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OCNRN63, RN 38,267 Views

Joined Aug 27, '10. Posts: 7,177 (75% Liked) Likes: 27,597

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  • 12:39 am

    Quote from elkpark
    I quit reading at "Nurses eat their young."

    Whenever someone drags out the hackneyed "NETY" I not only stop reading, I consider anything s/he has to say to be NWOT. (There's one for you..."Not Worthy Of My Time.)

  • 12:12 am

    I really enjoyed working in outpatient oncology. I felt like it combined aspects of several specialties I'd worked in. It was challenging, and for the most part, I really liked the patients we saw.

    Unfortunately, I myself became a cancer patient, and I never recovered to the point that I could go back to work.

    If you didn't like the hospital aspect, then you ,might be better suited working in a free-standing outpatient center, like one that's based in a physicians' practice. It's a trade-off, because you tend to make less money in that setting.

  • 12:11 am

    Quote from oncivrn
    would a radiation oncology nurse OCN be proficient to admin chemo? Probably not.
    It depends on the setting. I knew a few that were.

  • 12:09 am

    The OCN recertification does not cover administration of chemo/biologics like the Chemo/Biotherapy course does.

  • 12:08 am

    Quote from greenerpastures
    It depends on whether you are taking the introductory chemo/bio which gives you chemo cert (9 CEUs), or if you are taking the second one which gives you chemo cert with additional certification (15 CEUs). The second one is complex. There are more than 10 modules to read with multiple subsections, as well as 4 interactive posts you have to make within the modules. There is a 50 question test at the end. Honestly, the one that gives you like 15 CEUs took me about 30 hours all together to complete.
    Yeah, I thought it was just easier to take the two day course than the online program.

  • 12:06 am

    Quote from sungrl01
    I just found out yesterday I got the job. So I am going to do Radiology Oncology nursing at Cancer Center. This will be new to me as I have OR, pre and post op nurse experience but hope to learn so much! So excited

    Congratulations! Have you considered joining Oncology Nurses Society? They have all sorts of CE materials at a reduced rate for members, and they also have a certification for radiation oncology nurses which is also offered at a reduced rate for members. (At least they did ~3 years ago.)

    Very best wishes to you!

  • 12:05 am

    First of all, I would suggest that you join Oncology Nurses Association. They have wonderful resource and educational materials. If you join, you can also connect with your local ONS chapter and network with other oncology nurses. I would suggest you take some of the CEs they have for new oncology nurses. One of the resources I found helpful when I first started working in oncology is their Core Curriculum manual, which covers all kinds of oncology practice issues.

    Are there policies for how to handle calls for prescription renewals? If not, I would talk to one of the docs/NPs about developing policies so you know what to do. Get to know websites that offer patient education, e.g. Chemo Care. This site has good information regarding chemotherapy drugs that you can print out for the patient.

    When someone gives you instructions on how to do something, jot them down in a little spiral notebook that you can keep in your uniform pocket; that way you don't have to ask again.

    Those are just a few things I can think of off the top of my head. It takes a while to get the knack of things. I went to an onc. office after ~25y of experience in other areas of nursing. I felt like a fish out of water for quite a while...very frustrating! Eventually things came together. Give yourself some'll get there.

  • 12:01 am

    Agree with Kel; having the child lie flat at least 1/2 hour helps prevent spinal H/A. Also, it would be a good idea to have these pts.cared for by someone who has a current chemo provider card.

    Sorry you were tossed in the deep end.

  • Dec 7

    I wish you were right here with me, because I would give you a big hug.

    You were not the problem there; it was the facility. There were so many issues with your situation that I had to jot them down. Here are a few that I noticed.

    1. Your schedule: Those hours were insane. Getting up to work at 0430 then working till 2200? Were you doing 14 hour shifts? You were getting ~ 5 hours of sleep. No one can function on that little sleep.

    2. Get that letter of recommendation from your former manager. You can use it when you apply for another position--and you will!

    3. You were working on little sleep, then dealing with unfamiliar patients who had no ID bands? Pt's are required to have ID; that's a violation by the facility. How were you supposed to be sure who your patients were? Did they have a picture of the patient in the MAR? I don't know if that qualifies as an ID in your facility per state regs, but it's not helpful when you're working with patients who are new to you.

    4. If the facility has terminated other nurses and CNAs for similar issues, that should be a huge red flag to you that they have problems. I think your mistake made you the sacrificial lamb. They terminated you in case the state or whoever oversees and licenses them makes a visit.

    5. Your patient did not suffer harm. Yes, he got the wrong med, but he's fine. Repeat this to yourself until it sinks in.

    Every nurse makes mistakes/med errors. Every one of us. It doesn't make us bad nurses, it's the nature of the work. You cannot allow one mistake that was made under extraordinarily sub-optimal conditions keep you from being a nurse. There's no reason you shouldn't work on getting your BSN, but I think you need to try to find another job so you can get your confidence back. You know the saying about when you fall off a horse you have to get back up on it? That's what you have to do.

    When you apply for another job, let them know what you learned from this experience and what you will do not to repeat it. Try not to bad-mouth the facility, even though it certainly would be tempting. If you don't get the job, tell yourself that it's OK and that you will find the right job.

    This was a terrible introduction to real-world nursing. It's not like that everywhere. Good luck to you; let us know how you do.

  • Dec 4

    There is no shortage of RNs; just a shortage of hospitals willing to hire RNs to staff their units appropriately.

  • Dec 2

    You need to take ownership for your GPA, not complain that other students with higher GPAs were able to get better grades because they didn't have to work. Unless you are BFFs with them, you don't know what personal burdens they are bearing.

    Study hard, re-take those courses and get your grades up. Re-take the NLN in 6 months and get a better grade.

    The ball is in your court.

  • Dec 1

    Quote from mrsmsh42
    Wow. We actually had some nurses name-calling a senior nurse a "crusty old bat."

    I just can't get over how disrespectful that is.

    You don't have to agree with her perspective. And you may not agree with it in 38 years. But hopefully, in 38 years, name-calling is no longer considered an effective mode of communication for you.

    But then. I'm pushing "crusty old bat." So maybe I'm just a hater of "young and new nurses" too.
    The thing is, we turned what was a snipe into a badge of honor. Most of us experienced nurses aren't young-haters. We just don't believe in mollycoddling and spoonfeeding. Some translate that into hatred. Their problem.

  • Dec 1

    Quote from klone
    Ruby, I just have to say that it strikes me that you dislike young people and new nurses. My perception is that you rail against them just as much as you decry their categorizing all older nurses as "crusty old bats."

    In my observations, it seems like you dismiss contrary opinions as "you're young, you just don't know" or "you're new, you just don't know" without giving any credit for life experience or intelligence. And this is coming from someone who is neither young nor new, but just an observation.
    I don't agree with everything Ruby says, but I've never gotten the vibe you describe. Ruby has been a nurse ~ 8 years longer than me and works in a specialty I always said I wouldn't step foot in. When she describes how she handles nurses who are new to ICU, however, it makes me think that I might have tried out ICU if I'd had a preceptor like her.

    I get the feeling that a lot of this animus is generational. There's nothing that I can do about being 51, except turn a year older every year. I've tried to treat everyone as I wished to be treated. I haven't always been successful, but I try.

    Since the crusty old bat moniker was initially an insult levied at several of us, I plan on keeping it until nurses of all range of experience and age are expected. Which essentially means it's going to stick.

  • Dec 1

    I doubt most nurses take issue with answering questions, and most want the best for their patients. It's when family becomes disruptive that I have a problem. No, I don't have time to keep fetching warmed blankets for visitors. No, I do not have time to take multiple meal/snack orders for family members. No, I don't have time to keep remaking the other bed in the room because visitors keep trying to sleep in it. Yes, it's a problem when multiple visitors raid the refrigerator that has drinks and snacks for patients. No, I cannot give a visitor the code to make a long-distance call that is not of an urgent nature. No, I can't stop taking VS just because doing so wakes you (the visitor) up.

    Visitors can do a lot of good, but they can also do a lot of harm.

  • Dec 1

    Quote from tacomaster
    I'm going through my orientation and absolutely abhor going to work. My preceptor didn't even want to precept me (constantly tells me) and this last week told me "I hate coming to work because i have to be with you". She's an experienced nurse of 17 years. I just started this career and am already thinking of leaving. How long should I deal with this? Should I put in my two week notice? I told the nurse educator and she doesn't seem to really care. I hate hate hate going to work. Any advice would be helpful. If I finish my orientation and then turn in my two week notice would that look better than just putting in my notice now? What would I tell my next employer?

    If you have another job to go to, I would offer to give notice, though since you're still on orientation it's most likely they'll tell you to just leave; at this point your presence doesn't really help them.

    ​Also, please know that not every experienced preceptor is as impatient as you describe yours to be.