Curlynursern

Yes, you need a new needle. This is the rule for any procedure you will do as a nurse where you are "inserting" anything. (IV, needle for a blood draw, port needle, foley..) — with IVs and blood draws, you can adjust the angle without pulling the needle out of the skin... but once the needle is out; you have to start over. Since ports are accessed at a 90 degree angle you have no choice but to start from scratch. There is no readjusting without removing the needle entirely. Infection prevention is a major goal of care obviously, but ESPECIALLY with sterile procedures like accessing a port, foley insertion, etc. you will see nurses miss the urethra and reinsert the same foley; don't be that nurse. Leave it in place so you know where not to go and grab another kit. Ports are central venous access— potentially introducing bacteria to a major blood vessel is a recipe for disaster. Not to mention, most people who have ports have compromised immune systems to begin with. The outside of the skin is sterile before you break the skin— because you've cleaned it using sterile technique prior to accessing. If you miss the port; you've broken the skin barrier in that location ( so the needle is no longer sterile— it has touched parts of the body that were not sterilely prepped). you have to remove the needle and repeat the entire sterile process—- grab a new kit, apply new sterile gloves (the outside of the package for a new port needle is not sterile, so your gloves would no longer be sterile once u went to open it) use alcohol and chlorhexidine to clean the area again, —- and go for it w/ the new needle. Hope that helped! If you're not yet solid/confident on port accessing protocol, definitely have a nurse educator review with you/demonstrate for u, and then access a port with them present. first several times you do this you should take someone more experienced and ideally more qualified with you to make sure you're following protocol. It's easy to slip up and become unsterile if you're not doing it routinely. I'm on an onc floor and while I take care of many patients w/ ports, I don't access them all that regularly, so I always take someone with me Sooooo, anyways, I gave the long winded version ……but to answer directly, Yes u definitely most certainly need a new needle! Stay curious / keep asking questions.

I’m pretty sure rejection letters do get sent out, but only when they close the job opening for good— essentially when they’ve hired everyone/everyone has signed their contracts. I took the job at LIJ for oncology and then I got a rejection letter last week for onc at Lenox hill ( I had applied to both) — my recruiter let me know she was closing out the other onc sites and I was gna get a letter in email! no news is still good news ? good luck!

Congrats and good luck! The interview style depends entirely on the specific management of the unit interviewing you. I interviewed for a med/surg oncology floor and got like 5 clinical questions, whereas people I know who interviewed with a PICU, CTICU, and ED unit didn’t get any clinical questions. Don’t stress too much about the clinical questions… they’re pretty basic and they actually don't care too much if you get them “wrong” as long as your thought process makes sense. When in doubt if you rly don’t know “as a new nurse I would notify charge nurse/activate rapid response and monitor patient” LOL or something to that effect

Yayyy! Congrats ? Good luck. Follow up with your recruiter & thank them after you do the interview! Squeaky wheel gets the grease LOL

Congrats!! That’s great. There was only one in-person interview, but there were several people interviewing me (about 5). I got a call the next day from the recruiter asking me for my references online, and then a week after that I got the offer

I’m sure you could but I know when I interviewed there were only 4 onc spots available at LIJ and she just set me up with the interview and I didn’t ask anything after that except if I could also interview at manhasset. The interview they set up for you is with staff/management from that specific unit where the job is available. Mine was a medical onc floor. That same floor offered me the position I was hoping for more of a critical onc/BMT floor but I’m happy with anything honestly. I just wana learn and have the support of the fellowship LOL

It is also a two year commitment! You are accepting a job/signing a contract for a specific unit when you accept the fellowship. The fellowship rolls right into the job on the unit (and a large portion of the fellowship is preceptorship on that unit) I did clarify with the recruiter who said the 2 year commitment is to the Northwell system, same specialty, and ideally same unit but worst case scenario… no one can/will stop you from transferring units/hospitals (within Northwell oncology) if that’s what has to happen before 2 years

Ugh that is frustrating. You can try the fellowship email but in my experience, they don’t reply back quickly, if ever. Its confusing, I’m not entirely sure how the recruiter works either. I do know that my recruiter said it was within her scope to set up interviews at LIJ AND Manhasset for me (if manhasset decided to do the fellowship). Since I only applied to oncology, I wasn’t told what the online video was for—- but I knew it was general (could be accessed by all hospitals I applied to). To my understanding, the recruiter watches your video and decides if you get the in person interview. At least that’s what happened in my case. When I got to the in person interview, they hadn’t watched the video. At least I think so, because they asked me some of the same questions. I think if they sent you the link for emergency…. And if it specifically says emergency fellowship on it.. it might be best to go w emergency fellowship but I don’t want to steer you a certain way assuming that all fellowships/recruiters work the same

@_allnurse I’m not 100% sure, all I can say is that when they ask you to complete your video interview, one of the questions is “which one specialty do you choose and why”. So I think it’s possible you may have to narrow it down yourself. You should be able to talk to a recruiter to clarify before then though! Good luck !!

@CN101 Thank you! I’m a new grad, but I did have Northwell externship experience (for Flexstaff- not a particular hospital) I hope you hear back soon!

Thank you so much! It was about a week and a half between applying and receiving a call. At first I was asked to complete a video interview (no one on the other end, you record yourself answering one question at a time — only have the option to record each answer once, but you have the opportunity to take your time and practice your answer before pressing record). A few hours after submitting the video interview, I was called back for an in person interview. My recruiter said that she didn’t have confirmation regarding whether or not North Shore Manhasset was actually going to go through with the April Fellowship, so she set me up with the interview at LIJ. Best of luck!! I think this process is vastly different for everyone depending on which specialties they applied for, which hospitals, and which recruiter is working with them. Hopefully we’ll be working together soon ?

Hi! I applied to all of the oncology fellowships and I actually just got my offer letter from LIJ! Sooo happy, I really thought it was a long shot that I heard back at all I know a few people who were asked to complete the on-demand video interview (1st step interview recorded via webcam) for ED and Critical Care who were contacted within the last week. I heard back about 2-3 weeks ago and I was the first person to have heard back out of all the people I know who applied to fellowships (also the only person to apply for onc) …so don’t get nervous! I think it’s still early! In previous threads I saw that they were still interviewing in late march for the April fellowship. Good luck to you guys ? lmk if you have any questions about the app process!