nutella

nutella MSN, RN

Member

All Content by nutella

  1. Acute Care vs Hospice

    nutella replied to gemmi999's topic in General Nursing

    I worked in acute care and home hospice CM - I am in graduate school for my MSN. It is easier to be in school when you do not work 5 days a week. Think about clinicals and home work. I do work 8-4:30...

  2. Bed Baths

    nutella replied to Yadisanchez's topic in General Nursing

    You write you work in hospice - my suggestion is to ensure that your patient is medicated sufficiently before you bath or reposition. The hospice RN should leave instructions or you call and ask if...

  3. SICU or Cardiac stepdown- New Grad

    nutella replied to squeetleb34's topic in Critical Care

    I have worked ICU as a new grad and did not find it to be a problem. In fact, it is probably better as opposed to step down. Step down is much more work and less support. In SICU you would have more...

  4. Choosing a Specialty

    nutella replied to purplegal's topic in General Nursing

    I think a lot is trial and error when you are a new nurse. If your problem is multitasking, pace, or perhaps your critical thinking skills are not as trained (yet) a less acute setting may be better....

  5. Culture considerations- pacemaker

    nutella replied to rbanning33's topic in General Nursing

    Considerations for Jewish patients: 1. Always ask about their specific needs - we are not "all the same" . There are different "denominations" plus level of observance varies. 2. Differences between...

  6. Dealing with a burnt out seasoned nurse

    nutella replied to Mkl92's topic in General Nursing

    20 years in the job is an accomplishment ... To be honest - it is prob best to be accepting and to let her be charge when she is there. There is not way she will give it up and run around for hours...

  7. Happy RN jobs

    nutella replied to NightNerd's topic in General Nursing

    I am a certified palliative and hospice nurse, worked in hospice and now palliative care. It is definitely an area that is gratifying with a lot of room for professional and personal growth - I would...

  8. Solutions for Drinks at Nursing Station?

    nutella replied to ImNicoEh's topic in General Nursing

    one hospital I worked it was especially strict about the no food and no drink rule. So people would just hide their drinks in the cabinet above the printer. In any way, one day management came around...

  9. New nurse working 50/50, not going well

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

    Yes - this podcast is amazing ! I have used it as

  10. New nurse working 50/50, not going well

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

    Oh yeah and there are also some apps that can help with sleep - I use them at times - if you google "Andrew Johnson" or look at the itune store - he has some basic apps that are for

  11. New nurse working 50/50, not going well

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

    Funny enough - ambien does nothing for me but benadryl helps with sleep induction... Also, if you think you could have sleep apnea you should see a specialist for

  12. New nurse working 50/50, not going well

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

    I worked rotation shift as a new grad in ICU. I did best with working night, go to bed at like 9 am - sleep until at least 4 pm. I did use black out curtains, a sleeping mask, ear plugs, air condition...

  13. New nurse working 50/50, not going well

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

    Have you tried

  14. Help with patient labs!!!! -Tube Feeding

    nutella replied to lyndsay5530's topic in Nursing Student Assistance

    Looking at the labs - kidney labs are not ok (also K high perhaps due to that) and the high Hkt /Hgb indicate the blood is somewhat "thick" - perhaps part of it from dehydration but perhaps there is...

  15. Leave Acute Care for Hospice?

    nutella replied to gemmi999's topic in Hospice, Palliative

    1) Should I stick it out for 1 year in my current position, even though I'm not super happy with it? I already stopped doing overtime... In general, you need a good skill set and some experience to...

  16. What can I do with my license?

    nutella replied to rninkentucky's topic in General Nursing

    Perhaps check out the travel nursing forum - with some experience in critical care it may be an option for you to travel if you would like to see different cities/places. Not everybody likes to...

  17. Having second thoughts..

    nutella replied to MBarger's topic in General Nursing

    Perhaps you want to look into home care - there are positions where you take care of just one person but the whole shift, but there are also the usual home care jobs where you make several visits a...

  18. Coverage for incontinence supplies

    nutella replied to Race Mom's topic in Hospice, Palliative

    If the payer is Medicare (medicare hospice benefit) it is my experience that hospice pays for those supplies - sometimes they have some packages at the office but often it needs to get order and sent...

  19. LTC admissions

    nutella replied to ktwlpn's topic in Hospice, Palliative

    For me, it depended. I usually would call the LTC after a referral and talk to the primary nurse to find out the reason. If possible I would do same day evals, if it was coming in late afternoon ,...

  20. Death bed visions

    nutella replied to legend0710's topic in General Nursing

    In my experience, it is not unusual that patients who are in the dying process or "closer" to the end of life will see already departed relatives or other loved one. At times, they also speak to them....

  21. New Grad RN.... work options that do not involve a hospital

    nutella replied to new.grad.rn's topic in First Year After Licensure

    Like working in doctor's offices. It can be stressful if it is a triage job... Downside is that they do not pay as

  22. Foreign Nurse to MA HEEELP!

    nutella replied to lopezgRN's topic in International Nursing

    If your nursing education happened outside of the US you have to go through the full CGFNS process. I am somewhat confused that you are applying for a license in MA without the CGFNS paperwork. It is...

  23. New Grad RN.... work options that do not involve a hospital

    nutella replied to new.grad.rn's topic in First Year After Licensure

    To be honest - new graduates are not successful in hospice and most likely also not in home health unless the agency has a special new graduate program in home care. Hospice - especially home hospice...

  24. 2/20: what I learned this week: people do not understand TB

    nutella replied to ixchel's topic in General Nursing

    Sorry Ixchel, sounds like you had a rough week! I am not sure it is of some consolation but I have taken care of patients who turned out to be "tb positive" - of course taken care of them without N95...

  25. Less judgment more, construction. Don't tell me I cannot, tell me how to, and this is why.

    nutella replied to honeyforasalteyfish's topic in General Nursing

    I think you are still in a phase were your "new focus in life" has not become your new norm and you are still processing a lot form the past (including illness, regret and so on and forth). You need...