nutella

nutella MSN, RN

Member

All Content by nutella

  1. Life, death, and dying.

    nutella replied to CardiacDork's topic in General Nursing

    Death and dying is my job.... palliative/hospice nurse. Oftentimes it is the family that has problems with the pat decision to focus on comfort or even physicians. There are physicians who still...

  2. Hospice RN vs Case Manager

    nutella replied to anashenwrath's topic in Hospice, Palliative

    The hospice case manager is not managing a nursing team. It means that you would be managing a case load .... That is the way it is structured. You get a certain number of cases you are expected to...

  3. KPS & PPS

    nutella replied to Zee_RN's topic in Hospice, Palliative

    PPS and FAST - there are also other scales that are more applicable for cancer patients that are based on the Edmonton

  4. Liver Transplant Nursing--What to know?

    nutella replied to newrn93's topic in General Nursing

    Pat before liver tx can have a notoriously low BP - which most of them are used to and mostly asymptomatic. A lot of primary care due to lactulose (diarrhea) , overall weakness and fluid collection. A...

  5. How important is it to you to be a nurse?

    nutella replied to purplegal's topic in General Nursing

    Being a nurse is just one part of who I am - it is not how I would identify myself overall but it is an important

  6. When a patient complains

    nutella replied to Stella_Blue's topic in General Nursing

    Just take it as a learning experience. In nursing, satisfaction scores and safety trump any remote caring aspect. And never tell a family/patient/manager that you were unable to make it in the room...

  7. Bullied after submission of resignation

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

    If they make it really rough on you and you happen to get sick for the rest of the

  8. Bullied after submission of resignation

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

    wow - just make sure you have somebody as a reference who will not give you problems. Since you are going anyways : smile, nod and

  9. Would more nurse aides solve the problem of always feeling short-staffed?

    nutella replied to Lemon Bars's topic in General Nursing

    Well - yeah it would be great to enough enough aids - who actually work - so that patients do not have to wait for non nursing things... But, that is not going to happen I guess. Nurses put up with...

  10. tired of the hospital

    nutella replied to annieboo444's topic in General Nursing

    I am not sure about the "great quality of life" in home care or hospice... Have you ever or recently worked in those fields??? Anyhow - OP : Perhaps you are tired and exhausted being pregnant. Once...

  11. Not religious and working in Hospice?

    nutella replied to Dyvinite's topic in General Nursing

    Hospice has spiritual support / chaplains. I have worked in home hospice and nobody ever asked me to pray with them. At times people were praying or having a priest over and so on and I would just...

  12. Hospice or not?

    nutella replied to curious nature's topic in General Nursing

    You need to have some experience to work PRN hospice. That would mean full training and at least somewhat close to fulltime work for a while to get the necessary experience. I wonder why you want to...

  13. Are you jealous of other nurses jobs/abilities?

    nutella replied to purplegal's topic in General Nursing

    I am not sure how other nurse's jobs/abilities translate into them being "much better nurses and people". I think your view is tainted by your ongoing feeling of being a failure because of the first...

  14. Hospice or not?

    nutella replied to curious nature's topic in General Nursing

    Are you thinking about home hospice (which also includes hospice in longterm care and assisted living)? I do not think that volunteering in hospice is a good idea if you are a nurse and are in fact...

  15. 4/16 What I learned this week: POD2 and I want my button back

    nutella replied to ixchel's topic in General Nursing

    Ixchel - I hope you will feel better soon and speedy recovery! Being a patient can be rough - I had major surgery last year (also trust issues) and though I was doing well the second day after surgery...

  16. How can we track when bed alarms are activated??

    nutella replied to Birdy2's topic in General Nursing

    When you do the first round or bedside report, it is your responsibility to check on bed alarms, like you would also check on all iv pumps and such to make sure they are running as ordered ... I am...

  17. Baby Boomers, Gen X'ers, & GenY/Millennials: Can We Work Together?

    nutella replied to Bridgid Joseph's topic in General Nursing

    That reminds me of the lady I met some while ago. Our department needed a informatics specialist to come in person and "do something". So days go by and suddenly a woman appears in our office - turned...

  18. Baby Boomers, Gen X'ers, & GenY/Millennials: Can We Work Together?

    nutella replied to Bridgid Joseph's topic in General Nursing

    When working with nurses from 3 generations I find it helpful to understand what the different generations have in common, which is based on upbringing, changes in society, changed in technology and...

  19. Nurses who can't find jobs- vent..

    nutella replied to GRN005's topic in General Nursing

    The job market in Boston area is very competitive. A lot of BSN nurses and that has become the entry level education for most hospitals in that area or is

  20. Life, death, and dying.

    nutella replied to CardiacDork's topic in General Nursing

    It is unreal what happens in America's hospitals. This is a society that does not want to talk about death and dying. People do not even want to discuss natural aging and all that comes with it. The...

  21. A Newly Defined Type of Constipation: Opioid Induced Constipation

    nutella replied to Brenda F. Johnson's topic in General Nursing

    It has been long known that narcotic pain medication also causes constipation. In fact, I have known patients with terrible diarrhea who got prescribed medication containing a narcotic to help with...

  22. US Citizen moving to Germany for nursing school

    nutella replied to lrwilks's topic in General World

    If you are an US citizen I would advice you against getting a nursing education in Germany. There are differences between the 2 educations and although they also offer BSN programs now, it is not...

  23. pain management in palliative care

    nutella replied to Hockeynursing's topic in General Nursing

    It all comes down to the goals for care. If the goal for care is comfort measures only and the patient has the appropriate code status ordered by the MD (DNR/DNI), pain needs to get relieved. This...

  24. The Sacrificial Nurse Weekend

    nutella replied to Joe V's topic in General Nursing

    The weekend work is not unique to nursing. Other professionals in the hospital and other professions like police, firefighters - even retail - and so on also have to commit to working weekends. Of...

  25. Buyer's Remorse

    nutella replied to Xlorgguss's topic in General Nursing

    Yeah that is how floor nursing works nowadays. Staffing is often borderline and to fill bad gaps staff is floated. There are never enough techs or if you have enough techs you can count on one of them...