nutella

nutella MSN, RN

Member

All Content by nutella

  1. Death came to visit

    nutella replied to madwife2002's topic in General Nursing

    I am sorry to hear that you had a difficult time despite knowing what your mom wanted. You bring up an important issue in end-of-life care. The cornerstone of ethics in the United States is autonomy...

  2. PMHNP and Psychologist?

    nutella replied to jwolansk's topic in General Nursing

    Are you in high school? The foundation for both is different. Psychologists study psychology and it seems that successful psychologists who have a good job / career have a doctor's degree. They are...

  3. Advice needed on On-Call Hospice Nurse

    nutella replied to MissFNP's topic in Hospice, Palliative

    On call hospice position usually requires significant experience in symptom management, secure clinical decision making, and solid skills. I hope that you are an experienced hospice nurse because home...

  4. Death came to visit

    nutella replied to madwife2002's topic in General Nursing

    I think you make a great point when you point out that advanced directives are an important matter to ensure that there is somewhat control over one's care. I also agree that we need to establish a...

  5. 11/19: Handle the Harvest Moon with Care

    nutella replied to LadyFree28's topic in General Nursing

    This week I have been looking more into end-of-life (EOL) problems in advanced heart failure / end stage heart failure and the dilemma we are facing as those patients approach a stage where all common...

  6. New ER RN- Normal to feel this way?

    nutella replied to nursebabyxoxo's topic in Emergency

    I think what you experience is "normal" nowadays. Even though you are not a new grad - you are a new nurse in the ER and it is a steep learning curve. Try to cruise with the flow. Be respectful to...

  7. Need Help with PHARM ATI!

    nutella replied to MsCici83's topic in General Nursing

    I have no real idea about the ATI but generally speaking I found it helpful to do some practice tests to understand the testing format and content. It does not replace memorizing and understanding...

  8. What do you keep in your locker/make sure to take to work with you?

    nutella replied to Dianna11's topic in General Nursing

    No kidding - this is one of the most useful item to have in my drawer at work or in my bag : Target : Expect More. Pay Less. Others have mentioned the usual stuff like toothbrush, hair things and such...

  9. I need help deciding what nursing school to attend

    nutella replied to Sara19's topic in Pre-Nursing Students

    Do you have a Bachelors degree in a different field? Because usually it takes more than 15 months... If it is an accelerated program, it means a high workload / challenging course work and I think in...

  10. Will volunteering help with finding a job as new grad?

    nutella replied to Neywel120's topic in General Nursing

    I doubt that volunteering will get you a job at the local hospital. Nowadays, the job market is very competitive in many areas and new nurses still desire their first job in the holy grail of acute...

  11. How much "crap" do you take from people at work?

    nutella replied to addieoliveira's topic in General Nursing

    I would not say I am dealing with "crap" per se - perhaps that is a result of my position but probably also a result of being experienced. Age and nursing experience definitely plays a role because...

  12. Did you choose nursing because it was your "calling"?

    nutella replied to Corgilicious's topic in General Students

    Hm - I do not know who called me or how they got my number..... I decided for nursing because I thought it would be a good fit with my previous experience as a paramedic and I like science but also...

  13. Hospice better than home health?

    nutella replied to Jessann5's topic in Hospice, Palliative

    Perhaps review some of the posts that already exist especially about how to choose an agency or what to consider - I have written about that before here in this forum. Generally speaking, home...

  14. Too Many Chefs? When Teamwork Becomes Chaos

    nutella replied to Gizmopup1's topic in Hospice, Palliative

    I have a different perspective on this. You are writing about home care and not specifically hospice - I assume your agency provides both services? Because healthcare has become so complicated...

  15. Why Can't She Stay Here? Getting Kicked Out of Inpatient Hospice

    nutella replied to jeastridge's topic in Hospice, Palliative

    Hi Joy, yes they can be stressed out. But - hardly ever does it come as a surprise when the patient is approaching end of life. In most cases, there has been illness that has been progressing, higher...

  16. Rate Your Pain

    nutella replied to Joe V's topic in General Nursing

    The most common pain scales I use are the numeric pain scale, the wong-baker (faces) scale, the flacc scale, and some qualitative scale. I find that pain scales should not be used alone to assess and...

  17. I used to want to be a doctor

    nutella replied to RiRi4life's topic in General Nursing

    When I decided to go to nursing school, I was a paramedic and worked in that job full-time. I got a lot of discouraging comments because nursing is not seen as a desirable profession where I grew up....

  18. What will it take to get a job as a new LPN?

    nutella replied to whatwasithinking75's topic in LPN, LVN Corner

    My suggestion is to have somebody else look at your resume to make sure that it is free of writing errors and fits the usual format. Also, make sure you have the right references. Don't expect a long...

  19. Thankful To Be A Nurse On Thanksgiving

    nutella replied to TheCommuter's topic in Nurses Rock

    I am thankful for the fact that I was able to create a life for myself that is rewarding and meaningful although I grew up in circumstances commonly seen as "bad." It included running away age 16...

  20. Why Can't She Stay Here? Getting Kicked Out of Inpatient Hospice

    nutella replied to jeastridge's topic in Hospice, Palliative

    As a palliative nurse in the hospital setting, I deal with the emotional and other fall-out of a terminal illness constantly. I also worked in the community. I could probably write a book about this...

  21. Question for Hospice Nurses

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

    Hi - I am glad that you found it helpful! I want to point out that end-of-life care is difficult in the acute care setting. There are studies and reports that go into detail about it. The main reason...

  22. Vent pt with increased TV cause of increased PIP?

    nutella replied to melissarai's topic in General Nursing

    Perhaps this page can help you out in understanding some basics: Nurse Nightingale: Ventilators Explained Extremely Easy and check out this presentation as well:...

  23. I think I made a med error with an antibiotic and didn't realize??

    nutella replied to jeddyl's topic in General Nursing

    The only acceptable answer to "how to give medication" is to 1. Ensure the medication is ordered 2. Can the medication be given on your floor??? Certain medications are restricted to critical care or...

  24. Does my mental illness make me unfit to be a nurse?

    nutella replied to Pudding212's topic in General Nursing

    Severe anxiety can of course have impact on your well being and how you interact with other people, and negatively influence memory. I doubt that the BON will see severe anxiety as a problem unless...

  25. What are your biggest pains/ problems as a nurse?

    nutella replied to dma13's topic in General Nursing

    My biggest pain is that I am super tired in the morning in winter and that I have to get up early to avoid the rush in am in my house. Otherwise I have to say that I have the best job I can imagine...