jerzie0820 2,534 Views
Joined Mar 9, '09.
Posts: 115 (7% Liked)
Hi. we all know the medications we give in HD tx. also i definitely know what they're for. but i'd like to be able to explain to patients in detailed what they're really for. for some they get contented with, "epogen is to help maintain your red blood cell count within normal range and also to prevent anemia. zemplar is for your bones to help keep them strong, venofer is your iron to help with your iron deficiency anemia." but some patients ask in detailed. can u please help??? like they would go, "but whats the connection of my diabetes/ HPN with my bones?? and why do i have iron deficiency anemia?"
so yeah i need help with a thorough explanation on these drugs: epogen, zemplar, venofer, carnitor
THANKS IN ADVANCE!
.. just wondering as to how you guys chart in chairside?
i see other RNs chart as:
positive edema on ble noted; aox3, no n/v/d.
so how do you chart yours???
in our clinic, when a doctor was doing rounds and found out that a patient had a K of 6.5 and was on 3k, he screamed at our CN and said, "youre gonna kill my patient!"
I have been working in HD for quite sometime now doing nights. But i would like to be considered to transfer to day shifts. Pls advice on what I could tell my manager. Thanks!
Thank you. The interview is tomorrow and I feel like I still haven't prepared well enough. I'm lacking resources. We are in the middle of moving and I can't keep focus. I was only able to study the laws and policies that was mentioned here and have no idea on where to find other helpful info. Their website wasn't helpful.
Also in their recent certified application (which they said to bring with me at the interview), there's a column thats says valid california credentials. I'm a new grad with my BSN, but is this like a postbaccalaureate program with required units that is designed for School nurses??
Has anyone attened their information meeting? I am frustrated with Mollen. I hope On-site offers better shifts for their nurses. I now realize I do not mind working alone, than to be working with a company that hires several nurses and not have shifts for them =(
congrats on getting the job frozenocean! is there any book i could read other than "School of nursing" by Janice Selekman? I can't seem to find it anywhere =( Any website perhaps? Also, I read in your other post that you picked up a few textbooks to help you with legal issues, first aid, etc?
Thank you very much for the info! I went back on the posting and this is what it read:
"Under the supervision of the Director of Pupil Services and Superintendent, the nurse shall organize, implement and evaluate the health service program to strengthen the educational process through improvement of the health status and knowledge of children. The Nurse shall work with other District employees and parents in creating an overall work environment conducive to appropriate learning. "
Since they have mentioned these duties, is there any more you could add? =s
I have an interview on Monday for a district nurse position. I am so pumped to have heard from them but they were interviewing several people on the same day. Tough competition out there but I wanted to make sure I get the job so putting my all on this. I've been looking for a job for months now and I'm so thrilled and nervous at the same time! I'm a new grad and I don't know what to expect! I've never been on a panel interview before and I was told that I will be interviewing with the superintendent and Director! I've read about District Nurses's duties but I wanted to hear from someone with the experience! Any advice on the interview.. what possible questions would they ask?? Hope to hear from everyone! thanks in advance!
I have an interview on Monday for a district nurse position. I am so pumped to have heard from them but they were interviewing several people on the same day. Tough competition out there but I wanted to make sure I get the job so putting my all on this. I've been looking for a job for months now and I'm so thrilled for even getting a response from them! I'm a new grad and I don't know what to expect! I've read about District Nurses's duties but I wanted to hear from someone with the experience! Any advice on the interview on possible questions?? Hope to hear from everyone! thanks in advance!
WOW!! When I see ads about small surgery clinics looking for RN's, they're always looking for minimum one year experience! I'll be SO thrilled to work in one! You're really lucky you snagged the job hun ^_^ for me it's like doing two things i LOVE at the same time! lol. don't get me wrong though, i've NEVER had myself done and i don't think i ever will in the future. lol. good luck sweets and i wish you all the best!
i'm a new grad too by the way. with this economy, i would take whatever it is in the table. after several months of looking for a job, i finally founded one. not the best nor the one i really wanted, but it gives me the experience too. maybe even better than a hospital experience because it gives me a better chance to do so much more hands-on. i'm talking about one on one care, home health nursing and i love my agency they also let me do home visits but they give me materials to study and we also underwent training first before they let us on the job.
good luck to all new grads! there's always hope. it may not always be what we want the first time, but it will give us the experience. our time will come =]
Thank you all so much for the input. They are exactly what I needed to hear.
Littlemissfirecracker, I feel a little relieved that I'm not the first one to start on HH with very little hands-on knowledge. I've only done a few during clinicals but even though I'm a new grad I'm confident that I know at least some of the basics.. trach care, suctioning, g/j feedings, meds, CPT, etc. I knew this would be something that I'll be doing a lot whatever clinical setting, so I studied them carefully and even watched tons of videos on them. I'm an old grad, [that's how tough the job market is] so I made sure everything was still fresh in my mind. I'm really nervous but I'm glad that I'll be able to do these procedures without so much pressure or having to worry about getting other things done.
iluveivt, i do have all the contact numbers i need and i now know what the diagnosis was. the nurse who oriented me was very supportive and told me all the possibilities. There are many other nurses who do different shifts all throughout the rest of the week and we do have a chart with all the nursing notes. I was also told about the old meds the patient is taking, as well as the new ones used to control the seizures. All the nurses are also given instructions on black and white regarding which specific care to provide, and I like that even the time is provided for us.
arwenevestar, thank you so much for the input! the nurse who oriented me showed me the patients careplan which i do believe will help me a lot throughout the process!
caliotter3, thank you so much for the support. Unfortunately, i was told that it's best not to bring anything that will distract us from giving proper care, but I was really hoping I could bring a laptop for reference whenever i need it. also, i understand my sister doesn't have a business being there, but she was correct on giving her opinions. She just needed to use the bathroom and it was within the patients room and of course I had their persmission. I will start tomorrow morning instead of tonight. I'm still very nervous but at the same time excited Wish me luck
Hi. I'm a new grad RN and was recently hired by a HH care agency. I don't have any background info about them and I've posted once here on the forum if anyone knew about them but I still haven't gotten any response. I will start working tomorrow with only 2hours orientation then I'm on my own the patient is on j-tube, trach and catheter and is not really coherent and unresponsive. I failed to ask the family what the diagnosis was. I haven't seen the records yet. When I first went for an initial interview, my sister went with me and she saw the patient. She's an RN for over 20 years now and she didn't agree for me to be working on such case, especially as a new grad. Last night, the family called to tell me that they brought the patient to the ER because of an increase in BP, and a seizure. Is this case okay for a new grad? I've never done HH before, I'm just desperate to snag a job.. I've been looking for one for almost a year now
Any advice if I should go for it
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