nutella

nutella MSN, RN

Member

All Content by nutella

  1. Struggling GN

    nutella replied to Da1uLuv_RN's topic in First Year After Licensure

    Your situation sounds not very pleasant. I guess when you switched form the first preceptor to the second one the first one and her group did not take it that well. Weekly meetings are usually a sign...

  2. Need help in Checking Water, etc

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

    Ok - this is NOT good. I hope you are not working by yourself already since this poses a significant safety risk. You need to talk to your preceptor/manager/educator if you do not know how to check...

  3. Obese Nurses

    nutella replied to Goldentreasure's topic in Health, Stress Management

    I thought it has to be free -

  4. OPINIONS PLEASE!!!

    nutella replied to nurselifex0's topic in General Nursing

    40 min is not too bad - I had much longer drives for some jobs. If you are going to drive i can recommend audio CDs - check with your library for cheap options or buy some used ones / special sale....

  5. A degree question, Diploma, AS, BS?

    nutella replied to Dwright1081's topic in Online Distance Learning

    I think there are 2 options to this. One would be an RN to BSN program. Since you do not have an AD you will get some college credits for your license (prob around 30 but you have to ask that program)...

  6. bullying? racism? or overreacting?

    nutella replied to beachbum2000's topic in Patient, Colleague Relations

    It is wrong. Whatever else is going on in terms of underlying culture, mismanagement, lateral violence and such I don't know. Of course secretaries should not assign patients to begin with. I left a...

  7. 11 years ago, positive UDS, can I get a job?!

    nutella replied to SNRN2BE's topic in Nurses Recovery

    You did serve though it sounds - did you get discharged dishonorably? I am confused, sorry. In any way - I think that if you are clean now, no other offenses, no rehab for drug addiction and such,...

  8. OPINIONS PLEASE!!!

    nutella replied to nurselifex0's topic in General Nursing

    As Commuter already mentioned, a lot of places interview although they have already somebody in mind for a position to satisfy regulations. Take this as a practice run in how to interview. The market...

  9. Hospital with Money Back Guarantee

    nutella replied to twss2323's topic in General Nursing

    To be honest - I am not surprised at all. Perhaps the patient satisfaction score - reimbursement tie is only the

  10. Impaction question

    nutella replied to feelix's topic in Hospice, Palliative

    Generally speaking patients who are under hospice still need to be monitored for BMs and should have a bowel regimen. Usually there are standing orders for hospice care that address that specific...

  11. Feeling dread all over again.

    nutella replied to CardiacDork's topic in General Nursing

    It is normal to have some anxiety or uneasiness after only some weeks in a new setting like ICU. In addition, you do not have the support of the staff that you had before because you are still "new"....

  12. Does which hospital you work at matter?

    nutella replied to NursingNerd1's topic in General Nursing

    I worked for top ranked hospitals and left to work somewhere else. Of course it looks good on the resume but what is more important in my opinion is your overall satisfaction. For example, my drive...

  13. Working in Germany as a RN

    nutella replied to silva's topic in General World

    Germany is a very different culture/regulations ... There are no advanced practice nurses in Germany and a lot of things are strictly regulated. I worked in Germany as a nurse for close to 10 years...

  14. Hospice Challenges with SNFs/ALFs?

    nutella replied to HazelnutCream's topic in Hospice, Palliative

    The way it works in SNF is like this: Room and board is paid privately or Medicaid. Medicare pays for hospice via the hospice benefit. Other insurances also have a hospice benefit (most of them ..). A...

  15. Midline catheters?

    nutella replied to Everlearningnewbie's topic in General Nursing

    Yeah but we do not know if it was valved... plus what if a valve is

  16. Hospice Challenges with SNFs/ALFs?

    nutella replied to HazelnutCream's topic in Hospice, Palliative

    To get a better understanding of the challenges you need to understand the differences in culture and work flow. While LTC and AL appreciate hospice commonly as a vehicle to get an additional CNA for...

  17. Looking for support

    nutella replied to Doomed123's topic in Dialysis, Renal, Urology

    I am sorry - it must have hurt though ... In any way, you need to follow what occupational health tells you to do. I assume you went to the ER or occupational health after the exposure. Make sure you...

  18. Midline catheters?

    nutella replied to Everlearningnewbie's topic in General Nursing

    I wonder if the clave was simply missing. Of course if you just put the midline in, no clave, and just a cap the blood will flow out when you remove the

  19. *HELP NEEDED* Understaffed NICU Project

    nutella replied to gcoffin92's topic in NICU, Neonatal

    I wonder if this is even a real problem. NICU is as far as I know one of the areas with sufficient staffing. I suggest you do your research starting to figure out if it is a problem or not (peer...

  20. Insight on Dilaudid?

    nutella replied to LifeIsBeachy's topic in Patient Medications

    Some providers will order dilaudid to be diluted into 50 ml of NS and to be given over 15 min (via pump) if "getting high" and "addiction potential" is a problem. Pat will still get pain relief but...

  21. 4/23 WILTW: It turns out nurses do make the worst patients

    nutella replied to ixchel's topic in General Nursing

    The single piece of knowledge that kept me thinking this week comes from my graduate studies: Critical language in healthcare - a phrase that is intended to stop an action without blame. For example...

  22. Nursing Vs. Teaching

    nutella replied to Ashbeelee's topic in General Nursing

    To be honest - nursing school as well as nursing is high stress both in terms of learning as well as working. Once nurses get through the first 1-2 years it gets better but the question is would that...

  23. Hemodialysis Nurse : Forced to work overtime or face abandonment?

    nutella replied to Nurse Beth's topic in Career Advice Column

    As others have already mentioned - acute dialysis is unique and requires a special skill set. On call days can easily stretch out to become a 16 hour shift or the nurse goes home after 8 hours or so...

  24. From call center to health care

    nutella replied to Kislevp's topic in General Nursing

    I think you are talking about becoming a hemodialysis technician and you will have to take the certification after about a year. Once you are certified (CHT) you can work in chronic dialysis as a HD...

  25. being a home health nurse if you have allergies and asthma?

    nutella replied to hmlawrence0729's topic in Home Health

    Forget about it. I do not think you will be successful in home care if you need "a controlled environment". Home care usually means also dust, cats, dogs, dirt, pollen all over the place,mold... I do...