HemeNP

HemeNP MSN, RN, NP

Hematology/HCT

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About HemeNP

HemeNP has 32 years experience as a MSN, RN, NP and specializes in Hematology/HCT.


Latest Activity

  1. picc in subclavin...o.k for some chemo drugs?

    You have to make sure if the subclavian line is a PICC (longer) or an angiocath (shorter) that was inserted through the subclavian vein. If you are sure that it is short (meaning it doesnt extend to the SVC) then personally and our hospital policy w...
  2. Losing patients - does it get easier?

    watching my patients live through the pain and associated physical and emotional effects of cancer is painful to me. It is even more compounded when the prognosis is very poor, when the quality of life is poor, etc. you cannot avoid but be attached...
  3. Febrile oncology pt to transfuse or not? Help!!

    this is a case of febrile neutropenia and pancytopenia maybe coz platelets are down and needed prbc transfusion. pancultures should have been done already and a chest xray as well. identify obvious foci of infection. going back to the question, so...
  4. Nurses & use of haemonetics equipment..

    purplecotton: Apheresis and the use of Haemonetics MCS System doesn't commonly fall under the function of an oncology nurse. Apheresis nurses fall under another specialty which is more in the blood banking area. There are jobs for nurses who have e...
  5. OCN test

    GirloftheSun: I think 2 day review classes can help to a certain extent. If you are willing to pay the fee then go right ahead. I hope you can get a refund from where you work as part of you education benefit. Stick to the ONS test blueprint (tha...
  6. OCN test

    Congratulations Plum!!! GirlOfTheSun you can get the book (Core Curriculum for Oncology Nursing) from the ONS Website (http://www.ons.org) or from Barnes and Noble. The book is great as Plum said. You can also get the Study Guide for the Core curri...
  7. WBC Counts and Exposure

    their wbc will not rise because they are immunosuppressed. that's why it is important to watch for non-classic signs of infection in caring for a neutropenic patient. some of them will not even develop fever, will not have localized signs of infecti...
  8. union nursing

    :chuckle I have a good experience with union so far... we were able to get a good contract this year. hospital implemented 'steps' (basing pay on years of experience and not just on merit), seniority incentives, jury duty pay, increased paid hours f...
  9. LA, Calif: Nurses Begin 4-Day Walkout

    thank you all for your posts. this truly inspires us all. we picketed for four straight days. 99% overwhelming support from staff nurses, full time, part time and per diem. community support was amazing. the honking of the horns from cars and bu...
  10. Prevacid and G.Tubes

    do not crush or let prevacid granules dissolve in a liquid before giving it to the patient. prevacid is timed release. we are beating its purpose if we crush them. we learned it the hard way. we got cited by dept of health services for that when ...
  11. medication

    nurses only administer medications. we don't dispense them. it is the pharmacist's job to dispense them. using a medication already labeled for another patient's use may be construed by the law as dispensing a medication which is outside the scope...
  12. K+ bolus?

    i have given plenty of KCL boluses at 20mEq/hr mostly for patients with hypokalemic paralysis. i haven't encountered a fatal arrythmia secondary to this bolus, other than the already existing EKG change for the hypokalemia. the only complaint of pa...
  13. Would You Pray if your Patient asked?

    i will pray a non denominational prayer if the patient belongs to a religion other than my own beliefs. if we have the same religion, then i can pray with him/her according to both our own kind and way of praying... spiritual care takes a big part o...
  14. So...does anyone like it?

    med-surg is great! only complaint, PATIENT LOAD!!!
  15. Echo Heron I guess...