nutella

nutella MSN, RN

Member

All Content by nutella

  1. Being blamed for fall after shift

    The problem is that the pat "fell" while in the critical care area/ICU. Granted it would be a problem on a regular floor but even more so in an ICU. In the ICU literally every pat is a "high risk for...
  2. Hostile families

    The dose of morphine was on the very conservative side and did not provide much pain relief for pancreatitis, which is known to be very painful. When you gave dilaudid you noticed that it was more...
  3. It is hard when you are the nurse and your LO is in the hospital. When my husband was in the hospital a couple of years ago I stayed out of most things but did speak up a couple of times. It was...
  4. Snakes on an ...

    Perhaps it was a service snake!!! animals can be trained for many
  5. What's the highest blood pressure you ever recorded?

    Highest I have seen was around 300 with arterial line. It happened after a resident who was new to ICU connected a blood product to the line in which the pressors were running - pat got a bolus of it...
  6. I had a similar experience with birth control - worked night shift in the ICU and lost half of my visual field, aphasia, could not read, nothing made sense. Scary enough but luckily everybody assured...
  7. I'm Done With Nursing.

    I wonder if you have worked in hospice or dialysis lately... I have and the paperwork in hospice CM is BAD. Dialysis chronic unit: high stress, long
  8. Jumping Frenchmen

    Wikipedia -
  9. Once the evaluation is completed you will receive a report and the report will be send to the BON. When the report is completed and available to you you should be able to go online and order an...
  10. Leaving nursing. Has anyone else done it? How?

    wow!! I just googled hangover nurse and it is a real thing! You sometimes just
  11. Developing a Nursing Precptor Program

    I am not a specialist for curriculum development but here are my 2 cents.. First I would think about a theoretical framework (nursing theory) because after all it is nursing. For example Benner's...
  12. MSN in Patient Safety & Quality

    The degree is actually a MSN degree but offers a specialization in safety and quality, meaning that the curriculum includes the graduate nursing courses and there are specific courses relating to the...
  13. Leaving nursing. Has anyone else done it? How?

    Apparently it is - she has good
  14. Medical errors the 3rd leading cause of death??

    The numbers that the IOM published many years ago estimated already back at that time close to 100 000 people dying as a result of the healthcare they are receiving. Since that time a lot of things...
  15. Leaving nursing. Has anyone else done it? How?

    I know one ex nurse who works in a book store - she did not renew her license after some while - she is close to retirement age and is sure she won't do anything nursing related. I know one nurse who...
  16. I'm Done With Nursing.

    Paperwork and regulations related to it are everywhere in nursing now And the EHR does not make it much better either, people just click through whatever they are supposed to check off without even...
  17. ER vs Dialysis

    I worked dialysis and if you are talking about a fulltime chronic clinic position I would say "no thank you" and rather do part time ER - you will get a much better all around education if your plan...
  18. I don't know about other nurses - but I would not want to be appreciated because I accept attendings that have no manners and be liked for serving coffee to them... reminds me of the "old days"....
  19. LOL - I bet for this salary and other payment he can have a keurig on every floor including the physician lounge and on call
  20. Next time you see him tell him that he owes you a coffee and a donut since you listened to his verbal outbreak
  21. Well - to be honest - I have only limited patience for that kind of whining. They know what they are getting themselves in - I mean it is hard to go through residency and ignore that... Having said...
  22. Was the attending's behavior appropriate? no Do things like that happen ? yes Would reporting or complain officially help? perhaps Apparently he got in on your conversation about your time off - I am...
  23. Best practices: Controlled substance handling

    Sure but you also have to find another RN when you waste somewhere else... Unless it is a code or other emergency it is best to waste right there even if it means you have to wait for some
  24. I have inserted many catheters at home and also in the hospital. The best piece of advice I have ever gotten is to use the urojet liberally. In fact, a urologist once told me that he almost never has...
  25. Best practices: Controlled substance handling

    Waste whenever you can right in the med room - that way you are not tossing it out by accident or forget about