schlemj

schlemj

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About schlemj

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  1. power ports

    Thank you so much for the feedback. I do see what you mean about the thicker septum, I too have needed to use more force when accessing the power ports. We have several oncologists in our practice, so who puts them in depends on what doc's patient ...
  2. Oncology nurses - research / clinical trials

    Our oncology practice paticipates in study protocols. Since the nurses administer the treatments we have to review the nursing section in the protocol and it must be followed precisely, ie: the order of the meds, vital signs. In some cases the stud...
  3. mediport preferece

    We have protocols that are followed consistantly, also before we use a specific product we have inservices as well as ongoing communication with the rep. Over the past 18 years of oncology nursing ( in wich ports are the main type of catheter we use)...
  4. mediport preferece

    What types of mediports are being used out there? I work in oncology infusion and we started using power ports that are compatable with Ct machines that inject the dye. We had numerous problems with them. We now are requesting smart ports on our ...
  5. power ports

    Thank you so much for the imput. We are also requesting smart ports now as well, they are much easier to use, more reliable for blood draws, easier to acess.
  6. Rituxin for RN...help!

    Good news, from my experience as a med onc nurse, I transitioned to outpatient hem/onc in 1999 and that's when I learned about rituxan. It is NOT chemotherapy, you will not see the same side effects as chemo. Rituxan is a monoclonal antibody and whe...
  7. chemo without MD present?

    In the clinic i work at our policy is that for certain treatments (which are most of them) a doctor is required to be present. some treatments like bisphosphonates, gemzar, navelbine, 5FU don't require a doctor to be present. Every new treatment re...
  8. power ports

    Once again this past week with a very busy clinic another patient with a bard power port that would not give blood after several flushes and positon changes cath flo (altaplase) had to be used. Another patient with her power port that was in clinic ...
  9. Losing patients =(

    I have been an oncology nurse for 18 years inpatient and now outpatient. I think it is one of the fields of nursing that we can't hlep but become emotionally involved as well as professionally. Our patients become part of our lives in sense as it is ...
  10. role of school nurse

    I needed a change about 3 years ago, I worked in hem/onc/med surg for most of my career. School nursing was such a different world. It was more like community nursing. It was a change not having providers right there or a stocked med room. It was ...
  11. Chemo without pumps???? A little long

    This is unsafe, in the clinic I work in we have a policy that no nurse works alone, there is always another oncology nurse working. We cannot put one drop of chemo in a patien without another onc nurse checking the order, dose, calculation and then ...
  12. Oncology Patient Ratios

    I am currently in outpatient but I worked on a unit for 7 years with that exact pt. population. 22 patient unit 4 RN's and one charge on days, 3 RN's on eves, 2 RN's on nights.
  13. power ports

    Hoping for some opinions regarding power mediports (I think bard makes them) as I am all for our patients to have a port that can be used for contrast dye for CT but my collegeus and I are finding they can be very tempermental with giving blood. The...