nutella

nutella MSN, RN

Member

All Content by nutella

  1. How Do I Change Specialties?

    nutella replied to JunkFoodJunkie's topic in Nursing Career

    Look at your resume critically and see if it is written in a way that sticks out and shows your skills pertaining to ER/ICU nursing. Also, a well written dynamic cover letter is helpful! If you go...

  2. How did you know hospice nursing was right for you?

    nutella replied to purplevega's topic in Hospice, Palliative

    I applied and shadowed. When I shadowed with the home hospice nurse I liked the complexity of hospice and palliative care. The amount of problem solving, teaching, and critical thinking was right up...

  3. Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    nutella replied to stacyRN11's topic in Hospice, Palliative

    While I appreciate your enthusiasm regarding end-of-life education, I think the problem is that her teaching was not well received and ultimately she will find herself with the short straw (so to...

  4. Cerebral atherosclerosis?

    nutella replied to LindaRossmanWilliams's topic in Hospice, Palliative

    very popular is "general atherosclerosis" - when nothing else sticks out - and that is not a particularly good

  5. How Do I Change Specialties?

    nutella replied to JunkFoodJunkie's topic in Nursing Career

    I think it will be difficult to get hired directly into ER or ICU - the pace in hospice or home hospice is very differently (though the documentation part very overwhelming at a lot of places...) plus...

  6. 48 and a new grad...need advice

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

    Age discrimination is real. It is true that orientation/residency is demanding and it is a learning process in which you will have to listen to nurses and charge nurses much younger than you. At that...

  7. What to do??

    nutella replied to maco1's topic in General Nursing

    I really wonder if this is just not the right area for you. What kind of procedures? just line insertion or bronchoscopies? those are all things you get more comfortable as you go along but if you are...

  8. What to do??

    nutella replied to maco1's topic in General Nursing

    I worked in different ICU when I did agency nursing for some years and have seen everything from small non acute ICU to Critical Care with everybody intubated/sedated/vented/ machines hooked up and so...

  9. Article NY Times! Spot on...I think so!!

    nutella replied to NurseLRW's topic in Activism, Healthcare

    Documentation has steadily increased and I agree with the article author that charting in home hospice is more than in many inpatient settings. In a society that is concerned with litigation and pays...

  10. I want to quit ICU after one week.

    nutella replied to Lady4Scrubs's topic in Critical Care

    Critical care is not for everybody. It is a specialty setting like many other specialties that are not a good fit for every person. I have worked in critical care with all patients...

  11. What to do?

    nutella replied to Ruger8mm's topic in Nursing Career

    I bet it does. Your kids will be grown up soon enough but there is only one childhood and it is important to make time for kids and

  12. What to do?

    nutella replied to Ruger8mm's topic in Nursing Career

    Do you want some of my popcorn and a diet coke?

  13. What to do?

    nutella replied to Ruger8mm's topic in Nursing Career

    You know what - it is very valuable to spend time with your kids. My kids are 2 years apart and now 15 and 17. I really cherish the time I spend with them ! It is rewarding to be involved in...

  14. What to do?

    nutella replied to Ruger8mm's topic in Nursing Career

    Hi Ruger, I do not know what you family situation is but I know that when I worked full time and my husband was stay at home dad with my first child it was important to spend time together. Working...

  15. Nursing as a Second Career

    nutella replied to HappyJetting's topic in General Nursing

    In general you go through orientation when you start your career and also each time you switch jobs. In orientation to go with somebody who also checks how you are working, you need to get signed off...

  16. Trend Word Nursing 2015

    nutella posted a topic in General Nursing

    My trend word in nursing for 2015 is care transition. I have noticed that there has been a lot f discussion about are transition in the local hospital, in LTC facilities, and the agency I work for....

  17. Nursing as a Second Career

    nutella replied to HappyJetting's topic in General Nursing

    Did you find it was hard to adapt to a completely different career or was it a seamless transition? I was a paramedic before and it was a difficult transition at times from going to an independent...

  18. Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    nutella replied to stacyRN11's topic in Hospice, Palliative

    While it is good to talk to the hospice manager about educational needs of the facility I need to say that going past that can potentially lead to end of employment. The magic word is "collaboration"...

  19. Advice with a difficult pt!!!

    nutella replied to tinytrexarms's topic in Geriatric, LTC

    in the area where I work - unless the patient is DNR/DNI/DNH they will get send out from long term care to the hospital for a work up for mental state changes. Check with your facility MD and...

  20. Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    nutella replied to stacyRN11's topic in Hospice, Palliative

    Some nurses have strong feelings about this topic and sometimes a patient needs to be re-assigned to a different

  21. Vent: dealing with nursing home nurses who refuse to provide comfort medication to patient

    nutella replied to stacyRN11's topic in Hospice, Palliative

    Yes, this happens sometimes in facilities because a PRN order obviously can be interpreted differently. Whenever I feel that a patient needs around the clock medication to be comfortable I discuss it...

  22. How to gain more confidence.

    nutella replied to nlw1997's topic in General Nursing

    Perhaps it is more a habit as opposed to a real need. After working as a LPN for some while it may be still somewhat of your default mode to get reassurance. As a RN with more than a year in...

  23. New MSN graduate

    nutella replied to stacyRN11's topic in General Nursing

    They will not pay you more if they can help it .... But your MSN will open other possibilities for you. With your experience you could apply for positions that will pay you more, perhaps become an...

  24. Would you choose nursing again or another health profession?

    nutella replied to Abbr's topic in Nursing Career

    I love being a nurse. I was a paramedic before I went to nursing school and never regretted it in my 20 years as a nurse. But I have not sat on one job forever. For once I moved several times with my...

  25. Overwhelmed at work :(

    nutella replied to nursecatRN's topic in General Nursing

    Regarding HR: they are not always helpful and it can backfire. My coworker complained about work conditions and unacceptable behavior from super. She was hopeful that HR would address some of it or...