me5115

me5115

Med/surg and Oncology

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All Content by me5115

  1. Oncology NP

    I have been working as a RN in an out patient Cancer Center for 4 years. I recently got my OCN certification. I am planning on returning to school part time to become a NP. I currently have my associates so my first step is my BSN. I hope to work ...
  2. Oncology NP

    I think all new grads should work atleast 1-2 years med/surg. It brings everything together that you learned in school. The hospital I work at requires med/surg experience to work oncology. There is always the option to do both, thats my plan, wor...
  3. Oncology NP

    Warren, PA Its really rural. We mostly send pts to Pitts. for second opinions.
  4. Oncology NP

    Thanks so much for the in-put. I love what I'm doing right now but feel like I could do more. I really trust my nurse manager and feel he would be honest with me. I could see our one doctor being difficult to work with, but she will probably have ...
  5. Rituxan dosing, ? Excessive

    Can you ask a drug reb? Next time there at my center Ill ask. Or I can ask my pharmacist. My center is very open. We are always asking the docs questions. Everyone needs back up checks. The 375/m2 sounds fine. We usually do 8 weeks. When are...
  6. Becoming Chemo Certified

    You can look up chemotherapy biotherapy courses they are offered at different places throughout the year. Im taking one in sept in harrisburg pa. If you dont work oncology at all, it would be helpful to have some experience. It would hard to follo...
  7. Becoming Chemo Certified

    you can take a chemotherapy/biotherapy course with an exam at the end. You get a certificate at completion. Its not the same as the ONC exam.
  8. Mediport access prob. HELP

    When I first started at my job, I was sure I drew a waste tube on a pt. A similiar thing happened and all of her blood counts came back low. We were getting ready to blood band her and I thought Im going to redraw jic. Well the second tube came back ...
  9. Okay, I'll say it PROCRIT

    We joke and call it THE NUMBER OF THE DAY....we even posted it on the dry erase board. right now we are using 11.4 for renal less than 10 for chemo pts. and we have to check ferritin level every 3 months. We are giving a ton of blood transfusions ...
  10. how to flush a picc

    I work at an out pt cancer center, most of our pts have mediports. sometimes we end up with pts with picc lines. none of us are exactly sure how to flush them. We were told if it is a gershong it only needs flushed with saline. If it is a plain p...
  11. Chemotherapy on med/surg unit

    I work in a hospital base out pt chemo center, Its sounds very similar to your situation, Its a small community hospital. Except our in pt med surg nurses NEVER HANG CHEMO. We have a union and they probably would throw a fit. For the same reasons,...
  12. does smoking really cause lung cancer?

    The vast majority of Lung ca pts will be dead within a year, its a horrible disease and a horrible death....
  13. chemo error!!!

    The worse thing that could happen, happened today!!! The nurse I was working with gave a pt the wrong chemo. She hung another pts Topotecan instead of mesna... It makes me sick thinging about it. I have worked here for almost 2 years and I always d...
  14. chemo for dogs?

    I went to vet assistant school and worked at a vet clinic for a year prior to nursing school. I currently work at an out pt. cancer center. My personal experience with pets with chronic ilnesses is not good. I have seen very sick dogs with peritin...
  15. chemo error!!!

    People make mistakes and thats why the checks are in place. But they are only as good as the poeple who use them. What happened with the aranesp thing, was the pt ok? My biggest fear is that the topotecan will drop the pts already low platelet c...
  16. OCN certification...does it really make a difference?

    I work in a out pt cancer center. I 've been there for 1 1/2 years. Im working on getting my ONC in the next year. I think it would be hard to take the test out of the med surg setting. I know to get chemo infusion certifided, you have to work fo...
  17. Are we all old???

    I am 26 Ill be married for 5 years in aug. and I have the sweetest 18 mnth little girl. I work 30hrs a week in an out pt cancer center. I only have my associates but Id love to continue. first i need to get oncology certified.
  18. Need Encouragement

    I got 75 questions and still had a feeling of absolute dread when I left. chances are unless you completely bombed you passed. The only people I ever heard of failing had the max number of questions.
  19. How did you choose the area of nursing

    every nurse needs med/surg experience. you need to learn how to prioritize pt care. time management and the foundation of your nursing skills are really trully learned in a med/surge environment. i lucked out by starting in a small community hospi...
  20. Shifts - do new nurses have a choice?

    I have worked at a small community hospital with a union for 2 years. I started part time evenings, Bid on a job m-f no weekends no holidays 8-230 at the cancer clinic and got it. so you never know, you might get lucky.
  21. Reimbursements Sway Oncologists' Drug Choices

    oncologist choice for treatment is based on standards of care. Cancer is an expensive illness to treat, but as is diabetes and heart disease ect.
  22. Please share nurse to pt ratio

    i work in a extremely busy out pt clinic, there is one infusion RN and a LPN that helps out although he cant hang the chemo. we have 8 chairs and 2 beds. somedays we have up to 17 infusions. our radonc department runs seperately with one RN but it...