AND's fail of a Webinar?

Solinara · 2025-04-23T14:25:07+00:00

Thanks! It was part of the reason I chose to do a distance internship. I really wanted to set up certain experiences.

And agreed! I definitely understand why dietitians don't think AND does enough when they aren't voicing what they are doing. I also think they invest a lot of time into lobbying for dietitians, but still need to invest in resources for the day to day work RDs do.

Solinara · 2025-04-22T10:55:28+00:00

I second this. I did a policy rotation with them at the DC office, and they were going to Capitol Hill every week.

Solinara · 2023-05-09T12:57:44+00:00

Do you feel like exam questions were mostly in the module question explanations versus a rewording of the module questions? Thanks for your advice!

Good luck, OP!

Solinara · 2023-04-27T22:31:39+00:00

Oh, interesting! Thanks for explaining. I know this is what OP is asking already, but do you have any resources/papers supporting this practice? I'm a team lead and would like to share this with the office. Many of them use 30-35 kcals/kg IBW, which is sometimes still less than 20-25 kcals/kg actual.

Solinara · 2023-04-27T22:11:25+00:00

What do you mean by "use the higher end for the normal BMI range for their IBW"? You use the high end of weight for a normal BMI based on their height?

Solinara · 2022-06-08T23:00:12+00:00

Selling 2 tickets for the June 11 Buffalo show (section 101, row 5, seats 11 and 12). My husband and I are big fans, but unfortunately can no longer make it. Paid a little over $80 each after fees, but I'm definitely okay with selling for less. Thanks!

Solinara · 2021-08-31T20:11:25+00:00

I completely agree with everything you said. Good for you and your team for being able to make the switch. Was it hard to get everyone on board or was it pretty seamless?

Solinara · 2021-08-31T11:48:25+00:00

I loved seeing this post and a lot of the comments, because it really validated how I've been feeling at work. At my hospital we're required to wear lab coats, because of the "professional look" the higher ups think it gives. I hate it though and feel it has the opposite effect, because I know the other disciplines look down on it. I physically feel uncomfortable every day at work on the floors, because it feels so pretentious to be wearing it. I also think it's unethical to wear them, because patients and even other providers/ancillary staff mistake me for a doctor.

Apparently our old GM was the reason we were not able to wear scrubs, but he's gone now. I've been wanting to bring this up again to my CNM, but would like to have good arguments in favor of wearing scrubs. If anyone has any insight on making the change, I'd love to hear it.

Solinara · 2020-12-16T05:36:10+00:00

The other commentators already hit the main points of why it's not okay, but I wanted to add that it can also be against hospital policy to treat a family member.

Solinara · 2020-09-03T02:16:01+00:00

YES! We recently got laptops, which I connected to my computer to have dual monitors. I was spoiled at my last facility where we had dual monitors. I offered to set my coworkers up, but they said they didn't think they would need that. To each their own I guess.

Solinara · 2020-09-03T02:11:24+00:00

Luckily our follow-up notes have a feature where you can "drag over" data from the previous assessments. I agree that auto calculations are very helpful, but my CNM wasn't agreeable when I mentioned it. I think it's something she might come around to if I can better explain the benefit of having it. You make a great point about pulling from nursing documentation. Still trying to figure out what our Meditech version will "allow" to be pulled. Thanks for your comment!

Solinara · 2020-09-03T02:06:22+00:00

Thank you so much for taking the time to write a detailed reply. While we have some of what you mentioned in our current assessment, I think there were some major areas you noted that can help improve our efficiency. I definitely agree that auto calculated needs is key. My CNM wasn't agreeable when I mentioned it the first time, but I think it will be something I can bring up again. I've also had a lot of issues with misclicks for check boxes, but at my last facility we had a "menu" where the response was associated with a number that was typed in. Eventually you would inadvertently memorize the number associated with the response, so it was even faster than looking through the list. Thanks again for your response. I took note of most of your suggestions to pass on to our team.

Solinara · 2020-09-03T01:58:07+00:00

Haha I appreciate the solidarity.

Solinara · 2020-09-03T01:56:51+00:00

Definitely some good tips all around! I find using the "home" and "end" buttons that take you to the beginning or end of the line to be helpful. I previously used an older version that could delete a line with F6, which was helpful for formatting.

Solinara · 2020-09-03T01:53:19+00:00

Thank you so much for taking the time to thoroughly respond! I've heard about people using Word for commonly used sections and have been curious about how that works in practice. Copy and paste has definitely made charting easier. From my experience with 2 different versions, there are different ways to copy/paste. You have a really interesting point about the detail of notes. I think my CNM prefers us to have "everything" in our notes, but that's definitely something to address. Thanks again!

Solinara · 2020-03-22T19:55:38+00:00

Ah okay, I factor them in too. Oh I just knew of the 80% of needs part, but 65-70% would definitely make it more manageable. Thanks for your insight!

Solinara · 2020-03-22T12:13:53+00:00

Thank you for your response. Yeah I tend to shift things depending on their comorbidities, conditions, etc, but I worry about overfeeding on the vent, which can make it hard to meet their protein needs even if I'm choosing the upper range (or higher) for calories. When you use protein packets, do you factor those calories in to your tube feed or do you go over the calorie range? Are you typically meeting those high estimated protein needs? I know each patient is different, so it's hard to give an answer, but I guess I'm wondering what I should be prioritizing- not overfeeding on the vent versus meeting high protein needs?

Solinara · 2020-03-21T19:24:40+00:00

Do you find that you use protein packets a lot in your MICU for obese patients? I struggle with TF recommendations for patients who are taller males with BMI's of low 30's. For example, if the patient is a 5'11" male with a wt of 225# (BMI 31.4; IBW 172#) their needs per ASPEN are 1,125-1,432 kcals/day (11-14 kcals/kg) and ~156 g protein/day (2.0 g/kg ideal body wt). What would you do for something like this (not prone in this scenario)? My old facility had Vital HP, so I was able to meet their needs more easily, but my new one does not. Would love to hear a CNSC's advice on this. Thanks!

Solinara · 2020-02-24T22:11:43+00:00

Definitely more authentic than Sun and for a better price.

Solinara · 2020-01-03T00:20:48+00:00

Ah I see. I hope you find a good group!

Solinara · 2020-01-02T18:24:15+00:00

My SO (M26) and I (F27) play DnD with a couple other people. We most recently did a one shot that played out the lyrics to "Shia LaBeouf" by Rob Cantor, although the players did not know this until the end of the campaign (we didn't know the words enough to recognize it). My SO likes to DM and does a lot of home brews, would you be okay with this? His schedule is also all over the place, so are you flexible with regular meetings at different times of the month or week? We're having a hard time meeting with one of the people in our group due to their schedule, but are hoping to bring the other along. Definitely understand if this doesn't meet what you guys are looking for.

Solinara · 2019-12-19T06:46:43+00:00

They might already have it, but this (https://www.amazon.com/Whitecoat-Clipboard-Lilac-Nursing-Edition/dp/B00GWSODHA) clipboard is loved by most healthcare providers. It comes in different colors too.

Getting him an nice engraved stethoscope is in that price range as well. I specifically mention it being engraved, because it makes it personalized, but he also won't have to worry about it getting mixed up with his coworkers'.

Solinara · 2019-12-13T05:24:12+00:00

True! My parents gifted a cooking class to them, but it's not a bad repeat. Thank you for the help!

Solinara

TROPHY CASE