nutella

nutella MSN, RN

Member

All Content by nutella

  1. WILTW 4/9/17: The Seven Stages of Grievance Part IV

    nutella replied to LadyFree28's topic in General Nursing

    So confusing!I think it is great you are so involved -it sounds very complicated ! What I learned is this: A lap band around the stomach can increase the pressure in the esophagus, which may or may...

  2. Need some tips avoid panicking when pt condition declines/need immediate intervention

    nutella replied to mugs's topic in General Nursing

    You might need a more structured approach to "how to" when things are "not ok". Look at some SBAR forms and adopt one that you like and have that handy for communication with the MD - that way you...

  3. How to deal with preceptor

    nutella replied to aloha16's topic in General Nursing

    To be honest - she should not poke you and you should probably just ask her not to do that - but otherwise it might be in your best interests to just follow her lead. During the orientation/preceptor...

  4. Please help, need to go back to work now! Have missed 1.5 months +

    nutella replied to Mustkeepjob32's topic in General Nursing

    1. call your prescriber and make an appointment 2. you might want to consider seeing a MH specialist out of pocket if you can afford it - some have low cost/ sliding scale 3. You need to go to work....

  5. Advice for new inpatient hospice RN

    nutella replied to NursEmmy's topic in Hospice, Palliative

    lol - I am not working today

  6. Palliative Standing Orders

    nutella replied to notanumber's topic in Hospice, Palliative

    There are several things . You write "facility" - are you working in a longterm care facility? I assume that is the case and you are drafting a order sheet that you can fax to the facility medical...

  7. Case Load Home Care

    nutella replied to ocdstacy's topic in Hospice, Palliative

    When I worked home hospice / home palliative care my caseload was at least 18 and often more than 20. The problem are the "additional" visits for pronouncements, crisis, and to cover somebody

  8. Advice for new inpatient hospice RN

    nutella replied to NursEmmy's topic in Hospice, Palliative

    I could not agree more with heron about finding a mentor and agree with everything else. In addition, I want to point out that since you are in a hospital you will have to learn 2 difficult things at...

  9. Hospice Compliance

    nutella replied to ComplianceMgr17's topic in Hospice, Palliative

    So - here is the deal: Hospice agencies/hospice care varies from acute care and even regular home care in many ways. All hospice agencies/hospices are connected to a pharmacy that is usually...

  10. MSN vs MBA vs MHA

    nutella replied to Hoey1823's topic in Post Graduate Students

    Forget about the MHA - I do not want to elaborate but in my opinion will not get you anywhere really - unless you want to become a nursing home administrator perhaps. The big question is if you want...

  11. army wife overseas

    nutella replied to hayleelanford's topic in General Nursing

    To be honest - with this additional information - if it was me I would not go to Korea in that case and ask my spouse to go for one year. In the meantime, I would get a job after graduation and at...

  12. assessmentso that apply to diagnosis

    nutella replied to meonemine's topic in Nursing Student Assistance

    I think your problem is that you do not have a good understanding of what a nursing diagnosis is versus a medical diagnosis. Nurses do not diagnose medical conditions. Nurses "diagnose" based on an...

  13. Visa Screen Application Inquiry

    nutella replied to jarein's topic in Immigration Advice

    There is a handbook on the CGFNS website. Generally speaking, all documents have to come from the official authority and go directly to the CGFNS. If you are a foreign educated nurse, the idea is...

  14. Secondary diagnosis

    nutella replied to BurcuDoner's topic in General Nursing

    They want to make sure you know that you apply to a floor where most likely you will run into challenges that are related to the secondary dx - it requires a special skill set to deal with those...

  15. Communication Discrimination

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

    I have encountered discrimination based on my accent. Sometimes people seem to confuse an accent with "being uneducated" or "incompetent." When I was younger, I encountered it more often from...

  16. When Your Patient is an Addict...How to Deal

    nutella replied to Nurse Beth's topic in General Nursing

    I think that self-awareness, self-reflection and mindfulness are generally good ideas when coping with feeling manipulated, supporting an addiction, and questioning motivation, needs, ad truth. I...

  17. assessmentso that apply to diagnosis

    nutella replied to meonemine's topic in Nursing Student Assistance

    Can you elaborate on what it is that you do not understand and what your thoughts are? Do you have the course book / text

  18. army wife overseas

    nutella replied to hayleelanford's topic in General Nursing

    I am not an army wife and I am not familiar with how difficult it would be to get a civilian job in Korea. I think you would have to ask somebody who is familiar with civilian jobs. I know from Army...

  19. New Nurses

    nutella replied to shay95's topic in First Year After Licensure

    Expect to be "uncomfortable" and to be stressed for the first year. Try to establish comfort with being uncomfortable. Expect chaos as linear decision-making is less and less the case in healthcare...

  20. New Nurse, New Job, Feeling Dumb

    nutella replied to aimee32907's topic in First Year After Licensure

    This is a very well known problem, there is a lot of research going on in the area of nursing education and how to help with transition into clinical practice but also what can be done to help nurses...

  21. If you go to a hospital get ready to YELL

    nutella replied to BSN16's topic in General Nursing

    Yelling helps? not sure about

  22. Nurse opinions on "Birth Rape"

    nutella replied to EKUGRAD's topic in Ob/Gyn

    I do think that some women face violations when giving birth - I am not sure that "rape" is the best term for it. "Rape" is a very powerful word and is associated with more than a specific act - there...

  23. Hospital policies and procedures

    nutella replied to Toadd35's topic in General Nursing

    A temporary dialysis access is commonly understood to be a non-tunneled central catheter - usually a double lumen catheter that is placed in the internal jugular vein ("IJ"). The access can be used...

  24. Staff resistant to change - why?

    nutella replied to Kim2020's topic in Patient, Colleague Relations

    There is a whole "science" called change management dedicated to this topic. It also boarders on leadership in general, healthcare systems and quantum age / quantum leadership, and project management....

  25. Mentor quits meeting

    nutella replied to mcnurse88's topic in General Nursing

    what you do is this - you move on. Something in the mentor - mentee relationship did not work out. When you look for another mentor make sure that you consider a nurse who has enough time to mentor...