AugustRain

Latest Activity

1. Is it weird that I love wound care?

   AugustRain replied to MyUserName,RN's topic in General Nursing

   I'm an outpatient nurse, so I follow my pts closely long term. I love doing wound care, especially for my pts with long term devices - it's very satisfying to see improvement in the wound and help the pt go back to living a more normal life.

2. Chemotherapy Protocols

   AugustRain replied to AJpcvRN's topic in Oncology

   Congrats on your new job! Each hospital will have its own chemo protocols, but the ONS Safety Standards is a good place to start: http://ons.org/CNECentral/Chemo/Standards Actually, if you haven't already joined ONS, I'd highly recommend it - it's a ...

3. Need help with a Mastectomy case scenario

   AugustRain replied to spn.charlotte's topic in Student Assist

   Yes, that's a good one. Also think about the whole picture, not just the surgical wounds - cancer, smoking (how does it affect healing, etc?), family, sexuality, teaching points...

4. Need help with a Mastectomy case scenario

   AugustRain replied to spn.charlotte's topic in Student Assist

   Have you given any thought to a nursing diagnosis that would address the psychosocial aspects of her care?

5. Aspirating for blood when giving injections to infants?....Have the rules changed?

   AugustRain replied to DutchgirlRN's topic in Medications

   This is the link to the ACIP Vaccine Administration Guidelines: http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/D/vacc_admin.pdf The first sentence on page 10 states their position on aspiration (not needed) and the rationale. I still ...

6. Possibly getting my OCN?

   AugustRain replied to *~*MaL*~*RN*'s topic in Oncology

   Just wanted to clarify a point in the above post - you don't need 1000 hrs of hanging chemo to sit for the exam, just 1000 hrs of oncology practice within the 30 months prior to applying. Actually, as far as I know, you don't need any chemo experienc...

7. Help with integrated pathophysiology and lung cancer

   AugustRain replied to pe5322's topic in Student Assist

   Don't know when your paper is due, but if you're still working on it, I'm a surgical oncology nurse and happy to point you in the right direction.

8. Lovenox Dosing - Abdominal Surgery v. Knee/ Hip Surgery

   AugustRain replied to anastasia158's topic in Student Assist

   This actually depends on the facility. Some prescribers will split the daily dose and give the Lovenox q12. I've also seen this done lately if the pt is to go home on Lovenox. You could certainly take your own informal poll of pharmacists at the dru...

9. Heparin Flush for CVC

   AugustRain replied to astudentnurse10's topic in General Nursing

   My current hospital does use Heparin on all central lines, but my previous hospital only used it when de-accessing ports. Neither P&P stated the rationale. I too would be interested in the literature on the subject, as it's something I have been ...

10. Still in school & want to specialize in Oncology-Advice?

    AugustRain replied to LoveHonorCourageRN's topic in Oncology

    I went straight into oncology after graduation. Like you, I had non-nursing onc experience prior to nursing school, which did help get me the interviews. Your best bet would be to apply for inpatient oncology floors as a new grad - you'll gain valua...

11. a few questions about nursing for an RN for class- please reply

    AugustRain replied to sara71985's topic in General Nursing

    If you're still looking for someone to answer the questions for your assignment, feel free to PM me. If you can't PM yet, let me know and I'll send you my e-mail.

12. lying? about cancer

    AugustRain replied to BmichelleRN's topic in Oncology

    It all depends on the cancer. This isn't the most common form of tx and I'd probably inquire further from a more reliable source, but it wouldn't make me think she's lying. A borderline or low grade ca may not require chemo, she may be having XRT to ...

13. Foley Catheters

    AugustRain replied to EssaQ502's topic in General Students

    I was really squeamish about cathing people when I first started nursing school too. I observed whenever I could, practiced on the dummy many times, then started volunteering to do the procedure. My first job had plenty of opportunites for Foleys, an...

14. new job

    AugustRain replied to birdie22's topic in Oncology

    I'm a surgical onc nurse too, it's a great job! My first suggestion is to join ONS, if you haven't already. Take advantage of the online CEUs they offer (most aren't free, but it's worth it). Become familiar with the types of procedures you'll be se...

15. Cleaner RN jobs

    AugustRain replied to kyonguyen22's topic in General Students

    I don't think there's anything wrong with wanting a more office-based position (insurance or drug company, perhaps?), though I don't know how much luck you'll have without a little hands-on experience first. But I would look closely at outpatient job...