sistrmoon

sistrmoon BSN, RN

Inpatient Oncology/Public Health

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All Content by sistrmoon

  1. Your Specialty & Why

    Adult Oncology(with med/surg overflow) for 7 years. Did a rotation there during school and it just clicked. The patient population is special, and there are a ton of opportunities for learning(chemo...
  2. Quiet initiatives - what has worked for you?

    Our latest is the "No Pass Zone" which means if you hear a patient calling out or an IV beeping you don't pass by but go in and address
  3. Facebook questions.

    I friend coworkers but not managers. I never post about work though and don't list what hospital I work at on my profile. I have coworkers who friend patients! Bad
  4. Does Everyone Actually Hate Nurses?

    I've heard mostly positive things from my friends and family(although I *have* heard "You're so smart, why don't you become a doctor?") but I wouldn't say everyone is in our fan club. I've heard...
  5. If a patient spikes a high blood pressure at change of shift, or similar issue, who should address it? I've always felt if I've already given report, it's up to the oncoming nurse to address and if...
  6. Currently reading "The Good Nurse"...

    Ugh that nurse that killed kids with presumed vaccinations. Parental
  7. Computerized Charting Errors-Need Stories

    I had a med error that was eventually linked back to a pharmacist. I had a patient come from the ED on a heparin drip. The paper flowsheets all said "standard dose WITH rebolus." The order in the...
  8. Off going or oncoming responsibility

    At my hospital in Texas, we were responsible for getting consents for things like blood transfusions and procedures. Here in NY, we aren't to do it at all, the residents do it. It's
  9. Off going or oncoming responsibility

    It's been awhile, maybe 6-8 months? I'll look through my work email and see if I can find what they sent about
  10. Off going or oncoming responsibility

    I was just using 10 days as an example. They can stay in 20 too but I haven't seen one last that long very often. Yes, they cited this as evidence based practice, that a working, non-irritated PIV...
  11. Can a Nurse Punch a Patient in Self-Defense?

    A coworker was cornered and groped repeatedly by a patient in our coffee area until her screams drew our attention to it. I've been threatened and had objects thrown at me by a psych patient I found...
  12. How long have you been at your current facility?

    Been at my current facility 6 years. Compared to my first facility, it's a spa resort(both inpatient Hem Onc at large hospitals.) Lots of support staff, good money, decent ratios(although staffing has...
  13. Off going or oncoming responsibility

    My favorite is the bone dry bags when I come on, yay! I always try to leave fresh bags hanging. Also try to always have an extra heparin bag, etc in the fridge because that sucks when your bag runs...
  14. Off going or oncoming responsibility

    Possibly a passive aggressive thing. But considering the patient didn't spike a serious BP until the vitals were taken at 7:30, I don't know how I would have addressed it. Psychic nursing? Apparently...
  15. We had an "outbreak" of parainfluenza on our floor(3 patients, same strain) so any workers with cold symptoms had to be swabbed. I came back negative but I wonder what the point was. I was swabbed on...
  16. Surrendering RN Scope!

    One thing comes to mind: at my facility, we get "critical values." This is typically a lab value that is out of range, but can also be a call from tele about bradycardia, etc. No matter what it is, we...
  17. Have you had to be swabbed/cultured?

    I'm married to an attorney so maybe my view is skewed but my thought was to cover themselves liability wise. Parainfluenza is no big deal comparatively but we are an Onc floor where even a bad cold...
  18. Is anyone else bothered by this? You should be

    I moved from a state that required 22 hours to a state that required none. Totally weird for me. I do plenty of Ed with my job
  19. accessing a port for just one blood draw

    I've worked inpatient oncology for 7 years. I have literally never had this situation. But we are told that every access and every dressing change is a serious infection risk for that patient. I'm...
  20. Hours of sleep before work

    5-7(considered a luxury amongst the night shifters I work with), except on my first night shift of the week and that one is just a couple hours nap during the day(but I sleep a normal night the night...
  21. Do you work with a cold sore?

    Just because the policy is in place doesn't mean it is enforced happily. We also aren't supposed to work with pink eye but I got unhappiness from management when I actually called in with
  22. Does this make sense?

    I work Thursday/Friday/Saturday nights. My kids go to daycare every Friday and my husband cares for them over the weekend. I only work 24 hours but with 12s, this could be full time. We even have a...
  23. Too tired to do anything on days off

    I would get vitamin D level, blood counts and thyroid checked, but I feel the same. I'm caring for 2 young kids on my days "off" and it's
  24. I don't think this is an unreasonable way to feel in hospital nursing. I've been doing it 7 years but know I can't do it the rest of my
  25. Do you work with a cold sore?

    Our policy actually says not to work with active oral HSV. I am Oncology but that is hospital not floor