nutella

nutella MSN, RN

Member

All Content by nutella

  1. made a mistake...

    nutella replied to Guest02/04/2016's topic in General Nursing

    Peritoneal dialysis can be a beast .... If you can print out the order (if you are on EHR) I would suggest you do that. Take the order to the room and check off on the paper everything so you know...

  2. Forced transfer

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

    I transitioned to floor nursing after critical care/ICU and let me tell you - that is a totally different world ! I am not sure you want to put yourself through that given that you are sort of close...

  3. Successful Orientees Vs Unsuccessful Orientees

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

    I remember you writing about it some while ago. It is definitely about being the right "fit", personality, how you come across, and ability as well. And as commuter pointed out - they do not like...

  4. Forced transfer

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

    I worked at a hospital where floating was the norm and everybody had to float when census was low or "overstaffed". We had float list and floated by turn but there were definitely nurses who had high...

  5. How do you let go after a bad shift?

    nutella replied to NickiLaughs's topic in General Nursing

    Working out or any form of exercise is great to release stress - it brings down the adrenaline level and helps to get rid of excess energy from being somewhat worked up. I go to the fitness club or if...

  6. Who loves their job? Any shout outs?

    nutella replied to KSM-RN's topic in General Nursing

    I love being a nurse - I have worked in many different areas. I am a certified palliative and hospice nurse and love

  7. When the Hospital Fires the Bullet

    nutella replied to Not_A_Hat_Person's topic in Nursing News

    This is a major teaching hospital. I worked at other major hospitals that did not offer that training or support and the result was less ability to cope with behavioral challenging patients. Now I...

  8. help and advice needed

    nutella replied to huey123's topic in General World

    Working in Germany as a nurse requires that the government appointed agency that regulates nursing approves you to work as a nurse. In addition you have to pass a language exam with a high proficiency...

  9. Working in Germany

    nutella replied to leo-germany's topic in General World

    I worked in Germany as a nurse and I work in the US as a nurse. I could work in Germany or the US but currently I prefer to work in the US. In any way, it is not that easy for foreign educated nurses...

  10. Least stressful nursing specialty

    nutella replied to Svkd's topic in General Nursing

    Sure - always depends. But in comparison I make around $ 11 or $ 12 per hour more in my hospital job now. Although I was very interested in psych nursing and interviewed at a great psych hospital I...

  11. Least stressful nursing specialty

    nutella replied to Svkd's topic in General Nursing

    Out of all places I ever interviewed I thought that psychiatric nursing in certain areas is low stress. But of course I have no real clue as I never took a position in psych - the pay is too low......

  12. When the Hospital Fires the Bullet

    nutella replied to Not_A_Hat_Person's topic in Nursing News

    Reality is that not all patient who have behavioral /psych problems can be admitted to a psych facility or psych floor (for a variety of reasons from medically not cleared to no bed, financial..). I...

  13. When the Hospital Fires the Bullet

    nutella replied to Not_A_Hat_Person's topic in Nursing News

    This is a very sad story all around - i listened to it on NPR the other day. Basically, the patient really needed a psych consult, it was even documented that the patient had said to be "manic" and...

  14. The Fifth Vital Sign

    nutella replied to bgxyrnf's topic in General Nursing

    Sickle cell is a terrible illness and can be very disabling, result in severe pain, and death for some. Unfortunately, some of those patient get labeled as "drug seekers" when in fact they fall under...

  15. Will I get hired? ADN + non-nursing bachelor's

    nutella replied to 8130's topic in General Nursing

    A BS in a different area does not equal a BSN and you would not qualify for a BSN position with a ADN. It depends on your area if most employers prefer a BSN or would take you with a

  16. Paracentesis on hospice

    nutella replied to paphgrl's topic in Hospice, Palliative

    The agency I worked for did support it as symptom management measure. The medical director would call the outpat dept of the hospital and schedule the procedure. It does not happen often though as...

  17. Urine & bowel elimination:

    nutella replied to heemotha78's topic in General Students

    It is not so much about "if god allows me" as much as it is just a lot of reading and studying. Nursing school is hard

  18. time management and productivity

    nutella replied to lma_rn's topic in Home Health

    You write that you have been working in home care for years but it just now becomes in issue? Why? Are you a case manager? Self discipline is very important and being super organized. When I worked...

  19. RN's without APRN certifications working in capacity of NP

    nutella replied to WLQRN's topic in General Nursing

    The same is true for home hospice where all patients who are admitted fall under standing orders that are signed upon admission to hospice. If a nurse orders a medication based on standing orders the...

  20. Need help with interview for a Acute dialysis RN job with limited dialysis experience

    nutella replied to jesr24's topic in Dialysis, Renal, Urology

    Low BP/low MAP can of course cause ischemia with chest pain/syncope and so on and forth. I also want to point out that there are thoughts about the blood flow rates and some doctors actually do think...

  21. Tempered water for portable RO?

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

    All the HD machines heat - but the RO does

  22. Tempered water for portable RO?

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

    I remember that I had a problem once when the water was apparently too cold because it made some membrane freeze in the machine and as a result the machine heated up the temp of the lines. When I...

  23. The Fifth Vital Sign

    nutella replied to bgxyrnf's topic in General Nursing

    Part of the dilemma is that patients now also know that if they feel that their pain is severe but they give it a 5/10 instead of let's say 9/10 because their worst imaginable pain is the pain from...

  24. Nurses, do you feel respected by NPs

    nutella replied to Buckeyeqt's topic in General Nursing

    I had one bad experience with a NP in a hospital who did not like me personally. Other than that I work and worked with a lot of NP including in the community or as rounding hospitalists. All of them...

  25. The Fifth Vital Sign

    nutella replied to bgxyrnf's topic in General Nursing

    You make it sounds like every second pat gets rapid response because the nurses push too many drugs lol Perhaps it also depends on the area - in the area I where I work providers are very careful...