missy2b

Of course they affect my morale. I am one of those pitiful souls who wears her feelings on her sleeve. I don't often feel insecure--I know my stuff. I can feel like a doormat, however, because I can take a lot of crap without blowing up. Last wee...

If they don't, let me know so I never ever go there.

Watch out for other things, too. In stem cell transplants, we deal with lots of active CMV and also hand out quite a bit of thalidomide (cause of limbless babies). Just be careful, period.

Bless you! Hmm, in real life I am so shy I don't give advice to anyone:imbar --You don't have to do a thorough thorough bath every day, but you do need to check her skin and make sure she is turning. --Skin care. Keep it moisturized and get any s...

I have worked everything. Most floors push you to do the three 12's. It is cheaper for them. While on orientation--say you worked F/S/S days. You get no diff on Friday, 10% Sat, and 10% Sun. After probation, you will get 30% for Sat and 30% for Su...

1. knowledge first 2. ability/willingness to teach and learn--they will be going home eventually 3. empathy--there is a reason your head is getting bitten off 4. a smile when you don't feel like it 5. teamwork attitude--you too can catch puke ...

Saddest--25 y/o single mother with successful tx for aplastic anemia who killed herself because her parents took her children away from her. She loved those kids soooo much and never complained during her months in the hospital because she was going...

We use it all the time--with Kytril as a premed and prn by itself. Modified doses for the elderly and renal impaired. Not nearly the confusion Phenergan can give.

I work on a BMT floor and we have APNs in both inpt and outpt. They pretty much run the joint in the outpt clinic. Docs work inpt and do office appts. I think there are 8 or 10 of them, and most majored in acute care. The others were family pract...

In a bmt program that does >400 transplants a year, we have had one sick newborn (genetic problem) in 8 years, and it seems like there is always someone preggers, and most breastfeed for 8-12 months. There are risks everywhere--neuro/psych pts (wh...

Wow, Nesher did a great job of describing what goes on! Way to go! Also to be avoided are areas of construction and remodeling. There are ungodly things that can be stirred up and inhaled. Eating and feeding can be expensive and precarious. Often ...

http://www.cancer.gov/cancertopics/factsheet/Sites-Types/WM It's not bad, but does need to be monitored closely. And Velcade is evil, just in case they start talking about that.

I agree. Outpatient is chaotic and takes split second decision-making and prioritizing. This ability, though crudely tested for on the ridiculous boards, is different in real life when four people are asking for you at once. Experienced RNs can fly...

Oops, didn't mean to send that. Anyway, I have played the role of a medical assistant doing vitals before they saw the doc, a triage RN, a phamacist, a nurse practitioner, a wound care specialist, and a health educator. And of course, I have also bee...

I've been to Ecuador, central Mexico, Senegal, Mali x2, and Peru x2. I went with my local church through the International Mission Board of the Southern Baptists and in, Peru, through an independent self-supporting ministry (http://www.villamilagro....

I had a scarily similar pt recently. Almost the same, but had amyloids (protein deposits) on his heart instead of cirrhosis. After 40 minutes of messiness, we got a rhythm, but he crashed again before he was in the MICU room. I would have had a br...

Wonderfully said. On our floor, it is total team effort, and the "code junkies" love to jump in and take over before the code team arrives. I had my first code on one of my first weeks on the floor. I was still on orientation. I walked in before t...

I'm in oncology. . . Orientation is 12 weeks, but this also includes the mandatory hospital classes. It can be extended if needed.

1. Do you believe in using Morphine Sulfate for end of life comfort? Absolutely We use Dilaudid pumps more often in pts who are not dying because it doesn't have the respiratory depression. 2. In your experience have you seen respiratory suppression ...

I don't have any tats, nor a desire to get one. They bother me less than my coworker who has had open sores on his arms for the past 7 years. . . at least the tats are healed! He doesn't wear gloves, either.

The Heart Hospital is good. The Surgical Hospital is good. Conway is good. Pinnacle Pointe is good. The Methodist Behavioral Hospital is good. I just favor UAMS because they have tuition discounts and they match up to 10% for retirement, starting...

hooray! i will be starting school in ky in august, thus the quest for weo. right now i work at the most geographically dangerous hospital in my state, and i agree about just being careful. a college friend worked cardiac at baptist in l'ville and ...

Uams :)

I hired into the WEO. Please note that WEO positions give the bigger diff for only 24 hrs (even if you work 36 a week), and the bigger diff only takes effect after you are off of orientation and probation. They pay you for 36 hrs a week and give yo...

Oncology 3-4 pts per RN, no LPN positions.