nursie_pants

nursie_pants has 2 years experience and specializes in oncology.

Latest Activity

1. Outpt Infusion Clinic and PPE

   nursie_pants posted a topic in Oncology

   Hi All: It has been a bunch of years since I was last on allnurses.com but I have a burning question/survey type thing I was hoping to get all your input on. I have worked in the last 4 years in a private, stand-alone (no hospital affiliation) outp...

2. NPO/clear liquid status during labor - evidenced-based?

   nursie_pants replied to ischialspines's topic in Ob/Gyn

   Here are just some random links supporting in a quick Google. Note I have not verified the sites: http://www.instituteofmidwifery.org/MSFinalProj.nsf/a9ee58d7a82396768525684f0056be8d/3f66c7d76a80b37f8525739500756493?OpenDocument http://www.nurse-anes...

3. NPO/clear liquid status during labor - evidenced-based?

   nursie_pants replied to ischialspines's topic in Ob/Gyn

   No formal research, just in what I've read as far as midwifery books go (like the crazy but on-her-game Ina May Gaskin)... I'm sure in the NICU you've seen/heard a lot of the pros for a NPO/clr liquid diet given cesarean rates at those facilities. T...

4. NPO/clear liquid status during labor - evidenced-based?

   nursie_pants replied to ischialspines's topic in Ob/Gyn

   Honestly, I don't work on an L&D floor, but I'm quite sure the NPO/clear liquid orders are *not* evidence-based. It's completely ridiculous. Fancy getting enough energy to push out a baby from only h20, jello, or a Popsicle. I 'm preggo but plann...

5. Possibly getting my OCN?

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

   Yay for looking into the OCN certification! Not to be a downer, but you have to have logged 12 months work experience before you can even register to take the exam... I started my first job in January 2009 so the first time I could have even sat for ...

6. payscales are secrets huh?

   nursie_pants replied to lalalalexi's topic in General Nursing

   I find the lack of transparency annoying. Just makes doing your due diligence/background research that much more difficult. I had the issue of pay brought up in an HR screening interview - the first of 4 interviews - for a job I just landed. They wa...

7. Zofran: IV push or Piggy Back?

   nursie_pants replied to Testa Rosa, RN's topic in Oncology

   I'm not sure how many 50cc bags of NS we'd go through on our floor if we diluted > or = 8mg zofran w/each administration. You can safely push it directly - undiluted or not - over a couple minutes. Just remember the side effects: dizziness being a...

8. want to be an oncology nurse

   nursie_pants replied to cymphilly's topic in Oncology

   If you're willing to move, I worked in St. Louis straight out of school for my first nursing job in oncology. In fact, the floor I just left is hiring 10 new grads this June and continues to hire newbies (we're cheap). :) I think the key is willingne...

9. Giving Methotrexate in an OB setting-Nurse safety?

   nursie_pants replied to FLOBRN's topic in Oncology

   To dovetail on OCNRN63's response, make sure you also do some teaching with the patient/family about chemo in the pt's bodily fluids for about 72 hours following chemo administration. That means no family member's handling of vomit/urine/etc and the ...

10. No blood transfusion r/t high WBC??

    nursie_pants replied to Aeterna's topic in Oncology

    Sorry, I'm responding not with an answer but to also express my curiosity w/this. Depending on just how low the h/h was, I think I've heard of doctors holding transfusions for pts w/leukocytosis... I'm not sure if the pt is at an increased risk for s...

11. Treatment for uncontrolled N/V post chemo

    nursie_pants replied to MillieT's topic in Oncology

    At my last job, docs never ordered phenergan for those side effects you list above. Like other people mentioned, alternating zofran and compazine ATC seems to help folks + ativan PRN. Dex and Emend also seem to work.... I just heard from a pt that Em...

12. What's the worse thing you have seen?

    nursie_pants replied to havehope's topic in General Nursing

    Hardest thing with my job - wounds aside, since I have a weak stomach - has been seeing patients in their 20s dying of cancer. Gets depressing and wears on you sometimes.

13. Are you serious?

    nursie_pants replied to Florence NightinFAIL's topic in General Nursing

    Oh, we get those gems on our floor as well. :) I had a patient tell me a couple nights ago that I enjoyed waking patients up in the middle of the night. I wanted to roll my eyes. Yup, that's why I became a nurse: to sadistically wake you up as soon a...

14. Planning to have a baby.. new nurse

    nursie_pants replied to Meese.C's topic in General Nursing

    Also, not to sound negative or anything but just based on experience I wanted to throw this out there: I know the excitement of wanting to start a family.... and yet getting/maintaining a pregnancy can sometimes unfortunately be harder than it seems....

15. What is back priming?

    nursie_pants replied to Baboosh123's topic in General Nursing

    Glad that helps. 🙂 Yes - you'd change the tubing per policy. Our hospital is every 72 hours or whenever you start a new peripheral IV or change caps/reaccess a central line.