nutella

nutella MSN, RN

Member

All Content by nutella

  1. Case Management Nursing (CM)

    nutella replied to traumaRUs's topic in Case Management

    I did hospice case management and now work in a hospital setting again. The stress level was not lower to be honest. The case load was always higher than what they told me when I interviewed for the...

  2. Roll Call - Who's Been Around the Longest and Your Accomplishments

    nutella replied to traumaRUs's topic in General Nursing

    I have been here since 2003 but I do not post

  3. Swastikas & Nursing | Refusing care based upon moral objection?

    nutella replied to guest042302019's topic in General Nursing

    As a nurse, I have never refused an assignment based on somebody else's convictions. However, if somebody makes racist comments I will tell them that this is inappropriate, I do not wish to engage in...

  4. Highly Sensitive People in Nursing: Stress & Burnout - Research

    nutella replied to RNliveoak's topic in General Nursing

    I am not sure why a highly sensitive person would consider

  5. Accused of not giving dilaudid

    nutella replied to KMULL002's topic in General Nursing

    First - make sure that you have an MD order that allows you to give only 1 mg because if 1.5 is ordered and you give only 1 mg that sets you up for trouble. They can order prn mild pain and moderate...

  6. Normal Saline as a flush for PEG

    nutella replied to WittySarcasm's topic in General Nursing

    flushes through the feeding tube (g tube or j tube or GJ tube are usually tap water flushes because it goes into the stomach or jejunum and mimics the "normal way of eating and drinking" - using the...

  7. RN's are you happy with your career, why or why not?

    nutella replied to anjoku13's topic in General Nursing

    Nursing has been a great career for me - I worked in different fields and areas, was always able to get a job and a secure income. I love what I do as well. But - health care in the US is totally...

  8. Is it worth going back to get my rn when I make 57,000 a year?

    nutella replied to LPNTORN704's topic in General Nursing

    I think it is only partly about money - it is perhaps more about how satisfied you are with your job now and in the future. As an RN you have added responsibilities but also more knowledge and have...

  9. Difficulty Level: ABSN vs NP school

    nutella replied to PhillyNurse11's topic in Student Nurse Practitioner

    Your biggest problem will be that you work 8 hour days. Every nurse I know who went back to NP school worked 3 x 12 h shifts while going to school and many had to take some vacation days for...

  10. Scared.....No Nursing?

    nutella replied to Name9335's topic in General Nursing

    Hi Name, I read some of your other replies as well. I wonder if you are distracted easily and that is what is getting in the way at times. But I need to say that nobody is perfect and perhaps you just...

  11. Do Not Resuscitate Order for suicidal patient

    nutella replied to mep726's topic in Activism, Healthcare

    Have you considered that patient usually have to be a "full code" for surgery and usually for ~ 24 h after - after which time the physician should discuss with the surrogate decision-maker what the...

  12. new staffing laws in mass? CA nurses

    nutella replied to lorie101's topic in General Nursing

    Safe care and high quality care in any hospital - and even more so in community hospitals - depends on the bedside nurse being able to "put everything together" - as we all know, the task oriented...

  13. Research Results are in: To Suction or Not To Suction, End of Life & Hospice Patients

    nutella replied to NickICU-RN's topic in General Nursing

    First of all, the cited study Shimuzu et al from 2014 took place in Japan. Secondly, the article has a lot of more information about perception of "death rattle" - as always, perceptions need to be...

  14. MSN options

    nutella replied to sbr8y55's topic in Post Graduate Students

    My MSN had a concentration in quality and patient safety. Is there a reason why you are not considering a nurse practitioner program? Management is a crazy job in healthcare, not many jobs in...

  15. Would You Rather: ICU or Floor?

    nutella replied to dontbetachy90's topic in General Nursing

    IMO step down is the worst - even worse compared to telemetry floor because patients are high maintenance with often dysfunctional situations/ families etc but lack of resources .... ICU is great - I...

  16. Loss of a patient

    nutella replied to SMS1980's topic in General Nursing

    How you move on depends on your preference and the support that is available to you. First of all, it is very normal that the first death experienced keeps you somewhat busy - but it should not result...

  17. TJC and prn analgesics - How are your orders?

    nutella replied to raymori's topic in General Nursing

    The Joint Commission gives examples on their webpage:...

  18. What do you think about this psychiatrist?

    nutella replied to vaspap's topic in General Nursing

    Seriously? There is so much information that is missing ..... 1. There are clear recommendations and clinical guidelines with the DSM-5 . 2. You can not just look at an isolated "symptom" or...

  19. Anybody have rituals they do when a patient passes?

    nutella replied to crnfaIwillbe's topic in General Nursing

    Death is a normal part of life and in my job (palliative care) death is a frequent occurrence. I view death as the dying process as something "normal" - granted, in the US we have institutionalized...

  20. What are Your Goals for 2018??

    nutella replied to traumaRUs's topic in General Nursing

    My goals for 2018: - get into shape again. I had shoulder surgery in summer and cleared for exercise. Would like to go back to fitness kickboxing or such but have to start off more gentle... -...

  21. Taking the Plunge

    nutella replied to Kiki.marie's topic in General Students

    Is it affordable and their NCLEX rate is reasonable ? That is more important compared to a single professor. Nursing school is demanding and stressful - no matter where you go. Microbiology,...

  22. Trouble for taking Doctors candy

    nutella replied to zynnnie's topic in General Nursing

    This is a really good reminder that all of us are constantly being "on camera" - I think we tend to forget that there are recording devices everywhere from the hallways to the elevator. Perhaps the OP...

  23. MBA or no? Need Major Advice

    nutella replied to raecudzy1's topic in Post Graduate Students

    My MSN has a concentration in quality and patient safety, which I had chosen because I wanted a graduate education in nursing but not education, management, or nurse practitioner. Here are my thoughts...

  24. A Feminist Approach to the Opioid Epidemic

    nutella replied to Issaiah1332's topic in General Nursing

    OP - there seems to be a misunderstanding about - the feminist point of view/ feminist philosophy and - critical theory and marginalization You somehow manage not only to take things out of context...

  25. Eating ice cream and getting nervous -- offered Neuro-ICU job, now a psych nurse

    nutella replied to pixierose's topic in General Nursing

    To be honest - I think you are going to be fine. I worked in neuro ICU many years ago but I doubt that too many things have changed in that area. The folks who had significant trauma in their head -...