nutella

nutella MSN, RN

Member

All Content by nutella

  1. Do you see ethnic tensions at work?

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

    OP - if you have problems related to other professionals from a variety of ethnic background perhaps it would be good to explore your own bias and how you feel about it. I am saying that because the...

  2. 1/30 This week I learned: you suck, EMTALA.

    nutella replied to ixchel's topic in General Nursing

    Ixchel, I am glad to read that your biopsy turned out to be negative - I am sure you must be relieved! I learned that my routine with exercise and "sort of diet" does not give me the results I need....

  3. Frustrated

    nutella replied to bosslady47's topic in General Nursing

    Again - a hospital case manager is a HANDS ON job. Your desk is in the car and you document with a laptop. While you manage a case load and are responsible for "case management" it is not NOT a desk...

  4. Frustrated

    nutella replied to bosslady47's topic in General Nursing

    You are very right! Not to mention the "emergencies" and "pronouncements" that get added ... The title case manager is somewhat misleading as I got the impression that not only the agency I worked for...

  5. Frustrated

    nutella replied to bosslady47's topic in General Nursing

    A hospice Case manager job is hands on and bedside nursing - NOT a desk non direct care position! The title is confusing but it is a position in which a RN manages a caseload but provides direct...

  6. Residency or orientation - difference?

    nutella replied to manager123's topic in General Nursing

    Because "residency" is a term that is not clearly defined in general one must ask specifically what the "residency" entails. I think the common idea is that a new graduate nurse is not only getting...

  7. Cost vs realistic job prospects

    nutella replied to Paticake35's topic in General Nursing

    It is more about the local job market, the kind of degree (ADN versus BSN), and personality/good fit. A lot of big cities are saturated with new graduates plus the entry level degree preferred is the...

  8. Unhappy Speech Pathologist

    nutella replied to SLPrnTobe's topic in General Nursing

    Perhaps your setting is not the right one for you? Have you looked around for a different setting like home care, hospital, LTC ? There is a real difference between kids and what you do now and...

  9. Fever and dying

    nutella replied to honeybee888's topic in General Nursing

    Increased temp naturally occurs at the end of life due to dehydration. Also, sometimes patient have other things going on like infections at end of life that are not being treated anymore. In any way,...

  10. Transfers to GIP

    nutella replied to nursecathi's topic in Hospice, Palliative

    I am not sure why your title says "GIP". Anyways, if you receive pat who are obviously not taken care off you should bring it up. When pat receive comfort and care they do not have to move to a...

  11. Suggestions for a speciality: Community Nursing/Mother-baby???

    nutella replied to Hope888's topic in General Nursing

    You have some more time until you graduate. Nursing is a stressful profession as already pointed out. If you like talking - see if you like psych rotation. Any place that does procedures is like a...

  12. Hospice RNs, what is your typical routine at a facility?

    nutella replied to pizzaanddisney's topic in Hospice, Palliative

    I am working in a hospital right now but this is how I did my work in facilities as hospice CM: Arrive, sign in, find pat unit, talk to nurse, review of chart to look for new orders or other...

  13. Looking for a NCLEX-RN tutor in the New York City area.

    nutella replied to ccal2015's topic in NCLEX Exam, Programs

    Have you done around 5000 practice questions? Saunders and Kaplan are good books with CDs and excellent practice

  14. Meeting with a Compliance Officer

    nutella replied to gemmi999's topic in General Nursing

    Perhaps you got flagged using an electronic health record? Like accessing information about a patient you were not assigned to or even your own if you are also seen

  15. Must we "pay our dues" by working night shift?

    nutella replied to Cola89's topic in General Nursing

    I had to work rotation shifts for years when I worked critical care as a new nurse. There were only few "day shift only" positions around and those were mainly areas like endoscopy and charge nurse -...

  16. Afib: A question of nursing judgment

    nutella replied to crazycat1's topic in General Nursing

    OP - I worked in the community as a nurse. When somebody has chest pain you need to call 911 - chest pain is chest pain. It does not matter that the chest pain was there for a week. (Unless the...

  17. Proud to be an LPN

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

    Your choice of words makes me wonder... Besides that - a LPN is a real nurse but not with the same scope as a RN ... Like an EMT is not a paramedic. You can't blame people for not knowing the details...

  18. TB question

    nutella replied to tiny_dancer's topic in General Nursing

    You can of course get a second opinion. It is not uncommon to run into problems because people do not get the vaccine in the US anymore. I worked as a manager in the past and all the employees who...

  19. What to expect once you get into Nursing?

    nutella replied to Mmarusak's topic in General Nursing

    Honestly - go to a wholesale market and get a bulk of tissues - most new grades cry

  20. TB question

    nutella replied to tiny_dancer's topic in General Nursing

    Ok - because you had the vaccine a skin test will always show positive ! Positive does not necessarily reflect that you have the illness, it could be positive because you had the vaccine. In all...

  21. Want to get a hospice position - need advice

    nutella replied to NursingInChaos's topic in Hospice, Palliative

    If a hospice house hires you - why not. But no matter in which setting you work - you need solid skills, know your meds, in home hospice you have to be really competent. I am a little bit worried that...

  22. Gentiva on-call nursi5

    nutella replied to srleslie's topic in Hospice, Palliative

    I think most companies take advantage of a dedicated on call person and 7 days on like 24/7 is not safe. They probably expect you to take the calls, make visits, admit and so on - better ask in detail...

  23. full time to part time

    nutella replied to coolpeachrn's topic in General Nursing

    It may be the manager's preference. I have worked in positions where the manager would not create part time because staffing would be more difficult. Perhaps the other team members have worked part...

  24. I want to quit nursing.

    nutella replied to Nomad_Nurse1's topic in General Nursing

    There can be a lot of drama in nursing.... You have to grow a somewhat thick skin and learn to ignore what feels "personal" to you. There will always be people who talk about you (good or bad), you...

  25. foot check on diabetic at dialysis clinic

    nutella replied to Healerforlife's topic in General Nursing

    Sure - access is needed - but not in a dialysis