Agnes Anne

Agnes Anne

Hem/Onc

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All Content by Agnes Anne

  1. Chemo documentation with Meditech??

    Hello, our hospital is working to EMR wiht meditech. Unfortunately there is very little prebuilt documentaion for oncology patients and chemotherapy administration. Do any of you have experience using meditach and would be willing to share your exper...
  2. Ignorant Stupid Patients

    I do agree with the frustration of attempting to teach a brick wall. However, where I work I haven't seen a real difference based on the payment source. Stupid is stupid no matter how poor, how wealthy or how covered. I wonder though. Is there a link...
  3. Starting PIV = bane of my existance. Any advice?

    Where I work any nurse can take an "IV practicum" to practice, brush up or get over a dry spell. You spend 4-8 hours starting IVs for day surgery, scopes and intermittent transfusions. Most of those folks have pretty good veins compared to what you g...
  4. Do you ever feel like a monster?

    Ouch!? This sounds like she was lied to or coerced into going to hospice. Was her DPOA activated?
  5. hi there! i'm a new rn, orienting to an oncology floor. i've been reading the "what's in your pockets?" thread and found many good tips as well a few laughs. now i'm wondering what type of scrubs or gear do you find works best on your floor. afte...
  6. How to organize your "brains"

    I've attached (I think!)the sheets I use currently. Our pts tend to have a lot going on and report s rapid fire. I've set it up so I can circle or cross of items rather than write everything thing out... my hand writing is too BIG!! I take report in ...
  7. Help I'm being kicked out of nursing school!

    I was thinking the same. At our facility we need two RNS to waste. The instructor would need to have another RN witness and sign for the waste either electronically through Pyxis or on our Schedule II accountabilty sheets.
  8. What do you wish for in a break room?

    hmm, a sink and side board to wash up my soup bowl and rinse my water jug in gm
  9. PCA infusions

    In my area of WC WI we do not need an RN to transport a pt with a pca within a facility. When pts are being transported from our hospital to another facility with the pca the RN must go along.... more for accountabilty than for any other reason.
  10. Tranfusing blood products - procedures

    Per my old skills text: The filter and tubing should be flushed with saline prior to running the blood. RBCs are fragile and may hemolyse on the dry filter. We use blood tubing on our Oncology floor. We prime with saline first, then run the blood t...
  11. Lunch????

    I work 0615-1515, our 1/2 hr break is not paid and our "hours" reflect that at teh time clock. However, when I clock out I can select "no first meal" adn get paid for that 1/2 on the floor. I work on a small wing... many days I cannot take a break. T...
  12. Needle Phobia

    Never fear.... I was a fainter. I could never give blood 'cause my BP and HR would soar just doing the papaer work, lol. I took a phlebotomy course and followed it up with a clinical to boot. By the time I was done I was pretty darn good.... and less...
  13. Injuries

    the largest knuckle on both thumbs and my great toes. Go figure?! Of course my back... but that's from crappy posture after a long shift,lol gm
  14. Nursing survival kit

    i did somthing as a birthday gift for a nursing student, but the thought is similar. i added: lotion for those dry hands from washing up so much coffee bags (like tea bags) to stay awake on long shifts bandaids for wounded ego/pride etc. i'm trying t...
  15. I'm a retired Leader. I led meetings in the community education room of the local hospital. It was nice, plenty of room and hte rest room was within the ed room, not down the hall and around the corner. The OB ward did not have a room large enough f...
  16. I just can't say that. We're supposed to use the same mantra but I won't. I do ask if there is any thing else I can help them with right now. And I remnid them that I'll be back on my hourly rounds -unless they have something scheduled before that- a...
  17. hhmmm maybe this is why weight is such and issue? Folks are trying to cure everything by eating it away?
  18. LONG - Incompetent, me? Nah - just inept

    My guess is that they are just so swamped and overwhelmed themselves that they are hoping (expecting) a full fledged super nurse to save them. They are not thinking about mentoring or encouraging a new nurse to find his/her footing........their frust...
  19. LONG - Incompetent, me? Nah - just inept

    2. start a personal journal. when you get home, write down what you learned, what you missed, and how you'd do it differenly next time. then...let it go. you'll really be amazed at how much you'll learn in one year. plus you'll teach yourself how to ...
  20. Your getting payed to to be here...

    More than that. It shows how little they know or care about comon curtesy. There are many ways to get your needs met. Verbally abusing pople is not the way.
  21. AHA....lay people don't check for a pulse?

    Our instructor said to expect to go with compressions only in the future based on research ongoing in greenbay that a good outcome is 50% more likley with 200 compressions. That's huge!
  22. Told to pee in her depends

    Can you check online or call the state to find out what your legal scope of practice is in an assisted living setting in your area? I'm concerned that 3 staff actively lifting this client may not only be dangerous for all involved, but putting your l...
  23. Told to pee in her depends

    It may be different in your area, but where I live and work aides and staff in assisted living centers may ONLY be SBA for toileting and getting into out of bed. More than that is considered skilled nursing. You may be required to lift a certain amou...
  24. Favorite cargo pants/scrub tops/carrier??

    These have become my favorite pair of scrubs. They are so comfortable, the pockets are roomy and reinforced by being part of the seams. The tricot lining makes retreiving stuff easy when I'm going by feel to grab what I need with one hand in the dark...
  25. New Grads after 6 months: How do you feel?

    Please expand on this. As I was approaching my 6 month mark I was straing to feel a bit more on top of it. Now that I'm smack dab in the middle I've feel like I've lost all the ground I've gained! Part may be due to some horrible staffing... folks mo...