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NCINDASUN's Latest Activity

  1. Greetings! I'm considering a move from Chapel Hill to the Morehead City / Beaufort area. It's a move my husband really wants to do so he can be closer to boating, etc. I'm willing to do it, and nows the time from a family and personal situation but I have concerns. There are tons of nursing jobs here with Duke and UNC. I've been nursing for 3 years - 1 in oncology and 2 in clinical general practice. I'm open to both hospital and clinical situations, including psych. I'd love to find someone I can talk to about job perspectives and the area in general. Thanks so much!
  2. Greetings! I need some advice. A December 2005 grad, I've had 2 jobs since graduating and I need some guidance on how to position this. First, let me explain. I'm 46 and this is my second career. My first job out of nursing school was with an oncology clinic where we saw 50+ people a day for chemo. There was no orientation to speak of and I felt like I was in over my head. After 6 months I felt it was time to find something else. What I didn't know was that my son was about to be diagnosed with a tumor. I took 6 months off to deal with that and went back to work in December. This next job was wonderful. I loved the patients and what I was doing. It was intense and I stuggled but I was determined to be successful. Unfortunately, the (much) younger staff felt I was wrong for the unit and set out to make sure the nurse manager knew it. Essentially, the story line about nurses eating their young also goes for the older ones too. When I was given notice last week (after 6 months) I was told the reason was that I hadn't challenged a superior on an order, one I went over line by line with the person standing at my side. It wasn't a medical error, just when to d/c a PIV. So how do I go about presenting myself without looking like a job hopper? I know, be honest with potential employers but I need to get past that first glance of the resume. I even had trouble writing this because I couldn't begin to share the ridiculous things that have happened without it sounding made up or like sour grapes. Any help would be greatly appreciated.

    Ped Onc - Can you talk me out of taking the job?

    Ok, I did it. I accepted the position. You are right, I really did want it over the other offers I got, but when I told friends what I was considering they all gasped and said there was no way they could do it. For some reason, it doesn't scare me. I don't start until January 2nd so I'll spend the time brushing up on peds, etc. Hope you all have a wonderful holiday and I hope you'll be willing to offer a shoulder on those really bad days. Thanks so much!
  4. Greetings and Happy Holidays! I'm a 2005 grad and took a job right out of school with an Adult Oncology Outpatient clinic. I absolutely LOVED the job. I was so amazed at their courage and dignity and I felt incredible honored to be allowed to be part of such a personal time in their life. To make a long story short, I left after 5 months because I didn't feel safe administering chemo without significant orientation and specialized education. After a few months off taking care of a family member, I am ready to get back to work. I've been offered a job on a Ped Onc/Hem/Pulmonay ward in a large teaching hospital. I've been very upfront about why I left my last position and they have assured me that I will get the training and support I need. I have excellent patient/family skills and I feel I would do well in this environment, as difficult as it may be when we lose a battle. I take great solice in knowing that I made their lives just a little bit more comfortable, be it physically or emotionally. That being said, can you talk me out of accepting this job? All your comments would be greatly appreciated.

    Say Goodbye to My Dream Job - Now What?

    Thanks to all who responded. This has been VERY tough. I think the toughest part is that I felt I had finally found my purpose in life. Sounds dramatic, I know, but after 9-11 I really started to question why I was here, like many my age did. Suddenly the corner office didn't mean a thing. I wasn't even sure about nursing school and questioned my sanity frequently while I was there. But once I started working with these patients, it was a feeling I can't put into words. I found such grace and courage in them. Their faith in a high power even moved me to question why I had strayed so far from my own religion. I felt honored to be with them as they faced their journey and for some of them, their final moments. With them, I believed I would become a better person and grow to have a purposeful life. And now, I don't know what to think. I'm emotionally exhausted. I had a pretty tough childhood and first marriage, and my self esteem has always been pretty shakey. This has just about put me over the edge. I've gone back to seeing a therapist to save my poor husband from having to take the brunt of this (men really do have a hard time with emotions - can't fix it and they become SOOOO frustrated). I'm going to take some time off, take care of some family issues and get my act back together. If you include work & school, it's been nearly 25 years since I've done "nothing". My question to you is this - When I'm ready to climb back on that very big, scary horse, how do I explain that I graduated in December, passed my boards in January, started a job in February, left in May, and took several months off before going back? Failing at my first job doesn't instill confidence in my abilities, needing a break sounds lazy, having a meltdown says "don't touch with a 10 foot pole". Aside from moving and using that as an excuse, any ideas?
  6. I just found out yesterday that I'm not going to be asked to stay at what I considered to be my dream job. I graduated in December (2nd career) after somewhat of a struggle, passed my boards in January and started orientation the first part of February at an Oncology clinic. I LOVED everything about the place - patients, staff, schedule, everything. I could handle the tough emotional situation. What I couldn't do is memorize all the different regimens, drug side effects, etc. There were two of us that started at the same time - there's a 20 year age difference. This old brain just isn't as nimble as it once was, and she just could ramble off the facts like nobody's business. They told me that I had people skills that outweighed anyone there, including the old-timers, but my technical skills weren't good enough for their needs. They were very nice, offered to let me work out the next two weeks and promised to give me great references. What am I feeling now? - depressed, humiliated, guilty, the list goes on and on. I feel like I should have spent every night studying instead of tending to my family. I ignored them for so long during school, I thought I was finally past that. The more I began to feel pressured about it not clicking at work, the less sleep I was getting, the worse my memory became....downward spiral. I don't know how I can ever even apply for another job - I feel like such a failure. Has anyone else had to get back on the horse after being thrown so hard?

    Suggested Reference Material?

    I've just started my dream job in an Oncology/Hematology practice. I know it will take me a lifetime to learn everything there is to know, but i was wondering if anyone had recommendation for a reference book to keep on hand. The book thay gave me is a 2000 pg Oncology Nurse text book it's just not practical as a quick reference. When I was in Med Surg I used the Handbook of Medical-Surgical Nursing which was great. It gave quick patho, diagnostic, treatment, and nursing considerations. I'd love to find something comparable. Thanks!

    Oncology Calculations

    Greetings! I am a new grad and I just got a wonderful job at a private hematology and oncology practice. I am beginning my orientation next week and I plan on brushing up on my math just in case there is a pop quiz (cruel after just taking the NCLEX, don't you think?) Anyway, aside from BSA, IV drips, and general ratio/proportions, is there anything else commonly used in Oncology? Thank you in advance.

    4 Days and counting (and panicking)

    I did it! Just got my results and you can add RN to my name. It took 25 years but I did it. Came out of the test feeling numb after 82 questions. Wasn't until I heard someone else in my class failed with 88 that I began to panic. It was a very long weekend, but now it's time to celebrate. Too bad dear husband is away on business. Start my dream job on Monday. Can't wait to get back to work and not worry about studying. Don't know what I'll do with my free time - oh yeah, I can get back to being a mom and a wife! Thanks to everyone who gave such encouragement, either directly or through other threads. For those still waiting to take the exam, remember to just take it one question at a time, celebrate the ones you nail, and most importantly - BREATHE. Good Luck!

    Nclex Nightmare

    lgbentle, You must have been taking the same test I took today! I felt like all I was doing was prioritizing and some of the answers offered...it was like which is the least worst of some really bad answers. I shut off somewhere between 82 and 86 - was totally shocked when it happened. It's a strange feeling afterwards - kinda like a cross between "what the heck just happened?" and being comfortably numb. I'm figuring I either passed or REALLY sucked. The majority of the people in my class are averaging between 75 and 100 questions and passing, so I'm keeping my fingers crossed. I'm so jealous, though. I'll have to wait until late next week. NC - 25th in education, 49th in NCLEX reporting time (thanks California)

    How do you work thru practice questions from HELL!

    I know I am beating a dead horse :deadhorse but that's part of the trouble I'm having here. What if the question read "Anthrax patient, no signs of distress, infiltrated IV" Just because the symptoms are gone doesn't mean that the meds should be stopped/changed. If it comes down to knowing the details of all the drugs, not just the side effects/adverse reactions, I'm scr@wed. One day and counting....Heavy sigh....

    How do you work thru practice questions from HELL!

    See what I mean? So many ways of looking at the questions. I appreciate Suzanne's reminder of the collaborative effort. The way D is written, there is no mention of stopping the infiltration. We were taught to never assume anything and that the answers had everything you needed in them. Two days and counting. Heavy sigh.....
  13. I'm still plugging away at practicing questions. Some of them drive me crazy! For example: A client who has clear lung sounds and unlabored breathing is receiving aminophylline IV. Which of the following would be the MOST appropriate nursing action if the client's IV infiltrates? A) Apply warm soaks to the infiltration site, start an new IV, and continue IV medications. Didn't seem like a good plan B) Wait two hours, reassess the client, and restart the IV if the client has wheezing or labored breathing. That's a no. Can't just stop and not tell Dr. C) Restart the IV and contine the previous medication schedule. Sounded good to me as long as you use a different site D) Call the physician and recommend that the IV medication be changed to PO. My first thought: If the Dr. wanted IV, why would I challenge that? Turns out D is the answer, BUT: Davis says IV aminophylline should be avoided but if extravasation occurs, give local injection of 1% procaine and application of heat may relieve pain and promote vasodilation. So by this intervention A is also true. How the heck am I supposed to work through a question like this? I can't win!

    4 Days and counting (and panicking)

    Thanks everyone (and anyone else who wishes to comment). I went out last night and bought the Saunders and will spend the next couple of days reviewing it and doing more questions. I'm praying that my critical thinking skills will hold up. I scored 95% on the NLN compaired to a sad 78% on the HESI. I think the big difference was the knowledge that the HESI was part of my graduation requirements and I panicked. On an interesting note - my 17 year-old was reviewing some of the questions with me and I was amazed at her ability to think through the questions and pick the right answer on many of them. Even with just an anatomy and a sports medicine course, she was able to critical think through them. She used some innate Kaplan-esque ability that she must have gotten from her father :chuckle Wish me luck, pray for me, and let me know if you think of anything else I should be doing. Thursday seems to be coming at lightspeed.

    4 Days and counting (and panicking)

    Well, I take my NCLEX Thursday and I'm beginning to panic. Others in my class have taken it and have had everything from 75 to 265 questions. They also said that some of the questions came from left field and they had no clue as to what it was asking. For all of you who have taken it, what would you suggest I focus on for the next 4 days? I took the Kaplan review and have been doing nothing but questions and reading rationales in Mosby and glancing at Frye's 3000. I think I've finally narrowed down how to take tests but now I'm worried that I'm focusing just on how to narrow it down to 2. But some of the questions seem so simple I begin to think that the actual questions are going to be so-o-o-o-much harder and ... :chair: I'm really starting to get nervous. I've accepted a position that I REALLY wanted and now I'm freaking out about how to tell them if I don't pass. In addition to telling me to calm down (my husband has tried - maybe I'll believe it when I hear it from you) what should I do for the next couple of days. Thanks! (PS - I have a history of test anxiety)

    When there are 2 meds ordered....

    Greetings! I took a NCLEX prep class last week and there was one area that we were given conflicting information on. It was about questions with orders for multiple meds. One time the instructor told us that if there were 2 meds you either gave both or held both. Another time she said hold one if contraindicated. For example: The physician orders furosemide (Lasix) and spironolactone (Aldactone). Prior to administering Lasix and Aldactone, the nurse determines that the patient's potassium level is 3.2. The nurse should..... I know there is no true decision tree to taking the NCLEX, but does anyone have any thoughts on this?