ds123

ds123 has 24 years experience and specializes in hem/onc.

Latest Activity

1. Funniest thing a confused pt. has told you...

   ds123 replied to GrnHonu99's topic in General Nursing

   One night I had a patient up in her chair and posied in (when we where allowed to posy patient in chairs) and the TV was on and old movie. I left the room and a few minutes later she was screaming for a life jacket. I went back in the room and on t...

2. Am I in trouble?

   ds123 replied to nursetutor's topic in General Nursing

   That is why there are 3 shifts of nurses. We all take care of the patient and if the nurse is "upset", that's her issue to deal with. You did your job and she is responsible for what occurs on her shift. I always appreciate a call to let me know a...

3. Anybody work for a Wellspring Hospital??

   ds123 posted a topic in Massachusetts

   Our hospital is currently being managed by Wellspring Partners Ltd. I am wondering how other hospitals fair after Wellspring has managed them, eliminated many staff positions and completely altered all the staffing patterns. Thanks for your help.

4. Please share nurse to pt ratio

   ds123 replied to RADONC-RN's topic in Oncology

   We have 3 RNs. One is the pharmacist and the other 2 work the room starting IVs/ports, drawing blood, giving injections...We have 12 chairs and one bed. We have a phlebotomist in the room too. We average 10-15 chemos daily and see average 20-28 to...

5. new chemo RN hanging chemo without another chemo RN working

   ds123 replied to sunshinetoo's topic in Oncology

   Did you have chemo training and get certified? 2 Registered nurses should always check chemo before it is hung. They should be able to pull a more experienced nurse to your shift to assist you. Follow ONS guidelines and stand firm this is ultimate...

6. Concerned about exposure to chemo drugs!!

   ds123 replied to Soneshine's topic in Oncology

   I too work in a clinic where the nurse does the mixing. All 3 of the nurses in the infusion room mix. We have a Laminar flow hood that rivals the main campus pharmacy. Use your gloves, sleeve guards and always mix with respect. Learn about the d...

7. Patient accuity levels for chemo patients.

   ds123 replied to cathy949's topic in Oncology

   Inpatient unit or Outpatient unit? The ONS website in May 2006(?) gave staffing aquity level of 3.8 patients per nurse in the outpatient setting based on a study and aquity tool developed by Sloane Kettering Memorial Hospital. I have attempted to f...

8. What is your title and what state/province are you in?

   ds123 replied to P_RN's topic in General Nursing

   Chemotherapy Nurse on the shore of Lake Superior in the Upper Peninsula of Michigan

9. Out Patient Clinic Problems

   ds123 replied to ds123's topic in Oncology

   This usually involves our medicare population who do not have prescription coverage and therefore can not afford to pay out of pocket for their meds. Neupogen cost approx. $250 per inject:eek:

10. What Freaks You Out?

    ds123 replied to JennieBSN's topic in General Nursing

    VOMIT!!!!!! I can't stand vomit!!!!!!! I am in the pan next to them!!!!!! All my years on Oncology and I still can't stand vomit!!!!! The 20 something young lady who was brought in by EMS for running down the street on New Years eve in her Mickey ...

11. Out Patient Clinic Problems

    ds123 posted a topic in Oncology

    Recently our Oncology Office has experienced difficulty finding a place for our patients needing neupogen shots over the week-end. We had been using a walk-in clinic, but because of reimbursement issues they are declining(and they can because they a...

12. Almost zero WBC count

    ds123 replied to misti_z's topic in Oncology

    When I started in Oncology 17 years ago (LPN then RN) we used strict Neutropenic Precautions. Things have really relaxed in the past 10 years. Now we post the precautions but the door is open, we don't mask the patients in hallways...we still do no...

13. So, what are RN's getting PAID?

    ds123 replied to malestudent-bsn's topic in Career Support

    I work in Upper Michigan and have been an RN for 12 years and make $22.40/hr. Average in our area. However the shortage is hitting and we are seeing recruitment ads from Wisconsin to start at that wage, sign on bonuses, comp benefits... You need t...

14. Survey: Do you carry medical malpractice insurance?

    ds123 replied to Brian's topic in General Nursing

    I've carried professional Liability insurance on and off through out my career. There are certain areas I feel I need it more than others. I currently work in an office and mix and administer chemo. This is one place I feel I need it!