sistrmoon

sistrmoon BSN, RN

Inpatient Oncology/Public Health

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All Content by sistrmoon

  1. BIOPATCH

    We use bio patches on our ports. All central lines have
  2. Top 10 Reasons We Get Fired!- Medication Errors

  3. Top 10 Reasons We Get Fired!- Medication Errors

    It's oversimplification to say "Just follow the 5 rights and there will be no errors." Sometimes there are systems failures. For example, a heparin drip with no rebolus that was initially rebolus and...
  4. I take it a step further...I work exclusively weekend nights. I must be the laziest of all! I definitely prefer to deal with less management, visitors, doctors, med students, etc. But I have many a...
  5. POLL: nurse-to-patient ratio

    Oncology/med surg, overnights. Usually 1:4-5, max is
  6. Does nursing really suck that badly?

    Depends heavily on where you are. My first job had crazy ratios and no support staff. I hated it. My current job caps you at 6 patients and has a clerk(even on nights!), PCAs, phlebotomy, clinical...
  7. Do you calculate drip rates anymore?

    We don't run platelets on a pump but I was under the impression it was because the pump would harm the delicate platelets. That said, we don't really calculate a drip rate to do it, just start it...
  8. Pump vs. Gravity

    I've worked Onc for 6 years, 2 different hospitals. Everything except platelets is done on a
  9. Any one work for "let mommy sleep" company?

    As a nurse with 2 kids who slept horribly as babies, I think this is
  10. staying healthy while working night shifts

    The biggest health hazards to nights are over the long term. I don't find that I get sick more often. I do feel more fatigued on the days/nights I work( I work part time nights now although I worked...
  11. Just wondering if there are any preliminary flu vaccine effectiveness rates out for this season yet. We are still awaiting swab results, but it appears my whole vaccinated family, including 2 kids,...
  12. Feeling Guilty After Calling in Sick...

    I called in on Saturday night. It's looking like my whole family has the flu despite us all being vaccinated(still awaiting swab results.) So while I did get that twinge I get from my over zealous...
  13. People covering up their own inadequacies/weaknesses by knocking someone else
  14. For those who have changed careers and became a nurse: What was your previous career? Worked human resources for an IT startup and various office/library positions. Also worked for a nursing staffing...
  15. Every hour IV medication

    If you work on a med surg floor, is there a policy about every hour IV pain medication? Ours are supposed to be converted to a PCA pump if they are really taking it that often but it's not happening...
  16. Every hour IV medication

    I talked to my boss and she said next time this happens to go up both the nursing and md chain of command to change
  17. Nurse fired for refusing flu shot

    You're much more likely to acquire flu and have serious complications including death if you acquire flu while pregnant. Even with my history of multiple miscarriages, I got both flu and Tdap vaccines...
  18. Getting a meal break

    I'm night shift. We don't get scheduled meal breaks. I'm always kind of amazed when I see the meal breaks on the schedule for day shift. We just cover each other as we have time. But busy nights a lot...
  19. No more phlebotomist in the hospital?!

    My previous hospital we had pretty much no PCAs, no phlebotomy, no clinical support, no clerks. It was awful. Especially on an Onc floor where almost everyone is a difficult stick. Now that I've...
  20. Every hour IV medication

    The last patient I dealt with this, 3 different doctors were called and none would switch to a
  21. Break Room Ideas

    Yeah we ended up with a dead rat in our break room fridge and the whole thing had to be replaced.
  22. Night shift sleep patterns?

    I work 3 8 hour shifts(Thursday/Friday/Saturday) and care for my 2 young kids the rest of the week. So I flip flop. I usually don't sleep extra on Thursday except after they're in bed so 7p- 9pm. Work...
  23. Experienced nurses: teach us your time management skills

    I was thinking taking a bunch of meds in that you may or may not give could be a problem. Of course a patient may refuse a med but I generally only take in the meds that are scheduled or very likely...
  24. Experienced nurses: teach us your time management skills

    I make my own brain sheet. I haven't found a preprinted one I like as much. We round at the bedside together right after report so immediate patient needs are made known then, and we do a quick check...