mianders

mianders RN

ER, Infusion therapy, Oncology

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All Content by mianders

  1. Med Surg Question

    Med/Surg is the medical/surgical floor. You get all types of patients. They are not usually critical, but can be very ill at times. The list of duties is to long to go into on this site. The type of...
  2. Nurses taking patient's off backboards without doctor clearnce?

    I worked in the ER for years and would never take a patient off a backboard without a doctor's order. You can not maintain spinal immobilization with just a c-collar. If you have TNCC you know that...
  3. ER#1-2 yrs
  4. Can a unlicensed person gave and take orders?

    I am an RN in TX and in the hospital setting only licensed staff can take orders. Don't know about the doctors
  5. Geriatrics, they have some of the most wonderful stories to tell.
  6. If For One More Day.......

    it Would Be My Brother-in-law. We Had An Argument, And Before I Could Tell Him I Was Sorry He Died. Don't Ever Let Something Stupid Cause A Rift Between You And Someone You Love. Life Can Change In An...
  7. HELP! Does this mean I passed?

    Congratulations
  8. Anyone Else Experience Mobbing?

    You either file a harrassment suit against all of them, which I admit is hard to prove, or you cut your losses and run. Sometimes the latter is easier. I hope you have found someplace where you don't...
  9. Art of Nursing

    What a wonderful post.
  10. Anyone Else Experience Mobbing?

    I have been a nurse for 13 years and have never heard of this. I would go to administration and if that did not work I would file harrassment suit against the hospital and the nurses that...
  11. Unsafe ER - any suggestions?

    I worked in the ER for 12 years and encountered what you are going through many times. There has to be a nurse/patient ratio set. Trauma rooms should never be more than 2-3/1, and if the patient is...
  12. There are problems with the US healthcare system, but there are also problems with the Canadians and Europeans also. I am not willing, nor are most of the people I know willing,to take on a replica of...
  13. Have you ever spoke to anyone that lived in a country with "socialized medicine" or "socialized health insurance"? The people that use it and the healthcare providers themselves will tell you if you...
  14. Just curious what's so bad about working LTC?

    Just curious, How many IV's do you start? I know there are good nurses that work in LTC but it has been my experience, just taking report from LTC nurses, that there knowledge base is not as high as...
  15. IV med admin: terrified of making error!

    If you are unfamilar with a drug or how to give it make it a rule to look it up. It is your responsibility as a nurse to make sure you know about the med before you give it. As you become familiar...
  16. Just curious what's so bad about working LTC?

    It all depends what you want to do with your nursing career. If you stay at a LTC you will not develop a lot of the skills you would in an acute care facility. If you plan on spending your whole...
  17. OSHA or JCAHO says that a nurses station is a patient care area and that is why you can not have food or drinks there. I have been a nurse a long time and have never seen a nurse do patient care at...
  18. Doing the Happy Dance!!!

    CONGRATULATIONS!
  19. the houston dilemma-need your help!!

    I live on the southeast side of Houston. There are a lot of smaller towns. Pearland, Alvin, Santa FE, Friendswood, League City, Clear Lake (which is officially part of Houston). There are numerous...
  20. Giving IVIG

    We do not use a filter with IVIG. We start our infusions at 30ml/hr and titrate up every 15 minutes and vs are taken at the same rate. Our maximum infusion rate is 250ml/hr. I have some patient that...
  21. I do Remicade infusions in our hospitals infusion suite. Most of the time it is for Chron's disease. The physician writes the order for the dose he wants. The RN starts the IV. Then there are usually...
  22. I spent 12 years in the ER before going to IV Therapy about a year ago and I love it. U do need to get some experience before going into it though. Have u checked on any internships for ER or ICU? I...
  23. How do you get to be an infusion nurse ?

    I work in a hospital that has an infusion center. I do chemo, blood transfusions, IVIG and anything else that goes in a vein. There are a lot of hospitals that have these, but most want you to be...