OncNurse1 1,163 Views
Joined Sep 15, '09.
Posts: 7 (29% Liked)
I think TCC is part of HH and might get a job there, just wondering what type insurance they offer.
I've been working Oncology for 2-3 years. I'm trying to relocate and most of the jobs are PRN ER, Cath lab etc.. I have med surg skills of course but lacking on the rest. ACLS scheduled for next week...other ideas for getting experience to put on a resume? Thx.
I think everyone employed in a hospital, even the janitor, is to be held to a standard of patient care. Holding the door for a patient for example. Anyways, those techs are CPR trained...there should be some sort of assessment...MRI people can assess anxiety, why can't the assess the opposite? Unless the patient's family is just batty, I listen to them and the patient...because they are more familiar with "normal" for the patient.
The other issues, all people who work in high-risk areas have the what-ifs...it's hard. And of course even in the best circumstances, later you'll think of something that could've been done better...or something forgotten...but maybe you should take a hot bath and have a few benedryl - Then reassess yourself in the morning.
I went through the BSN Residency program. The main reason for BSN-only in the internship is because it is a "research study/program" so the control group is the BSN population. They want the interns to attend 1 class/month for learning puposes and each intern gets 1CEU for it also. You know UAB and their research
You will become a master of central venous lines! How to heparinize and activase them - especially if you work on a Heme/Onc floor. I've worked there for 2 years. In the same breath, it's easy to lose your IV skills, or at least it was for me. These chemo-riddled veins are either hardened or non-existent. The census is usually Leukemia and Lymphoma with occasional solid turmors, a lot of admissions for chemo infusion, and lots of relapses, and complications from cancer/chemo. It's a difficult floor to work because most of the (AML diagnoses)....die. So you have to find some way to deal with it, to help the families deal with it... (Ex: Dying patient, 98 lbs, 45 y/o F, 45 resp/min, non-rebreather, 90 systolic..and she was on 8mg dilaudid /hr with 1mg Ativan q 1 hr. So, you want this patient to have a peaceful death but when you realize Dilaudid is Morphine x 8, and she is actively dying on your shift...you question yourself when the family asks, can she have another ativan dose d/t coughing fits that make her even more uncomfortable - and u just gave it 20 min ago), So of course getting orders in a timely manner from the MDs, ethical questions like the example stated, assessing and knowing what to do for chemotherapy and blood product reactions, controlling pain, KNOWING THE CODE STATUS, Becoming famliar with DIC, TTP, ITP, and neutropenic fever. The dying part has been the hardest for me. I have recently taken an outpatient prn job, for gyn/onc infusion - it's better, not as much loss. I do see patients, so hopeful, because some of the doctors aren't straight up with the information...but then again some patients don't want to know. Their own choice, so I try to be loving, smiling, helpful, and just as I've read in these forums, They are the best population. A lot of my patients apologize for asking for me, they try to be so independent especially in the beginning, and the end. Be prepared to cry.
Oncology RN says MENSA instead of Mesna...
She also said stat instead of sat, prostRate, etc.
I have been an Oncology RN for 2+ years. In Nursing school I only started about 5 Ivs successfully. However, with Onc, it's all about ports, hickmans, PICCs, etc. So, most of the time the IVs have already been started or are in date. Now I work Outpatient Chemo infusion, and my IV skills are awful. It's pretty much I try...I fail...and I ask for assistance from another nurse. (especially because this population has riddled veins already ...and hardened chemo effects to the vasculature) It is so aggravating that I have been looking into an IV certification course or something to help my confidence. I can get flashback...just can't advance the catheter...I either hit a valve...or actually withdraw the needle before getting enough of the catheter in to have a successful line.
You are not alone.
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