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mzjennx

mzjennx BSN, RN

Oncology, Med-Surg
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mzjennx is a BSN, RN and specializes in Oncology, Med-Surg.

mzjennx's Latest Activity

  1. mzjennx

    Worked for Kahu Malama?

    I work for Kaiser and like to pick up different shifts elsewhere per diem. I worked for Altres 3 years ago and they are not too bad. I did the Flu shots and they are fun. They start you at $30/hr which is about standard for most new-grad places. I just started working for KM. Completed the application, had an interview. They seem very professional. Staffing agency seem high tech compared to Altres as they use a online scheduler. If your a new grad with no experience you may have to start as a aide especially if the the facility does not have a former new grad program. It is all about liability and if they have the resources to train you as a RN.
  2. mzjennx

    What's in your Chemo Cart?

    Wish we had some standard orders for reactions. we just gotta call the oncall oncology for each episode. it should be standard even if the patient has had multiple treatments you never know when someone suddenly feels nauseous. BTW would you consider Rituxan chemo?
  3. mzjennx

    What's in your Chemo Cart?

    that is nice you guys have a chemo cart. but maybe because we dont always give chemo all day maybe that what we dont have one. i just prepare my supplies before i go into a patient's room. My PPE of mask/google, gown and double gloves, chemo spill kit, hard puncture proof bin with the chemo in it, extra saline flushs, splash proof pads and tapes. We usually bring a chemo waste bin and leave it in the patient room. that is new to us, we never use to do that until now. do you guys put up a sign to warn people patient is getting chemo?
  4. mzjennx

    Feeling Burned Out?

    I know how you feel. I have been working as an oncology nurse inpatient for about 3 years, full-time night shift. Some days are ok, other days is stressful, and other days it is depressing. I build bonds with my patients, get to know them, practically become friends and I can get emotionally caught up with the whole diagnosis, caring and dying. Often times I do question myself if I want to stay in oncology and go find another job, but at the same time though it has been tough I can honestly say that I still love my job and what I do. I guessing knowing I make a connection and help my patients the best I can to make their life a little bit better so they can spend a little more time with family and friends makes me happy. Taking breaks from work help to relieve the caregiver stress. I like to take a little YOLO break/vacation/trip every couple months, go hiking and work out to relieve my nursing stresses and keep my sanity or else maybe I would of left oncology and nursing all together. I guess it does get easier dealing with the stress and coping with patient loss... not that you get numb to cancer losses, but you get stronger at handling it.
  5. mzjennx

    How valuable is your OCN?

    I got to see the test book for the OCN. My coworker says it was hard. 1 has it and 2-3 tried and failed. I want to do it. I always want to learn more about oncology so I can be a better nurse for my patients. We wont get paid extra if we get our OCN... There are a few requirements like oncology experience, CE etc. So hopefully I can test for it next year since I have been working on an oncology unit for about 3+ years. I think I know some about oncology, but would love to learn more and be nationally certified.
  6. mzjennx

    Exercising with a nurses schedule

    I work night shift. I went through an Ugly divorce so my life was chaotic... Needed a life style change for sure. While I'm at work sometimes i dont have enough time to eat. Fruit shakes, protein shakes, small snacks like cheese fruits nuts and occasional soups helps me keep going. I try not to eat a big meal before sleeping especially anything with hot sauce... Will cause indigestion for me After work I needed a way to destress. Working out immediately after work is what worked for me. Interval training helps too, hired a trainer for 6 months, attended work out classes and worked out with friends and met friends. My method helped a lot. I tried workin out at home or runnig in the park but i wasnt consistent with my training. Since i started to go gym, it has been a great stress reliever and I was able to lose 20 lbs!!!
  7. mzjennx

    Dealing with low back pain?

    After working as a nurse for 3 years I got hurt at work my left arm and left side of my back got twisted from lifting a patient who fell oob. Now I had help, 4 people came to help me and we tried to use the mechanical lift too but it wasn't working. So we used a red thermal blanket to get him back into bed and somehow he landed on me and I fell back into bed.I was out of work for a week. I was in a lot of pain. I refused to be dependent on pain meds. I have been doing 3 months of PT and massage. Stretching and yoga helps too. Funny thing is before my injury I was pretty active. I worked out 3-4 x a week and do resistant training lifting weights arm/back/abs etc before my injury. So I'm slowly getting better. Pain is still there. Acts up more when I work 3-4 days straight. It's not painful as how it was... It happens... But all I can say is take care of yourself!!! Be aware of your body/ergonomics, wear good shoes and safety first. Call for help and listen to your body.
  8. mzjennx

    best oncology nursing textbook

    Check out the ONS website. They have the chemotherapy and Biotherapy guidelines book which is the book you need if your going to take an ONS 2 day chemo class. The website also has a lot of info about oncology nursing like classes, journals, more books and oppertunity to attend national conference.
  9. mzjennx

    Heme/Onc compared to medsurg and ICU's????

    Who said onc is easy. It's hard because anything can happen but it's awesome nursing I think it is most rewarding. So many things can happen and truly tests your skills and abilities as a nurse. I've been a nurse for 3 years in onc and before that i worked as an aide in mother baby care. Im not perfect but im slowly gettig it together. I want my colleagues to tell me how to get better. I don't wanna make a mistake... Just remember to practice safety and if you are ever ever in doubt just ask your colleagues. Im gratefully I work with a bunch of nurses who always help out and teach me. I hope you have great coworkers too!!!
  10. mzjennx

    OCN certification...does it really make a difference?

    I think it's totally worth it!!! But for my job it's recommended but not required. We don't get paid extra but we can get reimburse for doing the classes/CEU and testing. Im hope to take my test next year.
  11. mzjennx

    OCN certification...does it really make a difference?

    I think it's totally worth it!!! But for my job it's recommended but not required. We don't get paid extra but we can get reimburse for doing the classes/CEU and testing. Im hope to take my test next year.
  12. mzjennx

    Acuity staffing for Oncology

    ONS says for oncology acuity 1 RN for 4-6 patients. I work on a 20 bed unit. Nights we have 5 nurses and 1 nurse aide. Try having active chemo, prn pain meds, pca, nausea, med-surg, jp/drains, pegs, colostomy, combative, confuse, climing oob, tube feeding, trach and restraints patients while being charge. We use to take 6 on nights. Now we take 5 but it is still a lot. I truly think onc nurses should have 4 patients. We should be considered step-down without tele experience. Oncology is a special field that needs detail assessment and monitoring. Our floor takes it all... I just feel bad I don't spend enough time with my cancer patients doing teaching... Oh well. I do my best on night shift.Btw does anyone do PRN chemo on other units while having your own patient load?
  13. mzjennx

    Just got hired for my dream job!

    Congrats :). How will your hours be and when is your orientation!?
  14. mzjennx

    Chemotherapy Concerns

    I work in a onc floor and this is my concern too. I work with nurses who are quite fertile who never have issues with pregnancy while working on the floor. Of course when they found out they were pregnant they asked to not take chemo patients. Totally understandable. Then I worked with nurses who have had miscarriages or difficulty having babies. They blames the stress of the floor and chemo exposure. Then there is one of my coworkers who had breast cancer with no family history. She thinks chemo exposure and working night shift may have a role in her cancer... I also have a coworker with anemia issues and she also thinks chemo exposure may have played a role to it too. SCARY!!!I'm not ready for babies yet, but when that time comes I am nervous if I choose to continue working on the floor. I'm extra careful. I double glove during chemo, wear a mask/ggogle, gown, and aometimes tie my hair back (sometimes in a rush and forget). But sometimes... After chemo I forgot the 48+ hours post transfusion it can still be in the blood sweat and urine. I mean don't get me wrong I'm always using gloves... But sometimes you forget that chemo can be everywhere... Just gotta take the precautions to protect yourself no matter what.
  15. mzjennx

    Leucovorin

    Sorry late response. So I have been getting in from pharmacy as a push. But I usually don't feel comfortable so I will put it in 50 ml NS and run it for 15 mins. I guess in just figuring out what is best practice.
  16. mzjennx

    Chemo Certification

    I started working on a oncology floor that trained me to be chemo competent. I took the ONS class for chemotherapy and was trained to give chemo with a chemo/cancer educator and educator. For my hospital I was chemo certified but not nationally certified. You would have to take a big test call the OCN OCN® Certification. You need at least some experience. Check out the website for more info. Hope that helps :)