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Soneshine's Latest Activity

  1. Soneshine

    Need help with priming PCA tubing

    Dee Angel, Could you please send me a link. I actually tried searching the internet first- with really no luck Thanks
  2. Soneshine

    Need help with priming PCA tubing

    Hi, I am returning to a Med/surg floor next week after being out of general floor nursing for a couple of years. I am having some anxiety about simple procedures & setting up a PCA pump is one of them? Anyone have any good instructions or tips for me! Thanks
  3. Soneshine


    What is a typical orientation period before a new oncology nurse mixes and admins chemo? What have been your experiences? Thanks
  4. Soneshine

    Characteristics of an Oncology Nurse

    1. Good assessment skills (looking at patients/family in a holistic manner). Cancer affects every aspect of the patient's/family member's life. Knowledge about the different type of cancers/drugs. Compassionate & good listening skills! 2. Oncology is a unique field because of the patient population. Generally speaking, cancer patients have a different perspective on life. They are faced with the possibility of death/dying. Many patients find a deeper meaning/understanding of life. Many strengthen bonds with family/friends that they would have otherwise taken for grantid. Also, nurses see patients frequently & stronger relationships are established!
  5. Soneshine

    I'm a horrible employee

    I most certainly agree with the majority here! You are not horrible or wortless anything!! Infact, probably just the opposite I bet. Please know that there are people out there that do care about your situation. Please be honest with your boss, but your priority should be your personal health and wellbeing at this time. Breathe deeply and remember that no matter how hard times are now, they will pass.... You'll be in my thoughts!
  6. Soneshine

    Help! need advice please..new RN job offer

    Wow, I would not have accepted both positions, but this is my opinion. There is a learning curve present in each job and 2 weeks is not enough time to make an accurate assessment as to whether you like the job. It took me a good 6 months before I started to enjoy my current job. Best of luck anyhow
  7. Soneshine

    Need Example of Start of Shift Template

    Absolutely! Just PM me and I will send you the one that I created and have used for the past year!!
  8. Soneshine

    What can we do to change this to prevent errors?

    Adequate staffing is key! Another issue is working 12 hr shifts. While I prefer 12 hrs and more days off, I think it creates safety issues. Both safety issues for the patient and the nurse. For example, as the night goes on and the stress levels remain high, I am more prone to back injuries, ect. You become less focused on the patient and more about "what needs to get done still" before your shift ends. This is not a great thing to admit- but I think we are all a bit guilty of it at times. Sometimes in order to stay sane or prevent burnout, we need to do whatever it takes to take care of ourselves. Many "sick" days are taken due to stress and burnout. But, when you call in sick because of stress, you're just contributing to the overall problem, and putting your co-workers and patients at greater risk. So, in summary, having adequate staff, shorter hours, and an emphasis on stress management are HUGELY important in preventing errors and injuries!!
  9. Soneshine

    New Oncology Nurse

    Hi All, I just got a job in an outpatient oncology clinic!!! I'm very excited and nervous at the same time. I've been a nurse for a little over a year now, working in Med/surg. Before I start my new job, do you have any advice for a new nurse in Oncology? Maybe things you wished other people would have told you sooner- or that you would have known before you started in this area? I really want this to work out!! Any really good resources or books you'd recommend? Thank you so very much for any feedback!!
  10. Soneshine

    Anyone work in outpatient oncology??

    Hi, Would like some opinions. I'm very interested in oncology nursing and am thinking of applying for a job at an oncology outpatient center. I'd like to hear from people who have either worked in oncology or have opinions about it! Would like to know the pros and cons- or anything else regarding this area of nursing. Currently I work in med/surg. Thanks!
  11. Soneshine

    Need opinions on what I should do!

    I'm currently working on a med/surg floor at a smaller, rural hospital. I have been there for a bit over a year now. During this time, I've had mixed feelings about being in this area. I know that it is not my niche in the nursing world- but at this point, I'm not sure what is. Prior to getting my R.N., I worked for many years as a CNA in LTC with the elderly population. I liked it, although it was often very mentally and physically exhausting. I think that as a nurse, I would prefer to be in an area that allows me to get to know my patients better and have more of a routine each day. I don't think I'd want to work in a nursing home simply because of the high patient load! Okay! Here's the situation: A while back I contacted the nurse manager at our local outpatient cancer center to inquire about job openings. I did a 6 week internship there as a student nurse and loved it! I love working with cancer patients. They didn't allow me as a student to administer chemo, but I accessed ports and hung the pre-meds. I really liked the environment and the staff there. At this time, there were no current openings. This aftenoon I got a call from the nurse manager, and she told me that a position is opening and asked me if I wanted to interview for it. She woke me out of a sleep, so I told her I would contact her tomorrow. The problem is this: My job requires a month's notice! The nightshift is usually a bit short-staffed, I am scheduled for ACLS this month, I requested holiday time off, ect ect. Although my current job, is not my "niche", it is generally pretty flexible regarding scheduling (which is so important to me). I am caught between staying in my comfort zone (which I don't love) - and moving on to something different (which I'm not sure I'll like if I actually have to give chemo or practice as an R.N. rather than a student)? I'm worried that because we are "slim-pickin's" at night at my current job, and that I've just completed several certs, that they may not consider hiring me back in the future (if I decide oncology isn't my thing). I'm also worried that if I decline to interview, that the oncology nurse manager won't consider me for future employment. Ahhhh, I am feeling stuck as to how I should go about all of this!! I'd appreciate any opinions or to hear from others who have gone through similar conundrums. Sorry this was so long!!!
  12. Soneshine

    Depression, burnout, etc

    I am currently working through many of the same emotions that you describe. Nursing is very taxing work in addition to your already so-called life! I am working on being more mindful of things in my everyday life. It takes a lot of patience and self-reminding. It's very easy to fall back into our normal patterns of thinking. I keep a private journal online and write in it as I feel I need it. At a miniumum, I practice deep breathing & try to go on a short walk daily. I think that what you're doing sounds like a good plan! I think it's important to slow down in order to gain perspective over things in your life. Please know that you are not alone. Reading your email reminds me (and probably other people too), that there are other people out there going through this!! Please hang in there and breathe deep! Really, life is all about how you appraise it. You have more control than you think, it just takes daily reminding sometimes.
  13. Hi, I recently had a discussion with some of my co-workers regarding working nights and overall inpact on health. a few years back, I recall hearing that nurses who work on the night shift have a greater incidence of cancer? Something to do with disruption of melatonin production or something like this?? I am curious what others' opinions are; whether you think that working nights (particularly for many years) negatively affects personal health. I work exclusively on nights and prefer it over dayshift per my personal preference, but I'm concerned that my health may suffer in the long run. I don't think I eat as well (veggies and such) during the night. I don't eat that much at work and when I do, it's usually fruit or cereal. Love to hear your thoughts!
  14. Soneshine

    Any Advice????

    YES! I felt this way, especially right after getting my first job and being on my own (without my preceptor). I had so much anxiety that I wondered the same thing as you.....are these feelings normal and am I cut out for nursing? Please try to remember there is a huge learning curve and it might take you a while to feel more comfortable. Are your co-workers/managers supportive? This is very important!! If they're not, I would consider a change in unit?? Remember to ask a lot of questions and know that you have resources available to help if you need them. It does get better I promise. Just be patient with yourself and be realistic about being new. I am a nurse with with almost a year behind my belt and sometimes still have questions- this is okay and it does get better!!! Keep your spirits on the tops shelf!!
  15. Hi! I'll try to make this quick. I am a nurse working 12 hr nights on the medical unit at a smaller hospital. I am a fairly new nurse (almost a year). The turnover is pretty high and I will soon have to be the nurse training new nurses; become more of a resource. While this extra responsibility means increased personal growth, it makes me incredibly nervous. There are some nights that I still have so many questions myself!! For example, I still have inserted an NG tube (has never come up). I'm still not very good at starting IV's, ect ect.... My big issue is this: I tend to be more of an anxious person (always have been). I have a serious lack of self-confidence. I like what I do, but most nights feel overwhelmed and generally inadequate. I don't think that I got the best on the job training. I have had to spend a lot of my personal time (days off) researching the proper and best methods for patient care (med admin, general nursing skills, organization, time management, ect). I do ask questions still when I have them- I believe in patient safety first. Okay!!! My point: I can't figure out if I dislike my job b/c of my issues with low confidence- or if it's not the right fit for me? Prior to being an R.N., I worked as a CNA for 10 years (mostly in LTC). I didn't like how physical it was, but I miss getting to know patients on a more intimate level and feeling like an important and needed part of the team. I currently get along with my co-workers, but I don't feel a strong sense of comeraderie or connection. I feel like I'm just feeling the gap for the most part. I don't know if I would want to work in a LTC facility due to the physical aspect of it- but think that I need to be in an environment where I feel more connected to the patients and my fellow co-workers. Any advice or support would be greatly appreciated!! I apologize for writing a novel. Guess I needed to vent too!!! Thanks
  16. Soneshine

    Week 3 of school

    Week 3 specifically, I can't honestly remember- but I do vividly recall wanting to quit on multiple occassions. This is normal. I'm sure you'll soon hear of others that feel the same if you haven't already. Hang in there though..believe it nor not, there might come a day when you miss being a student