HemeNP

HemeNP MSN, RN, NP

Hematology/HCT

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All Content by HemeNP

  1. picc in subclavin...o.k for some chemo drugs?

    You have to make sure if the subclavian line is a PICC (longer) or an angiocath (shorter) that was inserted through the subclavian vein. If you are sure that it is short (meaning it doesnt extend to the SVC) then personally and our hospital policy w...
  2. Losing patients - does it get easier?

    watching my patients live through the pain and associated physical and emotional effects of cancer is painful to me. It is even more compounded when the prognosis is very poor, when the quality of life is poor, etc. you cannot avoid but be attached...
  3. Febrile oncology pt to transfuse or not? Help!!

    this is a case of febrile neutropenia and pancytopenia maybe coz platelets are down and needed prbc transfusion. pancultures should have been done already and a chest xray as well. identify obvious foci of infection. going back to the question, so...
  4. Nurses & use of haemonetics equipment..

    purplecotton: Apheresis and the use of Haemonetics MCS System doesn't commonly fall under the function of an oncology nurse. Apheresis nurses fall under another specialty which is more in the blood banking area. There are jobs for nurses who have e...
  5. OCN test

    GirloftheSun: I think 2 day review classes can help to a certain extent. If you are willing to pay the fee then go right ahead. I hope you can get a refund from where you work as part of you education benefit. Stick to the ONS test blueprint (tha...
  6. OCN test

    Congratulations Plum!!! GirlOfTheSun you can get the book (Core Curriculum for Oncology Nursing) from the ONS Website (http://www.ons.org) or from Barnes and Noble. The book is great as Plum said. You can also get the Study Guide for the Core curri...
  7. WBC Counts and Exposure

    their wbc will not rise because they are immunosuppressed. that's why it is important to watch for non-classic signs of infection in caring for a neutropenic patient. some of them will not even develop fever, will not have localized signs of infecti...
  8. union nursing

    :chuckle I have a good experience with union so far... we were able to get a good contract this year. hospital implemented 'steps' (basing pay on years of experience and not just on merit), seniority incentives, jury duty pay, increased paid hours f...
  9. LA, Calif: Nurses Begin 4-Day Walkout

    thank you all for your posts. this truly inspires us all. we picketed for four straight days. 99% overwhelming support from staff nurses, full time, part time and per diem. community support was amazing. the honking of the horns from cars and bu...
  10. Prevacid and G.Tubes

    do not crush or let prevacid granules dissolve in a liquid before giving it to the patient. prevacid is timed release. we are beating its purpose if we crush them. we learned it the hard way. we got cited by dept of health services for that when ...
  11. medication

    nurses only administer medications. we don't dispense them. it is the pharmacist's job to dispense them. using a medication already labeled for another patient's use may be construed by the law as dispensing a medication which is outside the scope...
  12. K+ bolus?

    i have given plenty of KCL boluses at 20mEq/hr mostly for patients with hypokalemic paralysis. i haven't encountered a fatal arrythmia secondary to this bolus, other than the already existing EKG change for the hypokalemia. the only complaint of pa...
  13. Would You Pray if your Patient asked?

    i will pray a non denominational prayer if the patient belongs to a religion other than my own beliefs. if we have the same religion, then i can pray with him/her according to both our own kind and way of praying... spiritual care takes a big part o...
  14. So...does anyone like it?

    med-surg is great! only complaint, PATIENT LOAD!!!
  15. Echo Heron I guess...
  16. Gastric bypass surgery

    I have taken care of patients who were for gastric bypass roux-en-y procedure. It was indicated because they already had medical complications owing to their weight. I had one case whose surgical site got infected with MRSA. It did not look good bu...
  17. Check out those veins!

    Oh no you are not alone! I'm not a vascular nurse but since IV teams are not too much "here" anymore, we have to start our own IV's. I've been a nurse for ten years. I've been checking out other people's veins for the past nine years. It's not a ...
  18. organ/tissue donation

    i am for organ donation. i work in a hospital that is well known for organ transplantation in southern california www.stvincentmedicalcenter.com . i don't know how it works in other states but all deaths in our setting have to be reported to SCOPC...
  19. Importing Foreign-trained nurses

    I believe all of our family members benefit from what we earn from our daily toils. so what's the big deal that foreign trained nurses are pre occupied sending money to their families back home? where else would they send it? it is not a fair gene...
  20. as far as i am concerned education matters! no matter how you put it, it sure does matter. if it doesn't matter, then why did we ever go to school to earn whatever degrees we have, be it ADN, LPN, BSN, or whatever. pursuing a more advanced educati...
  21. Importing Foreign-trained nurses

    i applaud and support the ANA for being a big voice in fighting for better working conditions for nurses. recruiting foreign trained nurses may not be the only solution for nursing shortage but it sure is a very big help to this problem. foreign t...
  22. How much do you make?

    Full Time Job RN SNF 1 year Los Angeles, CA 17.50/hr. full benefits Per Diem RN Acute Care Nursing Float Pool (M/S,Tele/TCU/Rehab) 2 months Glendale, CA 28.50/hr no benefits
  23. nursing caps

    i'm a male nurse and i miss seeing caps on nurses! it's such a great tradition. it cannot be that practical sometimes. but at least maybe occassionally you gals can put on the cap when u go on the floor. what i site. patients respond to it quite...
  24. Ques. about presetting up of meds

    i work in a skilled nursing facility. pre-pouring medications (pills or liquids) is a real no-no. you get writted up the first offense. third is bye-bye time. i know how it feels to finish the 6am med pass ASAP (plus all the fingersticks that we ...