Latest Comments by Maliffy

Maliffy 1,497 Views

Joined: Feb 20, '09; Posts: 19 (53% Liked) ; Likes: 20

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  • 0

    I know this may be too late to really benefit you neverbethesame, and I hope your clinicals went well. I would be itnerested to hear what your experience was like. I work in outpatient oncology, with both medical and surgical oncologists, in a VERY LARGE county and teaching hospital, so my experience may not be typical. I see patient's pre and post-op, but interact frequently with the nurses on the floor. Take me with a grain or two of salt...

    In answer to your questions, our surgical oncology floor is much more post-op that truly oncology driven. Most of the patients on that floor have recently had some pretty major surgeries (Whipple anyone?). Because it negatively impacts wound healing, and increases infection risk few if any patients on our surg-onc unit are receiving chemotherapy concurrently with surgery. The chemo is usually before, after or both. Most of the nurses on our surg-onc floor lean more toward med surg, post op, ortho, and occasionally ccu types of experience. You need to know a bit about oncology, but it is mainly in the frame what surgery they had, and how their post-op period is expected to progress as a result.

    Best of luck!

  • 5
    canoehead, Esme12, pinkchris2000, and 2 others like this.

    The hospice that I work for is also considering mandating the vaccine for all clinical and social service staff in direct patient contact. I can see the logic in it, but there are some other things that employers are not considering.

    Every year I choose not to get a flu vaccine because I have a history of not so great reactions to them. I don't have details, but I did poorly after all my childhood immunizations. I never had chicken pox as a kid, and almost flunked out of nursing school when I missed a week after my varicella vaccine. That was fun...sorry, can't come out and play, I have the chicken pox. (I was 25.) If a vaccine has the potential to cause viremia, I get it, and bad too. Hence after my second bad flu shot experience, I have chosen to "work without a net" as it were.

    When I suggested to my employer that I would be willing to get a flu shot IF they agreed in writing that any time I missed as a result of receiving the vaccination would be paid, and would NOT be deducted from my available sick/vacation time, they looked at me as though I had finally lost my mind. Sorry, but I feel it is completely unreasonable to mandate I (or anyone else) do something that has a likelyhood of causing them to miss work, and then penalize them for it if they do. My sick leave is for when I get sick, not for when they make me sick. I'm not sure how bigger employers are handling that concern, but it IS something worth considering.

  • 1
    nerdtonurse? likes this.

    I read your article aloud at the end of our IDG meeting. You made an entire room full of hospice nurses cry. That's not an easy thing to do. Thank you for a poignant reminder to all of us, to think about how we care for others, and how we would choose to be cared for.

  • 0

    I recently graduated from a California Community College. I waited a year and a half on the waiting list to get a spot.

    I heard from some people who work in administrative positions at the college that they have EMPTIED the waiting list because so many people whose "turn" it is are not able to enroll for economic reasons, like not being able to cut their work hours etc...

    So while it may be true that the waiting lists USED to be somewhat ridiculous, it might not be the case in your area. It might be worth a could get lucky and save $45,000 without having to wait too long.

    Best of luck to you!

  • 5

    $100,000 seems like a lot, it can add up fast, but it takes far longer to pay off. Isn't that always the way it is takes a lot longer to earn or save money than it does to spend it.

    Many schools offer their own need based grants, in addition to federal student grants and loans. My MBA student husband's expensive private school paid over 60% of his tuition with grants until I finished school. Now we make too much for that. Help and options are out there. If debt is your only option don't give up on your dreams, but try to take the cheapest route that suits you.

    I busted my booty to get through nursing school. I graduated from nursing school (highly acclaimed commuity college ADN program) in december with exactly $321.79 in school related debt. Okay, not excactly school related...but we had a REALLY good time after graduation.

    I worked a full time job all the way through school, and during the summers I added a part time job on top of that. My husband (who is working full time through grad-school) and I both did without a lot of things we "wanted" but never, ever had a "need" go unfufilled.

    I hated my classmates. I was so jealous that they had time to do volunteer projects, and be on the student leadership council. I envied the fact that they had time to study as much as they needed to. They did crazy stuff like SLEEP.

    Shoe's on the other foot now. My bar tab...i debt is long since paid off and many of my classmates are shocked by the payments that their student loans are eating up. I feel especially sorry for the gals in my class who took the private TERI loans at something like 13%. OUCH!

    I think my soon to be MBA husband said it best when he said that "It's okay to finance your classes, but not your lifestlye. One will benefit you while you're paying it off, the other you won't even rememeber."

    Regardless of how you get in, get through, or pay for it...nursing school is ALWAYS worth it.

  • 1
    RNnTrainin' likes this.


    That makes a lot of sense. I always tend to jump the gun and want to address symptoms first and then treat the underlying cause, ie... stop the coughing, THEN cure the coughing. I doubt that working in hospice has done anything to break me of that habbit.

    I REALLY appreciate your answers. They're always right on, and very informative! You're awesome!

  • 0

    I graduated in December. Money was super I didn't get a graduation present until AFTER I started working. In just came today. I got a Littman Master Classic II stethescope, the black edition. Very sleek, and very stylish (dare I say sexy?) It's something I can use every day, and really makes me feel like a "REAL" nurse. If you're looking to make it extra special you can have her name engraved on it as well.

    My congratulations to her, and to all of you. It takes a whole family to survive nursing school!

  • 0

    Personally I'd start bugging our medical director for tylenol with codine (2 birds, 1 stone).

    I'm guessing the right answer is Codine. It addresses BOTH the pain and the cough.

    I'm interested in other people's perspectives.

    Do you have the "right" answer?

  • 1
    Amy2005 likes this.

    Calmoseptine is one of the best products I have ever seen used. I'm not sure exactly what they put in that tube...but I'm pretty sure that "fairy dust" is one of the primary ingredients. I swear that stuff is magic.

  • 0

    Remember your ABC's before anything else, then look for expected versus unexpected outcomes...what would you expect to see or happen and what would you not?

    Your patient with an infection is probably going to have a fever, that would not constitute a priority over say...a patient who is post knee surgery and whose JP drain will not stay compressed. So it should go...

    Unexpected Outcome

    Good can do it!

  • 2
    akanini and classykaren like this.

    Ok, this is kind of a vent...but it's a positive one.

    I graduated from nursing school with my ADN in December 2008, top of my class, and passed the NCLEX-RN in a half hour and 75 questions. That being said there are a lot of things that only experience can teach.

    I work for a small home hospice as one of eight or so RN case managers. We also have three of the most amazing and wonderful LVN's on our staff. They see patients when the case manager is unavailable, or when it makes more sense to have them seen by an LVN (third bandage change in a single week etc...)

    Each of our LVN's has a decade or more experience in home health. It drives me nuts-o when they "defer" to me as the RN, simply because they are LVN's. Yes, in theory my scope of practice is larger, I took more classes, my NCLEX included management and delegation, and I will have to co-sign their charting, but they have real world experience, something that is EXTREMELY valuable. I swear to you that one of them has seen more wounds than there are stars in the sky, yet she looks at me like I'm from mars when I place value on her opinion of the situation. I tried to explain to her that I respected her opinion and experience, but she's having a hard time wraping her brain around it.

    I wanted to publicily announce that while education, scope and title DO matter, the wisdom of experience is blind to these. There are things that I can learn from EVERYONE, so please LVN's, CNA's, CHHA's and everybody out there...never sell yourself short. The new grads look up to you...regardless of the letters that follow your name!

  • 0

    It seems like an excessive amount to me. I would question one of those numbers for sure...correct my math if I'm wrong but that's a gain of 36 lbs, and a pint is approx one pound, so she's retaining 18L of fluid? Is she THAT edematous? Are her lungs wet? I'm a relatively new grad, so I could be wrong, but in all of nursing school and in 2 months of practice I have never heard anything over 8-10L.

  • 1
    Serlait likes this.

    I graduated in December 2008 and took the NCLEX-RN on January 9th, a month before the Kaplan review that my school PAID for. I don't know why they thought anyone would want to wait a month and THEN take a 3 week review and THEN take the NCLEX. :angryfire I just could not make myself wait.

    I passed in 75 questions. The whole thing took about an hour from check-in to crying in the car. I was convinced I failed. The "powers that be" do make it sound like it is impossible to pass without a review course, and that you HAVE to study 12 hours a day for weeks and weeks to even have a shot at passing, but that's not true.

    I highly reccommend 2 things if you are going to go it alone...

    1. Get the Kaplan "Stratiges" guide for the NCLEX. It has a lot of interesting information about the questions in it. The first chapter is actually dedicated solely to figuring out *** the question is actually asking, which isn't always as clear as you would hope. It also has a bunch of good practice questions in it that were WAY more similar to the NCLEX than ATI or ERI.

    2. There are TONS of review questions scattered around online, make use of them.

    Oh yeah, and a good hefty does of BELIEVE IN YOURSELF helps too. Graduating from nursing school is no small accomplishment. You didn't get through nursing school on your looks...well, I didn't anyway. :chuckle

  • 1
    sunray12 likes this.

    Wow! What a downer!

    I think the job market varries a lot by location. In southern California the job market is not THAT bad. I graduated in December 2008. To the best of my knowledge all of the graduates in my class who wanted to be working (we had a couple of preggos who are taking time off), are either working or have recieved offers to start within a couple of months. In some cases it was not their "dream" job, but to the best of my knowledge everyone who wants work has it.

    It helps to think "outside the box," look into LTC, rehab, dialysis etc...

    Looking for a job is always frustrating. Personally I hate dealing with rejection, and that's exactly how I take it when I interview for a position and don't get an offer. As a new grad I sent out 61 resumes and got a total of 4 phone calls.

    One lady acutally blew me off after scheduling an interview,m waited at her office 2 hours, she never called, never showed. Just as well, if that's the kind of company she runs she can FORGET me ever going to work there. The other 2 were after I accepted the position I am in now, which kind of just "happened."

    I just recently started getting phone calls about resumes I sent out in January. Things take time sometimes.

    The trick is to keep looking, keep thinking and keep a positive attitude.

  • 0
    In ATI

    I graduated in December 2008, took the NCLEX in January, passed with 75 questions.

    Personally, I felt that the questions that the ATI predictor test had were significantly easier than the NCLEX. I also felt like most of the questions on MY NCLEX were of a different format. Not that I got a lot of the alternate format questions, just that ATI tended to cover more of the basic levels of understanding like patho or assessment while NCLEX covered more of the "putting it all together" aspects.

    The DVD's are a JOKE. They have someone who obviously has NEVER taken a medical terminology corse, let alone a nursing course, mispronouncing the names of medications and diseases while they show BAD Powerpoints full of misspelled words. I laughed so hard I almost cried.

    That being said the DVD's are a nice, thin overview of all of med-surg. I used them as background noise instead of the radio. I listened to them while I did dishes and folded laundry. I ripped the audio to my iPod and listened to it in the car, almost like an NCLEX audiobook.

    Long story short--it was a medicore review, but it worked for me.

    Don't stress too hard...I am living proof there is a light at the end of the tunnel.