nutella

nutella MSN, RN

Member

All Content by nutella

  1. What type of job to have while doing MSN/MBA

    nutella replied to sam_25's topic in General Nursing

    When I started my MSN program I went to part time for a year because I needed more time for school. After one year I went back to full time because I need to work at least 30 hours/week in terms of...

  2. Accepted a new position in ICU and possibly changing my mind. Help?

    nutella replied to michigan94's topic in General Nursing

    Going out of one's comfort zone can create some anxiety about the unknown, the ability to integrate into a team, ability to perform good work.... If you have not had an opportunity to shadow it can be...

  3. M9bile phone use in home hospice

    nutella replied to 4boysmama's topic in Hospice, Palliative

    In my agency we used our own cell phone and got a monthly reimbursement. However, that lead to problems at times and I blocked my phone number 100%. The agency would tell people to accept blocked...

  4. M9bile phone use in home hospice

    nutella replied to 4boysmama's topic in Hospice, Palliative

    In my agency we used our own cell phone and got a monthly reimbursement. However, that lead to problems at times and I blocked my phone number 100%. The agency would tell people to accept blocked...

  5. Failed CHPN practice test!

    nutella replied to pnhopeful's topic in Hospice, Palliative

    Hi, I was sitting for the CHPN today and passed. Hopefully you passed as well. I had gotten the core curriculum and the practice book, I did the practice test and also one more book with practice...

  6. Home health care?

    nutella replied to LPNtoRNin2016OH's topic in Home Health

    No, I have never been concerned about my safety - but I am also already middle age and did martial arts for years ...... My agency provides some education on safety and situational awareness. In...

  7. Foley cath as g tube?

    nutella replied to organicnurse24's topic in General Nursing

    The above referenced article is old... Anyhow, in my area it is common to use a foley as a g-tube for patients who are on tube feeds on a long-term basis. Patients who get a g-tube as a temporary...

  8. Home health care?

    nutella replied to LPNtoRNin2016OH's topic in Home Health

    Home care is not for everybody - a lot of nurses do not realize until they actually get a job and come off orientation. As a LPN you won't be a case manager with a case load, which will make it...

  9. Was my "initial" reaction wrong?

    nutella replied to Kitty Hawk's topic in Hospice, Palliative

    I am sorry that you are so stressed out! The hospice scene is changing and I guess everybody is feeling the pressure. The fact is that no administration really wants to deal with complaining employees...

  10. New to Home Health

    nutella replied to annieboo444's topic in Home Health

    For long driving I have audiobooks but I also really like podcasts - there are so many hundreds for free to download to a smart phone. Just make sure you get a car charger. I use my phone a lot on the...

  11. Most common meds in Hospice/Palliative care?

    nutella replied to shellebelle212's topic in Hospice, Palliative

    It really depends on what your role would be. Working as a LVN in hospice limits your role and I do not think you would case management. Also, the hospice program sometimes includes palliative care,...

  12. Case Load and Productivity

    nutella posted a topic in Hospice, Palliative

    In my agency we do hospice an palliative together. This is of course pro and cons. Sometimes the case load gets unbalanced and it is hard to schedule everybody. Productivity is 5 visits a day and case...

  13. New Grad: Acute care or Home health?

    nutella replied to nursebabyxoxo's topic in General Nursing

    I think you can be successful as a community nurse if the VNA has a real new graduate program with a mentor who follows you for a while after orientation. It is a totally different working and...

  14. New nurse anxiety

    nutella replied to Jds1329's topic in General Nursing

    I am sorry that you feel so stressed all the time. The first year as a new nurse is probably the most stressful time as a new nurse. There is so much to adjust to and expectations are high while at...

  15. Burnt out and just getting started

    nutella replied to danarooo's topic in Home Health

    I think one of the problems is that pat often do not get D/C until afternoon. By the time they come home they are tired and often have "stuff" to do next morning. If any possible call the pat you...

  16. How do we do what we do?

    nutella replied to nursecathi's topic in Hospice, Palliative

    Personally, I usually say that working in palliative and hospice comes naturally to me. It does not affect me in any bad way, death and dying in a natural process of living - just on the other...

  17. is hospice nurse and hospice case manager same thing?

    nutella replied to rearviewmirror's topic in Hospice, Palliative

    Rearviewmirror, I hope that you will enjoy your new position. Hospice nursing is community based and you will be out and about probably at least 75% of your time seeing patients at home, nursing home,...

  18. Acute care to home health. Stories welcome!

    nutella replied to anh06005's topic in Home Health

    Do not be fooled. Working in home care is also hard work. Even more so, it is not easy to get all work done without unpaid overtime because it takes some while until nurses are so skilled in time...

  19. Hospice bootcamp - Is there such a thing?

    nutella replied to Raviepoo's topic in Hospice, Palliative

    I do not have an idea for a boot camp but want to encourage you to find a mentor. Somebody who is trustworthy and who you can call at any time for advice. There will be situations you are at the pat...

  20. What should I have done differently?

    nutella replied to B-RN-ISEE's topic in Hospice, Palliative

    When you step into a facility as a hospice nurse (nursing home or hospital), you are also "intruding". Not all facility nurses are welcoming, some are convinced that hospice nurses are spying on their...

  21. The Patient's "Guests"

    nutella replied to rnsheri's topic in Nursing Humor

    What appears logical and perhaps a "no brainer" to us nurses does not necessarily mean the same to visitors/family/friends. While there are things that are annoying to a nurse on one level or another,...

  22. Torn between the two

    nutella replied to nursemoma35's topic in Hospice, Palliative

    Congrats for the job offers! There are a couple of things to think about. First of all you are pregnant. This is a huge factor because you do not know yet how well you will be feeling, how many...

  23. I want to return to home care but not sure. Have a queston.

    nutella replied to Steve123's topic in Home Health

    I think it depends on the program and how fast you can type. My visits are at least 30 minutes long and I start the charting in the house - vitalsigns and check off the boxes for the routine visit...

  24. Is home health nursing considered safe? A little nervous....

    nutella replied to x28y31's topic in Home Health

    I feel that it is safe to provide home care. Having said that of course there are areas or perhaps families where you feel something is "off" or a situation escalates. Those are the rules I go by: -...

  25. Just got fired from my first real job as an lpn and need some advice

    nutella replied to Crystal-Wings's topic in Nurse Disabilities

    Home care is now high tech with high acuity and it is best to have some experience before going into home care, I do not think it is a good setting for a new grad because you are on your own after...