blackdiamond407

Latest Activity

1. Oncology Nurse Administering Chemo - What affects can this have on our health?

   blackdiamond407 posted a topic in General Nursing

   I have been working on an oncology unit for 2 years and I love it. I really love my patients. I do administer chemo but it's maybe once a week or so. I am contemplating a slight change in career - I am considering the move to an infusion center but I...

2. What to Do When the Doctor Throws the Nurse Under the Bus by Lying

   blackdiamond407 posted a topic in Relations

   I received a pt with an order to transfuse if hemoglobin drops below 8. When the blood was drawn for the pt, the hemoglobin was 7.3 so I was preparing to start a blood transfusion when I noted there was no consent for a blood transfusion in the patie...

3. Holding medications - When to call doctor?

   blackdiamond407 replied to blackdiamond407's topic in Medications

   Thank you all for your insightful responses. They are all truly appreciated and have given me a lot to think about. Regarding LTC and acute care, I believe that the rules regarding care are the same but I believe that there are different expectations...

4. Holding medications - When to call doctor?

   blackdiamond407 posted a topic in Medications

   I worked in sub-acute for 7 months and I have now been in acute care for 2 months. A friend of mine told me I should be more careful when I hold medications and I am a little confused about when to call the doctor and when not to call the doctor. For...

5. Anxious Patient, Possible Biliary Drain Dislodgement, and Nervous Nurse-HELP!

   blackdiamond407 replied to blackdiamond407's topic in New Nurse

   Thanks! I think you are right. Sometimes an anxious patient can make you anxious, especially if you are still in the learning process. I am quite sure that her tubes were not dislodged as the patient went to the hospital for a procedure and I did not...

6. Anxious Patient, Possible Biliary Drain Dislodgement, and Nervous Nurse-HELP!

   blackdiamond407 posted a topic in New Nurse

   Hello All! Advice desperately needed. I am a nurse of 5 months working in sub-acute care and I still have a lot to learn. I was changing the dressing on a pt's biliary drain the other day. The tubing of the drain is stitched in the skin. When removin...

7. New Grad in LTC - Should I Stay or Should I Go Now?

   blackdiamond407 replied to blackdiamond407's topic in New Nurse

   Violetsmom, I agree with you. In the beginning, I felt that the comment had bad intentions. I thought about it a great deal, though, and figured that if the supervisor really wanted to get me in trouble then he would write me up. I have not been writ...

8. New Grad in LTC - Should I Stay or Should I Go Now?

   blackdiamond407 replied to blackdiamond407's topic in New Nurse

   Ruby, I think this is great input. Walking away from my conversation with my supervisor I felt as if I were being spied on but I agree that it must be normal for new grads to be watched and now that I realize this I feel better about the situation. H...

9. New Grad in LTC - Should I Stay or Should I Go Now?

   blackdiamond407 replied to blackdiamond407's topic in New Nurse

   Thanks. He said that even though the MD was notified, there needed to be a nurse's note stating that the MD was notified. That is the reason as to why I am being watched apparently. I realize the grass is not always greener but I am torn because I h...

10. New Grad in LTC - Should I Stay or Should I Go Now?

    blackdiamond407 posted a topic in New Nurse

    Hello All. Seeking advice regarding my job. I have been working over 5 months as a new grad in LTC/sub-acute facility. I work on a cart that has a mix of sub-acute patients, LTC patients, and hospice patients. Most days I love my job. I have about 20...

11. Insulin Administration: Standing and Sliding Scales

    blackdiamond407 replied to blackdiamond407's topic in Medications

    Thank you all for responding. If the BS is close to 60, I would personally call the doctor. Usually on our sliding scale orders it says call MD if sugar is 400. This particular patient has had a poor appetite lately so we typically wait until she has...

12. Insulin Administration: Standing and Sliding Scales

    blackdiamond407 posted a topic in Medications

    Just a quick question regarding insulin administration. I work in a LTC facility. Most patients have two orders for insulin administration: a standing order and a sliding scale order. The standing order for one of our patients is as follows: Give 8 u...

13. New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    blackdiamond407 replied to blackdiamond407's topic in Geriatric

    These are all very good points. Here I Stand, you have some very strong points. My major concern is that I do not want to be a "yes" woman and endanger my patients. The staffing issue at my facility is unfortunate but I am starting to understand that...

14. New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    blackdiamond407 replied to blackdiamond407's topic in Geriatric

    Thank you all for the feedback! Mhy, I'm not sure if working a shift and a half is an option but I will definitely ask so that I will know in the future. I think a 13 hour shift would be much more manageable for me. I do want the administration to t...

15. New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    blackdiamond407 posted a topic in Geriatric

    Hello, New grad with my first job in LTC. I was offered very generous salary and a full time position. I am to get every other weekend off and full time hours. On weeks that I do not have weekends off, my days off are not in a row. I definitely enjoy...