nutella

nutella MSN, RN

Member

All Content by nutella

  1. The Fifth Vital Sign

    nutella replied to bgxyrnf's topic in General Nursing

    Very bold comment, basically yelling your opinion out into the world... I do not think labeling pain assessment as a VS was intended to draw some attention to the fact that pain is often under treated...

  2. Advice?

    nutella replied to maco1's topic in General Nursing

    It is hard to say how this will play out in reality. I guess you will show up and do the admission stuff, perhaps even give the first meds and hand off the patient. Discharging is somewhat easier I...

  3. Male Nurses in OB

    nutella replied to belin5's topic in General Nursing

    LOL - no, was not creepy at all --- after all I had spend 45 minutes in the cab with that guy having some labor stuff going on.. Perhaps it sounds creepy but he was really a very nice sweet

  4. Advice?

    nutella replied to maco1's topic in General Nursing

    Yes - always at work... I have worked 12 h shifts but also 5 times 8 and the time matters as well. When I worked 3 pm to midnight I did not feel I was constantly working. When I started to work 9-5:30...

  5. Does it really matter?

    nutella replied to __patiently_waiting's topic in General Nursing

    I do not think that it matters at all. You can apply online at any

  6. Male Nurses in OB

    nutella replied to belin5's topic in General Nursing

    That reminds me that my very own husband did not do well with birth and emergency c-section. The second time I did not even take him ... But I had a male cab driver who drove me to the high risk...

  7. Male Nurses in OB

    nutella replied to belin5's topic in General Nursing

    Personally, I had male gyn and ob physicians and good experiences. The bad experience I had was with a female OB after delivery - so there you go - gender does not always equal best care. I think male...

  8. When you're done. Just done.

    nutella replied to gemmi999's topic in General Nursing

    I totally agree with the advocating piece. Unfortunately, a new graduate has to be careful about how and when they advocate in a "strong" way because that can be interpreted in a negative way....

  9. BSN degree. What is the best certification to get once you have obtained a BSN degree?

    nutella replied to jsaupitty's topic in General Nursing

    The way it usually works is that you pick your job and once you have worked there for a while see how and if you can get specialty certified. I am a certified hospice and palliative nurse. In...

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

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

    no - never did photopheresis. Acutes - the training should be probably weeks because you have to learn how to dialyze somebody who is brittle /unstable, learn the technology of the critical care - I...

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

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

    If it is inpatient it is all "acute dialysis" though not all pat are new starts. A lot of them are usually pat who have been on HD, got admitted to the hospital and need HD while there. But of course...

  12. Cardiac Observation Unit-a step down unit?

    nutella replied to minmin11's topic in Cardiac

    I wonder if it is observation because there will be pat after cardiac cath procedures / perhaps pacemaker implants and so on and forth as well - and if they are not filled up with that they take "all...

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

    nutella replied to WLQRN's topic in General Nursing

    Thank you for explaining ! Do you work inpatient setting? I am curious because I am also a rounding nurse

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

    nutella replied to WLQRN's topic in General Nursing

    Roser, I am interested in your experience. Is your role like a care coordinator role so to speak? Meaning that you assess the patient and use the established protocol

  15. End stage glioblastoma

    nutella replied to Horseshoe's topic in Hospice, Palliative

    I want to provide some other insight. At the end of life breathing changes and becomes irregular. Breathing can start to become less with some gasping in between. Breathing can stop for seconds and...

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

    nutella replied to WLQRN's topic in General Nursing

    Can you elaborate on this a little bit

  17. When you're done. Just done.

    nutella replied to gemmi999's topic in General Nursing

    You are most likely overstepping. The charge nurse is responsible for flow and coordination and such. As somebody else mentioned, there may be things going on that you do not know. The charge looks...

  18. marriage and nursing school

    nutella replied to futurepsychrn's topic in General Nursing

    I do not think that it is nursing school per se that is the reason for the marriage going south. I am sorry you have this added stress. There are many reasons why a couple does not get along anymore....

  19. Resilience Training

    nutella replied to PeruRN's topic in General Nursing

    Thanks for your reply ! To be honest - I think while it is great to support nurses deal with the high stress jobs it is more important to address organizational problems. If the majority of a...

  20. It's just a ******* straight cath!!!

    nutella replied to %D#2's topic in General Nursing

    In my area they send residents from AL out to the ER all the time to get evaluated for "altered mental status" or "fever" when the patient does not have a PCP who is doing home visits or has a NP who...

  21. Resilience Training

    nutella replied to PeruRN's topic in General Nursing

    I have not encountered specifically resilience training for nurses. I wonder what your thoughts are on this - why do you think nurses would benefit from this kind of training? What would that...

  22. Should I quit?

    nutella replied to whydoidothisrn's topic in General Nursing

    If it is a valid dx (bipolar) you might want to connect with a specialist for that. That illness can also cause underlying anxiety if not under control - a mental health specialist who is well versed...

  23. Nursing agency opportunity

    nutella replied to bonchristy's topic in General Nursing

    nope - that is also wrong. In fact - community care is very different from facility care in many aspects. True enough - the actual task may be the same (like inserting a foley or such) but otherwise...

  24. Nursing agency opportunity

    nutella replied to bonchristy's topic in General Nursing

    Lighter work? Nope. Different pace and 1:1 but huge amount of regulations and documentation, driving, lots of phone conversations with

  25. Transitioning to MICU, any advice?

    nutella replied to onconewgrad's topic in MICU, SICU

    Brush up on meds/drips. Get a small notebook you can fit into your pocket and that you have handy to take notes. That way you can write down important things in the beginning ... also always shows you...