nutella MSN, RN

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 job, they always expected me to see more pat per 8 ...

I have been here since 2003 but I do not post excessively...

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 such conversation and that we do not discriminate....

I am not sure why a highly sensitive person would consider 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 pain or so. The point is to make sure you do not vi...

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 guts. Sometimes tap water is not consider a safe ch...

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 crazy right now and nursing itself is a tough job beca...

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 more job possibilities outside of longterm care. But...

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 clinicals.

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 have to work on getting a structured routine in p...

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 plan is going forward. So - for you in the OR it is ...

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 workflow creates problems when nurses do not have the...

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 seen and interpreted within cultural context. I thin...

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 education, forensic???? there are probably no jobs eithe...

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 haven't worked in critical care for some while but...

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 in an all-consuming feeling or keep you busy to t...

The Joint Commission gives examples on their webpage: https://www.jointcommission.org/standards_information/jcfaqdetails.aspx?StandardsFAQId=1518&StandardsFAQChapterId=27&ProgramId=0&ChapterId=0&IsFeatured=False&IsNew=False&Ke...

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 "diagnosis" - the question is: How much do any "symptoms" a...

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 death and society is somewhat removed from experien...

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... - continue my studies in a PhD program. - gaining clarity o...

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, pharmacology, statistics etc are all difficult classes for ...

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 took some candy and put it in her scrub pockets a...

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 on MBA/MHA : In my opinion, the MHA degree is mor...

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 - you mix up stuff to the degree that it does not...

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 - no matter what -where often intubated and sedated ...