nutella

nutella MSN, RN

Member

All Content by nutella

  1. Failed state survey, RN license at risk?

    I have done surveys in different areas in my life as a nurse and let me tell you that you that there is usually a closing conference at the end of the survey (I had those with JACO as well as DPH) in...
  2. BSN Grad - Venting, Frustrated with Job Search

    At this point you really need to find something - a license since 2014 with no experience will it make harder to market you. If you are limited to the state of NY do not exclude other options like...
  3. Be non-judgemental, look for somebody who would be a good mentor after your get oriented by a preceptor, show interest while you are in orientation, be on time to get report and
  4. Home hospice or working in a hospice house is not like CMO in the hospital... just saying because in home hospice you will get more serious about symptom management. The "bible" for hospice and...
  5. Student nurses with disabilities

    You need to have good critical thinking skills as well as memorize lots of fact in order to be able to function as a nurse. And not only that - you need to be able to practice safely. Nursing most...
  6. I would not recommend any automatic BP machine - not accurate enough. Your agency will supply you with BP cuff and O2 sat. I also got single use thermometers. Some families would buy an electronic one...
  7. ED to Hospice

    It depends on your agency and workload. If you case manage you have a bit flexibility but not as much as a per diem hospice nurse without a case load who just does visits. As an admission hospice...
  8. As far as I understand "deaf" is ok. Also, I refer to ASL as the "first language" or "native language" when this is the case to indicate that it really is like a foreign language in many ways. Things...
  9. The term "hearing-impaired" is not well accepted anymore within the deaf community. Reason being is that this description focuses on what a person cannot do - also, not everybody who is deaf thinks...
  10. Haldol, Pneumonia, PD

    There is a reason why you need to be a APRN or MD to prescribe medications... In any way, I have seen plenty of patients with PD who are on a antipsychotic. In many cases it is seroquel because of the...
  11. How do you study medications?

    Try index cards The way you write down facts and also have them to quiz yourself or have somebody quiz
  12. made MD angry, and resources on unit

    One general thing I want to throw out that most hospitals (small and large) nowadays have a rapid response team. Some hospitals have mandatory parameters that force the nurse into calling a rapid...
  13. Haldol, Pneumonia, PD

    There are a lot of meds that "should" be avoided but are prescribed because the benefits outweigh the
  14. can't decide between 2 job offers

    To be honest - commuting would be a pain with 1.5 h each way - I have done that and it is not good. Think about the time and money you will spend on commuting. Plus what if you have to work nights -...
  15. Want To Leave Bedside Nursing

    Was the best decision I made as a new graduate. I worked on that unit in clinicals towards the end of nursing school. They liked me and took me right after graduation. It is hard to get into critical...
  16. Confused!

    Of course you can question the eval or go to HR - chances are that this will not effect your review. If the evaluation comes from the nurses you work with/under it is their way of telling you that you...
  17. Confused!

    I work in a multicultural environment and have worked with many different nationalities. In many places "diversity" is the norm already. The key is to make an effort of fitting in no matter where you...
  18. Want To Leave Bedside Nursing

    I hear you on that one. Fact is that there are a lot of RN tasks to accomplish on a typical floor and not having enough CNA adds CNA tasks onto your list because you are seen as responsible for every...
  19. I let one slip past me

    I think you are too hard on yourself. When you are a nurse as opposed to a DV volunteer, your focus and radar is not set on "DV" so to speak. Looking back there were signs but it sounds like nobody...
  20. Bipap

    I am a hospice and palliative care nurse and work in a hospital. So when somebody is on bipap/cpap/high flow oxygen and the goals for care change to comfort (CMO) we usually discuss with the patient...
  21. Looking for advice. Feeling angry

    To be honest - you describe a situation that happens in a very different culture and context. It seems acceptable (and the norm) that foreign nurses do not speak the language that is the native...
  22. ED to Hospice

    To be honest : You should work fulltime in hospice for some while to learn the business. There is a lot to learn and it can be a steep learning curve. It might not look like it but let me tell you -...
  23. My feet are KILLING me!!!

    Why are they killing you? General foot pain - sneakers can help a lot plus there are insoles in pharmacies. I had heel - under foot pain - plantar fasciitis - super painful. Nothing they recommend...
  24. Nurse residency programs--be aware!!

    OP - good for you for leaving. There has been ongoing critique regarding that program because of pay structure and other things. In any way - I left a position at that place because the way nurses...
  25. When a child dresses up...

    True enough - though I doubt that the kids in my community who come to attend the Purim Carnival festivities would be eager to learn about nurses.... I think "princess" is still higher on that "wish...