mianlica

mianlica has 8 years experience and specializes in oncology/med/surg.

Latest Activity

1. Bone Marrow Biopsy

   mianlica replied to accent's topic in Oncology

   I have assisted with many bone marrow biopsies and have rarely seen patients extremely uncomfortable. If you're very anxious, ativan will help. Also be assertive and ask the practitioner to be very generous with the lidocaine. The lidocaine does burn...

2. OCN test

   mianlica replied to plum94's topic in Oncology

   I studied by using the online Oncology Nursing Review at http://www.meniscus.com. It has questions developed by ONS. It's all I used to study. I loved it. If you register with the website they also send you free CEU activities in periodically. You'll...

3. Nurse tracking devices

   mianlica replied to PattonD's topic in Ob/Gyn

   We have them on our unit. I like them. The call light automatically goes out when you enter the room so you don't have to crawl over the bed, chairs, tables, etc... to turn it off. I can go to the computer screen to see where all of my co-workers are...

4. Is 26 too old to go back to school?

   mianlica replied to anouk's topic in General Nursing

   I started nursing school at 32 with 4 kids under 6 at home. I'm now 45 and finishing my MSN. You're never too old!

5. New ONC nurse needing info

   mianlica replied to lish_99's topic in Oncology

   Try here. There's patient and professional information. http://www.cancersource.com/

6. Bone Marrow Biopsy

   mianlica replied to accent's topic in Oncology

   On our unit the pre-meds vary by patient. We usually offer ativan and dilaudid or morphine ahead of time. One of our practitioners that I've assisted several times makes sure that the patient is very well numbed. She takes a good 5 minutes to inject ...

7. Cyst or Cancer?

   mianlica replied to mandyhlpn's topic in Oncology

   My opinion is, if you have any type of growth that doesn't belong there, get a biopsy, ultrasound or other appropriate diagnostic test right away. No one can tell you by visualization or palpation with 100% accuracy that it's not cancer. Just find ou...

8. Abraxine

   mianlica replied to Kim O'Therapy's topic in Oncology

   Abraxane is a newly approved chemo drug for breast cancer. It's a protein bound form of paclitaxel which touts much less severe side effects than the original paclitaxel. Paclitaxel is also a first line treatment in ovarian cancer so it makes sense t...

9. Do I need a Year of med/surg before going into oncology

   mianlica replied to gn04's topic in Oncology

   I think the first thing you should look for is a hospital with an excellent residency program for new graduates. In Connecticut I've seen programs that go from 6 weeks to 6 months (the longer, the better). That said, I started on a medical oncology ...

10. Exchange Transfusion Via Port-a-cath

    mianlica posted a topic in Infusion

    I recently had a sickle cell patient that needed an exchange transfusion. We draw off 300cc of blood, give a NS bolus, then draw another 300cc of blood and then transfuse 2 units of PRBC's. Because this patient's access is so poor he has a port. We a...