glad you enjoyed those palliative care writings... Yes - I feel you frustration. I deal with those problems every single day and our small palliative care team supports each other. We made it a...

  17. 6/4 WILTW: Oui jete' du Nursing???

    nutella replied to LadyFree28's topic in General Nursing

    So here is some of the things I have been exploring this week: Vein illumination is one of the most important newer technologies. The hospital bought one for each floor - not the hand held ones but...

  18. What type of soap do you use?

    nutella replied to TheCommuter's topic in General Nursing

    Personally, I do not think that antibacterial soaps are great. Some years ago I read an article that alerted consumers to the fact that antibacterial soaps are not "good" - it is still in the media,...

  19. Consents for inpatient acute hd

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

    Yes, I worked acutes in three different hospitals and in all of them patient had to consent. In one hospital the consent was valid for one year so all patients had to sign once a year in acutes....

  20. Problems with Preceptor

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

    It sounds that while you liked the actual work that the environment was not that good of a fit. I was trained several months in a large acutes room before I started bedside, which helped with the...

  21. Accepted dialysis clinic position, now having second thoughts - advice please?

    nutella replied to Lucky724's topic in Dialysis, Renal, Urology

    Dialysis is not as it used to be due to reimbursement and high costs of running a center. I loved acutes but the work times and on call combined with the constant problems to get enough coverage are...

  22. Interesting name for Palliative Care training?

    nutella replied to BiohazardBetty's topic in Hospice, Palliative

    I am a palliative care coordinator and our education does not have fancy names. You could call it "Palliative Care Update" or

  23. Liaisons/Non-Clincial..Never seen this before!!!!

    nutella replied to CHPNRNTX's topic in Hospice, Palliative

    I do not know what the situation is at your place but there are often agreements in place that liaison can access the chart as soon as a hospice evaluation is ordered. I worked as a liaison for a...

  24. Interesting name for Palliative Care training?

    nutella replied to BiohazardBetty's topic in General Nursing

    I am a palliative care coordinator in a hospital. Training we develop or present usually has a title that fits. For example we created a PP for end of life care CMO and that was the

  25. Pendulum Swinging too Far on Pain Meds?

    nutella replied to Emergent's topic in General Nursing

    Pain management is complex in many cases and I agree that there are problems with chronic pain patients who do not have cancer. Not that long ago I talked to a pat who had an accident some years ago...