nutella

nutella MSN, RN

Member

All Content by nutella

  1. foot check on diabetic at dialysis clinic

    nutella replied to Healerforlife's topic in General Nursing

    Come on - what do you mean??? You can not just make it happen?? lol There is a lot of misconception out there regarding dialysis

  2. foot check on diabetic at dialysis clinic

    nutella replied to Healerforlife's topic in General Nursing

    Not necessarily - Medicare does not kick in right

  3. foot check on diabetic at dialysis clinic

    nutella replied to Healerforlife's topic in General Nursing

    Well - you can not clip nails and file nails in an area that needs to be clean - after all you access catheter/central line or fistula. Also, there is no time for somebody to do foot care.... The...

  4. Hospice LPNs?

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

    The agency I worked with did not employ LPN as case managers because of scope of practice but they do have LPN -re-visit stable hospice patients or go out to do "tasks" like wound dressings, change...

  5. Hemodialysis

    nutella replied to ChristinejayRN's topic in General Nursing

    Are you talking chronic or acute dialysis? Chronic dialysis in a center starts super early and some places do offer nocturnal programs - meaning overnight dialysis. Usually you get hired specifically...

  6. Is there a slower paced floor to work at in the hospital?

    nutella replied to *Butterfly8*'s topic in Medical-Surgical

    I interviewed at a large psych hospital some while ago and while the pace seemed decent enough - the pay was horrible - so no

  7. Late for work excuses

    nutella replied to Brian's topic in General Nursing

    I took a call out from a coworker who said "my toilet does not stop to overflow" - apparently some kind of plumbing

  8. foot check on diabetic at dialysis clinic

    nutella replied to Healerforlife's topic in General Nursing

    Foot checks for are required for dialysis patients and part of the "package" when they are diabetic. It is a mandatory

  9. Compliance

    nutella replied to michaelhansonRN's topic in Nursing Professionalism

    Like always - the devil is in the detail! Home care is only for home bound patients (unless it is home hospice, in which case home bound does not matter). In addition, home care nurses have a certain...

  10. How does prn home health nursing work?

    nutella replied to HumbleRN35's topic in Home Health

    Usually people get trained. You do not get a caseload unless you are at least a certain amount of hours part time or fulltime. The PRN nurses usually see patients that can't be seen by their case...

  11. Hating this new job. Good opportunity vs quality of life vs

    nutella replied to RNTEE's topic in General Nursing

    You know what - I am only a few years younger but quit med/surg bedside nursing in a busy teaching hospital years ago. And I would not go back to that anymore - I am too old for drama, 12 hour shifts,...

  12. Compliance

    nutella replied to michaelhansonRN's topic in Nursing Professionalism

    You make good points and touch several challenging situations. Personally, I do not use the word "compliant" , I use the word "adherence" because the word compliance has a negative connotation and...

  13. Hating this new job. Good opportunity vs quality of life vs

    nutella replied to RNTEE's topic in General Nursing

    Not easy ... perhaps you will be able to turn everything totally around but somehow I feel that acute care is not a good fit. They prob picked up on your anxiety and perhaps that makes you unorganized...

  14. LPN Transitioning Into Healthcare Administration

    nutella replied to angied234's topic in General Nursing

    How would that work?? You would not be able to clinically supervise RN. Non clinical positions with a degree perhaps but I think it would be a stretch. I have worked with a facilitative admin who had...

  15. How is it fair to put PRN nurses on call?

    nutella replied to sarabear44's topic in General Nursing

    Working PRN is with the understanding that you have no responsibility to work besides whatever the minimum is that you agreed on. It gives you all the flexibility and you can just say "no" - but of...

  16. 1/23: What I learned this week: Long, long week. But the bagel was tasty.

    nutella replied to ixchel's topic in General Nursing

    Ixchel - I hope and wish for good results from your biopsy! Here is what I learned: No M'am - just because palliative care is concerned with end of life care in general and sometimes in detail, does...

  17. Do Nurses Earn Big Money? You Decide.

    nutella replied to TheCommuter's topic in General Nursing

    You got that

  18. Do Nurses Earn Big Money? You Decide.

    nutella replied to TheCommuter's topic in General Nursing

    Yes - welcome to the "middle" of society where you do not qualify for any support and have to pay for all your expenses without the cushion. True, I have health insurance for example - but I also have...

  19. tips for a new hospice nurse

    nutella replied to amys4304's topic in Hospice, Palliative

    Get organized from day 1 - if you are not organized you will have problems getting your work done within your paid work time especially if you are case managing home hospice. Get at least one 2 inch...

  20. Decided to respect my mental health!

    nutella replied to priyaremi's topic in General Nursing

    There is nothing wrong with picking a position and job that you feel will be right for you!! Congratulations to your job! I worked in the community and did not regret it. I can compare both settings...

  21. What are the teaching needs for this patient?

    nutella replied to ital91's topic in General Students

    The usual : knowledge deficit - related to illness, surgery, pain - teaching pain medication, constipation - especially with all narcotic pain medication, wound care, regular ambulation to prevent...

  22. Correctional Nursing vs Dialysis Chronic

    nutella replied to ProtomanEXE's topic in General Nursing

    I do not know about jail nursing but I can tell you that chronic dialysis is stressful. While the techs relax pretty much after the pat are on the machine and running and only pull it VS and machine...

  23. Nursing in Boston

    nutella replied to Heartaflutter's topic in Massachusetts Nursing

    Parking is an issue. Having said that - all the hospitals usually email and inform staff of special arrangements in case there is a snow storm, other dangerously bad weather, or major events in the...

  24. Nurses with self harm scars

    nutella replied to Em31200's topic in General Nursing

    Besides working on better coping mechanism and being self-aware you can do a couple of things to avoid being judged. If you are allowed to wear 3/4 or long sleeves under your scrub I recommend you do...

  25. one year of nicu experience and landed an important nterview... WHAT DO I DO??

    nutella replied to Kcv19's topic in General Nursing

    It depends. The latest trend seem to be peer interviews, meaning that you go to HR first usually for a small talk, after that meet with the manager and after that with a couple of nurses from the unit...