das

das

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All Content by das

  1. PPE for empty chemo bags?

    One the topic of PPE, I work in an out patient infusion area and we wear chemo gloves for mixing, handling and administration and our Program Director is really starting to push the idea of wearing gown, gloves mask and glassesfor everything. They w...
  2. We have been attempting to solve a bottle neck problem in our scheduling. Our MD's are not varing their schedules and we are getting slammed from 1000-1400. We currently have 12 chairs, 8 pumps and 2-3 nurses working from 0800-1700. Our out-take ...
  3. Chemo clinic outpatient scheduling

    We are scheduling them in our main computer too. Our Docs have all at one point agreed to start early, but quickly go back to the "banker's hours" which adds to our bottle neck. Our PA comes in at 0900 and will start seeing chemo patients right away...
  4. Any advice re: outpatient chemo center?

    I've worked in an outpatient/doctors office for the past 6 years(15 yrs in house with 7 on an Oncology Unit total 21 nursing years). I love my job but it has changed over the last few years. Lots more complicated chemos and complex protocols. Lear...
  5. What's the weirdest baby name?

    Teaspoon Typhoon he worked in :) housekeeping at the hospital where I worked
  6. Problems with Rn's in clinicals

    Did you ever think that the staff also gets overwhelmed and tired of students? When I worked in ICU and the ED, we had LPN, RN, EMT adn EMS students. It got to the point that I hated to go to work and have to deal with another student and I am a fi...
  7. How do you feel about ADN nurses?

    I have to disagree with the statement that all RN's should be required to advance their education to at least the BSN level. It is a personel choice and I don't care who funds it. I have been active at local and state levels of our professional ...
  8. How do you feel about ADN nurses?

    I laugh so hard everytime this topic comes up! Don't worry about what others think, do it for yourself, if you feel the need. Work hard to be the best nurse you can be, care for your patients, co-workers and yourself. Share your knowledge base and...
  9. Chemotherapy Administration

    I work in an outpatient Oncology office and we do not wear gowns, always wear gloves when handling chemo and administering it. We have gowns and goggles available to anyone who would like to use them, but I haven't worn a gown since I left the inpa...
  10. Help With Blood Draws

    We draw all of our clinic patients off of a 24g IV and have success 99% of the time. Occasionally we hemolize, but not that often. We use 24g Intima IV Catheters. Similar to butterflies, flush with hep and cap until it's chemo time. There are ti...
  11. Intravenous Radiation Therapy

    What I believe you are referring to would be strontium chloride Sr89. It is used for bony met pain from prostate or breast cancer. Patient have experienced relief for 4-16 months. It is administered in Radiation Oncology .
  12. Diabetic nurse

    Excellent replies!!!!!!!!!!!!! I am so proud to hear all the support and appropriate information given. I am married to a diabetic and have 2 close friends(both nurses) who are diabetics. I also have a 2 yo nephew newly dx in Feb. All are insulin...
  13. ellence

    Has any one out there had phlebitis problems with Ellence??? We have had 3 FEC( 5FU, Ellence and Cytoxan) patients develope phlebitis even up to several weeks post treatment. We have not had a problem with our ACs or FACs. These are all periperal ...
  14. ellence

    A port or VAD would always be our preference, but not always an option. If we see a problem early in the treatment phase we ask for a VAD, but if it is the 5th or 6th of 6 treatments it is not an option.
  15. ellence

    We have only recently started using the Ellence. Our MDs are at odds if the Ellence is any better than Adria. Up to that point we have always used Ardia and have not had any problems. We inject the Ellence into the y-port closest to the patient th...
  16. Medical Leave

    We have had several nurses and other hospital personnel go through various treatments. Most have continued to work. The nurses (breast Ca) have used Neulasta to allow them to continue to work. One nurse monitored her counts and decreased her work l...
  17. Frightening events during chemotherapy

    I work in a Hem/Onc office with an OP dept. There are 2 chemo certified RNs and 2 triage RNs, also chemo certified (plus 2 LPNs) We have 12 available chemo chairs (and sometimes there are 12 patients in them and the triage nurses work with us when ...
  18. Hand lotion

    I'm beginning to think that it is all Urban Legend. The information I read was bacteria grows in many lotions and is promoted by the ingredients in them. The neonatal pseudo deaths in Detroit were re: to artifical nails. Our IC dept went crazy aft...
  19. Interview in Oncology

    I started on an Oncology unit 18 years ago and spent 7 years there. It is the best place to learn about the whole patient. Cancer affects every aspect of their lives. Not only psych-soc but every major organ system. The Oncologist need to work wi...
  20. Implantable Ports And Chemo

    Recently we have been discussing in our office what to do about implamtable port that have no blood return and the administration of chemo. The port has been checked over (ie dye studies, TPA'd...) and are proper position and placement. Do you give...
  21. Ca of the tonsils

    We have recently tried a new product called Gelclair by Cell Pathways that has worked really well for our head and neck rad pts. No numbing so it does not impair swallowing.
  22. I got the CRUD

    OOOOOOOHHHHHHHHH I feel sorry for you all. I ggot it just before Thanksgiving... 3 courses of antibx and lots of tylenol, fluids,nyquill... I am finallllly feeling better. Unless a storm front is moving coming, through, left then the sinus pressu...
  23. After blood return,then what?

    A agree with AHarri66 and fab4fan. If you get the flash and don't advance any farther you might be only catching the bevel of the stylet and not be able to advance the cath. We use angiocath/Intimas and I love them!!!
  24. Implantable Ports And Chemo

    We have Official ONS guidelines and our policies reflect those guidelines, but we all know that reality and policies can be different. It is not always an option to replace a port or use venous acces for a vesicant when they have no veins. We just ...
  25. Oh yes and having more cleavage than others I wear a tank top under my scrub top. I like the simplest of scrub no fancy extras just draw string pant and a top with 2-3 pockets.