Updated
Nov 23, 2008 at 01:28 PM by Ivanna_Nurse
Hi all, I am a fairly new nurse with ICU experience and now work in an outpatient Chemo/Hematology/Internist office. I left ICU because of several reasons and relieved to be on days with no weekend or holidays.
I was born into a world where I look at my pt's charts and really know whats going on, from H&P's to CT results. Here there isnt time for that. Its more like get em in, get em started, get em out, cause there are more waiting...
I have a few concerns including the absense of pumps, and am afraid that I dont even know just exactly how much I dont know. (if that made sense) No crash cart/AED. No pulse ox. Nothing of that nature and that worries me ALOT.
There is one RN- myself for the office. The nurse checks labs, does the medport accessing, draws and flushes. The nurse mixes the chemo, starts and discontinues infusions.
I will be on my own starting the 1st of December and the gal I am replacing will be done as of Wednesday. I will have had 2 full weeks of training by her. (if you can call it that)
Typical day consists of 8-16 chemos in am, 2-3 infed Iv's, 5-10 procrits/B12's and then afternoon appointments that are non chemo.
I have no chemo experience, its been an on the job thing.
No pumps for chemo... I find it difficult to mix, switch over bags, start lines and disconnect these folks all by myself.
I guess that I am afraid that things are a little lax here and I worry about everyones safety, including mine. I LOVE the patients, they are the nicest. The doc is wonderful and keeps reassuring me that I am doing great.
I come from ICU and this is a whole different world. Is it just me?? I'm not sure that I am loving it, or if I will. Tell me what you guys think.
Thanks, Ivanna
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