Tsatalstrana

Tsatalstrana has 6 years experience and specializes in Longterm/Rehab and Hematology/Oncology.

Latest Activity

1. therapeutic phlebotomy

   Tsatalstrana replied to Tsatalstrana's topic in General Nursing

   OH WOW...iluvivt...thanks soooo much...this gives me SOMETHING to look forward to now. Yes, I was told to go bevel up, and I inserted very slowly, tentatively. So much appreciate your help. I am going to print off your advice and keep it safely in...

2. therapeutic phlebotomy

   Tsatalstrana posted a topic in General Nursing

   Hi All, Am an RN working in very busy Cancer center. I finally attempted my first therapeutic phlebotomy. Pt had some man veins, so I thought no problem. Well, as soon as even TOUCHED the vein he just started bleeding all over the place. I couldn...

3. blood transfusion

   Tsatalstrana posted a topic in General Nursing

   Hi..working in a hematology/oncology center. Just a question about blood transfusions. When Lasix is ordered between units...do you push the lasix when the first unit of blood is done and cleared with NS?....or can you push when line is clearing wi...

4. IV flulids/solutions and WHY??

   Tsatalstrana replied to Tsatalstrana's topic in General Nursing

   huh??

5. IV flulids/solutions and WHY??

   Tsatalstrana replied to Tsatalstrana's topic in General Nursing

   ok..psu__213...you have 2 pt's that are fairly stable...both post op several days. One gets D5 1/2 sodium chloride, the other gets LR. Labs both normal. Vs stable. Hemodynamically stable as well. No past medical hx. Healthy adults. Ready for dis...

6. IV flulids/solutions and WHY??

   Tsatalstrana posted a topic in General Nursing

   I really would like someone to EXPLAIN to me, or guide to a resource. Seem to have some confusion as to why a solution is given to a patient. When I ask my preceptor(just started on a med/surg unit), she says "I don't know, different doctors prescr...

7. Help with med/surg

   Tsatalstrana replied to Tsatalstrana's topic in Med-Surg

   Well, I am a new grad to RN, but have been an LPN for 5+ years, all of which were in LTC. I still had a tremendously hard time. It is like moving to another continent!! The PACE is way too fast for me...I will not be offended if someone tells me th...

8. Help with med/surg

   Tsatalstrana replied to Tsatalstrana's topic in Med-Surg

   thanks Katie....still crying...and crying....and more crying....

9. Help with med/surg

   Tsatalstrana replied to Tsatalstrana's topic in Med-Surg

   So, my fourth day on the floor and I walk in and my preceptor hands me the full patient load....I thought ok, by this time I guess I should have a full patient load i guess! What a total disaster to say the least. I was sooooooo overwhelmed I had...

10. Help with med/surg

    Tsatalstrana posted a topic in Med-Surg

    Hi All! Ok, I am new to the med/surg culture. I had 3 days orientation so far (need I say with 3 different preceptors...but I think that was just for last week). I thought it was completely overwhelming. I am already a timid person by nature. I ...

11. PCEA

    Tsatalstrana posted a topic in General Nursing

    Does anyone have any info regarding patient controlled epidural analgesia? Med/surg book gives no real details. Just started on med/surg floor with post op patients on pcea. How do I assess? Why do they get urinary retention? Any help would be g...

12. Burned out from floor nursing, need advice, please..

    Tsatalstrana replied to frazzled2012's topic in General Nursing

    EXCELLENT post! finally someone that understands that nursing is NOT just about paycheck but the WHOLE picture of healing! Thank you so much!

13. Burned out from floor nursing, need advice, please..

    Tsatalstrana replied to frazzled2012's topic in General Nursing

    excuse me...but...he says he is not able to "minister" to people. Do you have any idea what that means??? Nursing is NOT just giving meds, assessments etc...it IS ministering to them in this TIME of need!

14. HELP!! NURSE BURNOUT

    Tsatalstrana posted a topic in Career Support

    Working in an oncology infusion center. No prior experience. RN for only 1 year. I FEEL BURNT OUT. I hate going to work. It is soooo stressful. I was an LPN for 6 years in long term care. I just don't know anymore if I want to be a nurse in...

15. skin breakdown after total knee

    Tsatalstrana replied to Tsatalstrana's topic in General Nursing

    OK...FYI..was not asking for ANY medical advice...but just for the ortho nurses to relay how they handle TKA and mobility. Thanks for all the responses. The patient was up as listed above but just wondering if they were required to stay in same pos...