nutella

nutella MSN, RN

Member

All Content by nutella

  1. Professional attire - career pants / skirt, blouse/ long arm shirt, blazer/jacket - make sure your shoes are polished. No clown make-up, subtle make-up is ok but nothing shrill - the same is true for...
  2. Resigned During Orientation - Advice Needed

    Sorry it did not work out. I once worked in the ICU and I feel that there are a many factors that determine if somebody is a good fit for the ICU. When you are new you definitely depend on the team...
  3. Question for Hospice Nurses

    I think there are a couple of issues / problems and to be honest it would take some time to sort it all out with you. Perhaps I can share some of my thoughts based on the case you describe. 1. It is...
  4. Regret becoming a nurse....

    Perhaps your current job just does not fit your personality, your idea of nursing, and your priorities? Acute care is also not everybody's dream - it is not like that is the non-plus ultra and there...
  5. 3 Strike Rule: Non-Compliant Patients

    I wish I could remember where I read the article that addressed how our financially driven and motivated healthcare system leads to the expectation of 100% compliance from patients. It outlines that...
  6. Death With Dignity?

    What is your opinion? For myself it is somewhat complicated. Outside of my work/ role as palliative care nurse it is my opinion that people who have a terminal illness and go through the established...
  7. RN international experience not recognized in Alberta??

    I am not a Canadian nurse but I wanted to let you know that depending on where you work they may or may not recognize your experience. When I moved to the US, some places recognized my previous work...
  8. Hating Hospital work. What next?

    If you like working in the community - look into home hospice / home palliative care - it might be a good option for you. It is somewhat different from regular home care in that your productivity is...
  9. Do you ever wish you were a doctor?

    No - I never wanted to be a physician - otherwise I would have gone to medical school. Also, for the same reason I will not study to be a NP though I am almost done with my MSN. The simple reason is...
  10. "Eat their young"

    It does not sound from what you are describing that she is eating you - perhaps she took a small bite - no idea. Tragedy at St. Mary's Hospital as Nurse Tries to Eat Another Nurse | GomerBlog...
  11. Pain medicine to drug addict?

    It is unethical and inappropriate to withhold pain medication based on a personal opinion or bias when the patient has pain after surgery and is ordered for pain medication and obviously it was not...
  12. WILTW 10/29: Trauma for breakfast

    What I learned this week is (again) a lot related to palliative care. And November is the National Palliative Care and Hospice month. I learned that even though there is outreach and education, many...
  13. Injections - how do you contaminate a needle

    I learned that if you use one needle to draw up a medication you need to change the needle for a new sterile one before you inject the medication into a bag or such. I am not sure where your...
  14. What specialty is next?

    My opinion is that PCU is not necessarily easier or a step to take on the way to ICU. In PCUs staff still has several patients who are too well to be in the ICU, which means yelling, not cooperative...
  15. Jobs in nursing in social justice

    Getting arrested is definitely something to avoid as a nurse. I am not sure what you mean by "liberal lifestyle" as that could mean anything and everything. Being an activist how? There are many ways...
  16. So is there really a nursing shortage?

    Exactly!!! I am seeing this already. The new generation of nurses do not put up with any shenanigans. They want life/work balance and if they feel that they are just a commodity that gets "used" they...
  17. WILTW 10/22: ENT and the Priapism

    Since my work is palliative care, most of what I researched further or somehow worked on/with is related (once again) to it. I had interesting discussions with primary nurses around end-of-life...
  18. Nurse practitioner vs Medicine turf war?

    There is no turf war in the facility that I work at. NPs can be hospitalists and work with an MD (collaboration agreement). They get the stable patients. An NP told me the other day that NPs have...
  19. Failed preceptorship

    OP - my personal opinion is that mental health is not the best setting to shine as a senior clinical participant. Most of the learning in nursing school is more med/surg based and mental health...
  20. Don't get caught in the middle. I worked cardiovascular surgery CCU years ago and it even back at that time there were some conflicts between surgeons and anesthesiology. I also worked as a nurse in...
  21. I think OR is a great specialty - I almost ended up in the OR ! My last clinical before graduating from nursing school was 4 weeks long in the dermatology OR of a major teaching hospital. I really...
  22. Last days of life

    OP - it sounds that your patient is already dying - slowly and perhaps not actively yet but he started the last part of his journey I would say. The patient will die - but so will every person on this...
  23. If you are already pregnant or planning on a family soon your priorities will change. You need to keep that in mind. I do not see that what you are doing is not useful or less than on the floor. It...
  24. Certified Life Care Planning Nursing

    I never heard about this "certification" before and looked at the webpage. It is not a national certification - it is a company founded by a NP who teaches people her method of how to estimate costs...
  25. Synergy Model and Nursing Metaparadigm

    Nursing metaparadigm means major nursing concepts, which are human being, environment, health, nursing. Now you look at AACNs synergy model which is here The AACN Synergy Model for Patient Care and...