nutella

nutella MSN, RN

Member

All Content by nutella

  1. Questions about Acute Dialysis

    nutella replied to allen80's topic in Dialysis, Renal, Urology

    General rule is that you can not leave the machine or patient out of sight and go to the bathroom while the treatment is running unless you have another dialysis RN cover you. If the machine is...

  2. Proactive Rounding and Family Initiated RRT

    nutella replied to Pprwrk's topic in General Nursing

    I want to add that imo safe staffing, while important, will not prevent patient harm on all levels. A multimodal approach is important. I have seen patients go downhill or code despite the fact that...

  3. Proactive Rounding and Family Initiated RRT

    nutella replied to Pprwrk's topic in General Nursing

    Ok - that is outright scary and the best example of why this patient should have been a rapid response - to get knowledge and resources to the bedside. Again, a RR is to prevent worsening of condition...

  4. Proactive Rounding and Family Initiated RRT

    nutella replied to Pprwrk's topic in General Nursing

    I have worked at a major teaching hospital that had implemented a "mandatory trigger" program in which the nurse was mandated to trigger the patient and call a rapid response. The criteria were based...

  5. Nursing in the U.S. and in Europe

    nutella replied to socal1's topic in General World

    The whole system is very different, which includes reimbursement as well as scope and status within society. Nursing is not highly regarded in German society unless you work in critical care/OR/ ER...

  6. 5/21 WILTW: The journey sucks and the end isn't pretty either

    nutella replied to ixchel's topic in General Nursing

    thanks for your advice of measuring instead of using the scale. I need to say that my clothing size has not changed at all and my legs look as big as before... I never had a weight problem until...

  7. what's your pet peeve?

    nutella replied to chacha82's topic in General Nursing

    When a staff member says "here comes the death lady" or "palliative care kills people" or "I am not going to take morphine because everybody knows that once you are on it you are basically dead" ---...

  8. Unethical?

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

    Yes, it is a boundary crossing and

  9. 5/21 WILTW: The journey sucks and the end isn't pretty either

    nutella replied to ixchel's topic in General Nursing

    Ixchel - I am sorry you are somewhat struggling after surgery. I think that when a person had chronic pain, there is a lot attached to it, emotionally and physically. Also, if you had been on chronic...

  10. Need to choose between 2 jobs. Advice would be helpful

    nutella replied to evamomo's topic in General Nursing

    Personally, I would chose the new job because you need the stable income and stable situation plus it seems that you can advance. Re-building may not work out - in that case you will be left with a...

  11. I'm afraid that I will never become a nurse and be stuck with 11k in loans

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

    While it is great that you want to pursue a BSN reality is that it is difficult for you to finance your education at this point. My children do not qualify for federal loans due to family income. I...

  12. Clotted catheters

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

    You write about "clinic" - are those patients at home with IJ??? If you see a cluster of something it should be reported to the manager of the clinic and the medical director. Sometimes the MD...

  13. missed an abnormal rhythm

    nutella replied to puffin75RN's topic in General Nursing

    I do not know about your facility policy but where I worked they had q2 or q4 h tele checks with measuring a strip and documenting in a book - if you work on a busy floor I suggest you set a timer on...

  14. Nitro patch on HD?

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

    Working in acutes is different from chronics because patients tend to be less stable, which can result in lower BP during or after HD. Nitro causes vasodilation and can lower BP when you start pulling...

  15. Any books for HD?

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

    If you are new to HD start with this : http://www.servei.org.es/pdf/core-curriculum-dialysis-technician.pdf it is online for free. You can look at the webpage ANNA - they have a lot of information....

  16. Shadow Day at Davita

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

    It is an opportunity for you to see the place, meet the people and get a better idea of the actual work. For the team it is an opportunity to get to know you. I worked for the big 2. I actually turned...

  17. no reply from nurse manager

    nutella replied to tinybbynurse's topic in Job Search, Interview, Resume

    Leave it alone. You compete against nurses who already have some sort of pedicatric, NICU or other ICU experience - you are still pretty "new" all around. I did get one job because the NM knew me and...

  18. Patient Conscious During CPR

    nutella replied to Emergent's topic in General Nursing

    LOL - as a nurse in cardiac surgery ICU we did that all the time - it only works (if it does at all) though if you do it right away when the patient goes into v-tach. Basically you have to stand next...

  19. How do you prepare yourself to not become emotional at work?

    nutella replied to dramakid1315's topic in General Nursing

    I am surrounded by emotional situation and difficult situations as a palliative care nurse. Compartmentalizing is one strategy to keep emotions in "neat little boxes" and avoid spilling over into...

  20. Code Team

    nutella replied to nursecam17's topic in General Nursing

    In one hospital I worked it they implemented STAT nurses with good results. However, while they also stroll to a code they have a variety of other responsibilities and if they are for example...

  21. Fired from first job..."not eligible for re-hire"

    nutella replied to run.for.the.roses's topic in General Nursing

    You have referred to your age more than once I think. While it is true that you have some "life experience" you are still a new graduate nurse and need to follow the rules of working in nursing. And...

  22. Speaking Tagalog in English speaking company

    nutella replied to templeknight7's topic in International Nursing

    I am an immigrant currently in the US. It is very rude and unprofessional to talk with coworkers in a language that is not understood by all. At times I have used my native language to talk to...

  23. Code Team

    nutella replied to nursecam17's topic in General Nursing

    I wonder how those dedicated code teams would spend the time when there is no code. I mean, hopefully there won't be non stop codes. I can not imagine that a regular hospital would pay a code team to...

  24. What to ask: interviewing a nurse practicing in other country.

    nutella replied to EternalFeather's topic in General Nursing

    Education to become nurse - some countries have different models, not all countries have several pathways... Are there any advanced practice nurses? What are the most popular areas to work in? What is...

  25. What to ask: interviewing a nurse practicing in other country.

    nutella replied to EternalFeather's topic in General Nursing

    What questions do you have so far and what is the title for the paper/course