Daliadreamer

Daliadreamer

Oncology, LTC

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About Daliadreamer

Daliadreamer specializes in Oncology, LTC.


Latest Activity

  1. ANCC RN-BC Med/Surg Certification: How to Prepare

    I was about to post this same question! I'm lucky that my hospital provides free certification review courses from a company called Ed4Nurses, so that is what I am using to study now. I plan on taking the exam in about 2 months, but I have no idea wh...
  2. Is it just me?

    My dad and I had a discussion about this the other day....he said that he never fills out surveys that are "excellent" because he feels like that leaves them with no room to improve. My response to that was " you probably got someone fired for those ...
  3. Because that's the way we've always done it around here

    We are actually having a contest at the hospital I work at called "The Sacred Cow Contest". We are to think of things that we always do without any real evidence base, or something that we "have always done" and don't really know why (like taking vit...
  4. Bed down close to the floor for safety

    When I worked in LTC, we had special low beds for residents that were a high(er) fall risk than the others. We would also put mats down around the beds. The only problem with the beds that we had were the amount of beds available, and the side rails....
  5. Hi everyone, I took care of a patient that had a PEG replaced the day before because his previous PEG was leaking. Patient was post CVA a few months ago and in the hospital now for hypoxia, non verbal. Everyone was going well with his feedings. When ...
  6. Know of a good afternoon workout for a new 7a-3p RN?

    CrossFit! I feel like this gives me the biggest bang for my buck- it's usually a full body workout that you can do just one or two times a week in between your running schedule, and it does not take a lot of time at all!
  7. IV Toradol and Snack?

    I usually just flush .5 to 1 ml (if I remember!) after pushing an IV med because some of the med is still in the hub. If you don't flush, sometimes you can get precipitate with incompatible meds you are pushing if you use the same hub/port.
  8. How to turn down an assignment

    This has happened at the facility I work at several times. I was surprised to hear, though, that your manager was not aware of the situation right away. Was the charge nurse taking on a full load as well? As a charge RN, it is my responsibility to ta...
  9. Oncology & blood transfusions

    It REALLY depends on whether or not they are on active chemo, where they are in their regimen, and the type of ca but I guess a simple answer is YES.
  10. Call light abuse. What to do???

    Get him a sitter for a shift. I know it goes against productivity, but at least you would find out if he was just lonely or playing games.
  11. Dry Hands

    I LOVE putting on L'Occitane hand cream before I go to bed, especially the lavender scent :)
  12. Dry Hands

    I use Lush Dream Cream...I bring it to work and leave it at the nurses station, and everyone uses it, even the MDs. A teeny tiny bit goes a long way, so the $20 it costs lasts forever, I have had it for over two years. It's wonderful and very soothin...
  13. Why do we do what we do?

    Don't you just love when that happens?? And it doesn't happen very often. I took care of a little confused lady yesterday...I had to irrigate her bladder several times, and it was extremely painful (I had to close the door because she was screaming s...
  14. Telemetry monitoring on wrong patient!

    Just like the previous post, we also have to identify the tele box with the correct patient every shift, and enter it into the computer charting system so that this does not happen. I don't know how this could have been prevented otherwise.
  15. advice for new charge nurse

    This is the one issue that always gives me heartburn during the shift. I used to always take the patient if the nurses were busy, but then I was busy with this new patient for the remainder of the shift, instead of doing my charge nurse duties, and t...