CharmedJ7

CharmedJ7

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All Content by CharmedJ7

  1. Would You Marry or Date a Patient or An Ex-Patient of Yours

    CharmedJ7 replied to Yiggs's topic in General Nursing

    Someone being a patient doesn't gross me out particularly. I certainly have some patients I find to be gross and/or old and/or crazy, but every once in awhile there are the young, basically healthy...

  2. New grad jobs in Oncology

    CharmedJ7 replied to MisterSimba's topic in Oncology

    Really far away, but the hospital I'm at in DC is new-grad friendly in onc (we just 4 new ones, and med onc always has openings too it

  3. Thick skin missing

    CharmedJ7 replied to hurleygirli1's topic in General Nursing

    It is NOT outside the PCT scope of practice to ask someone if they're in pain. Part of how PCTs are a help to the nurses is they are an extra set of eyes and ears and gather data to report back. I...

  4. Hospitalist "midlevel" service

    CharmedJ7 replied to ruralnurs's topic in Nurse Practitioners, NP

    I don't know if this helps, but I work in surgical oncology and we have PAs and I LOVE them. They function essentially as senior residents/fellows and spend most of their time on the floor. They...

  5. Minor things people get fired/wrote up over,,,give examples.

    CharmedJ7 replied to northmississippi's topic in Nursing Professionalism

    I'm sorry, that's ridiculous in an acute care setting. We do vitals in the whole all the freaking time if it's necessary - pt goes for a walk, suddenly gets really dizzy and/or SOB, staff come to...

  6. How to help my CNAs

    CharmedJ7 replied to SneakySnake's topic in Geriatric, LTC

    I find this entire thread amazing. Maybe this is just a difference in LTC vs. hospital, or maybe it's just my hospital, but I am shocked that: a) The techs actually DO generally get all those little...

  7. Division of Labor in Nursing

    CharmedJ7 replied to Katie5's topic in General Nursing

    I'm gonna mostly agree with the mixed blessing argument - it's nice to have phlebotomists for example when they come and do their job in a timely manner, but when you start having to chase them down...

  8. Anti-Intellectualism/Autonomy in nursing

    CharmedJ7 replied to felineRN's topic in General Nursing

    "If you want to know that, you should be a Dr" --> True, heard this many, many times when I look up what a random test is for, why a certain surgery was performed, etc. I agree with you about the...

  9. PICC in subclavian - ok to use??

    CharmedJ7 replied to CharmedJ7's topic in Infusion, Intravenous

    Thanks for the feedback. The whole situation was making me pretty uncomfortable and I'm glad in the end that the line got pulled on an off shift - don't think the primary doc really understood that...

  10. Best Pre-FNP RN experience

    CharmedJ7 posted a topic in Nurse Practitioners, NP

    Hey all - I've seen some similar threads on here but most of them skirt the FNP issue. I think clearly neonatal NPs need NICU, PNP peds, Womens health OB or L&D, etc., but FNPs seem to be a...

  11. Do you have time to give baths?

    CharmedJ7 replied to stellaRN1983's topic in General Nursing

    I next to never give baths, really don't have the time. Usually there's a CNA who does it, or a lot of people have family to help out. I sometimes assist the CNA if the pt is trach or heavy or I...

  12. Nurses refusing to draw pre-chemo labs through mediport b/c of infection risk?

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    I'm not sure I entirely understand the mechanism of infection risk from drawing from a VAD. I mean, with mediport there's the accessing itself which, if done w/o sterile technique runs the risk of...

  13. Nurses refusing to draw pre-chemo labs through mediport b/c of infection risk?

    CharmedJ7 posted a topic in General Nursing

    I was talking to one of my inpatients today and she has a power port and told me that when she was getting her chemo tx, the nurses would now draw the pre-chemo labs off the port because of increased...

  14. Compassion or reality for obese patients?

    CharmedJ7 replied to stefanyjoy's topic in General Nursing

    I'm not entirely sure I understand your complaint - how much less ethnic diversity do you want? White non-hispanic is relatively specific, unless you want white of so-and-so origin. I have other...

  15. Obtaining urine specimen from foley

    CharmedJ7 replied to Ms.RN's topic in General Nursing

    As I say, the theory makes sense to me (biofilm and that) but I'm having a really tough time finding good articles on this topic. The best I've found is from 2000 and deals with spinal injury...

  16. Nurses refusing to draw pre-chemo labs through mediport b/c of infection risk?

    CharmedJ7 replied to CharmedJ7's topic in General Nursing

    Yeah, the weirdest thing is, it isn't even my unit (which is surg onc, but still we don't see too too many ports), it was the outpatient chemo

  17. Compassion or reality for obese patients?

    CharmedJ7 replied to stefanyjoy's topic in General Nursing

    I just want to weigh in one more time as the other side of the BMI-bashing: BMI is an imperfect test that does not fit 100% of people or situations - it's role is as risk assessment for the general...

  18. Obtaining urine specimen from foley

    CharmedJ7 replied to Ms.RN's topic in General Nursing

    This is interesting. I just signed on to help with a CAUTI research project and was told for the first time that best practice really does involve pulling the old foley and putting in a fresh one to...

  19. I Don't Want To Take 9 Prerequisite Courses :-(

    CharmedJ7 replied to Tee_Gee's topic in Pre-Nursing Students

    Well, it's a direct-entry masters, but Yale has no pre-reqs at all. Johns Hopkins BSN has 6. I would recommend you to take the strongest pre-reqs you can though, don't try to just get it out of...

  20. Why do OTC protein test strips not exist?

    CharmedJ7 replied to 2011NursingStudent's topic in General Nursing

    I would surmise that protein urine tests do not exist for reasons already stated - not enough market for them. A UTI w/ fever/chills and/or flank pain, hematuria, etc. is worthy of investigation...

  21. Do you bladder train before removing a Foley cath?

    CharmedJ7 replied to TooterIA's topic in General Nursing

    I guess this thread is a bit old, but I had my first exposure to this today. A doc ordered a foley clamping trial for a young POD #1 pt and I was pretty surprised, mostly b/c frankly I'd never even...

  22. What are your thoughts on overtime? Is it a good thing or bad thing?

    CharmedJ7 replied to Rebaracer's topic in General Nursing

    I have to be pro-overtime if it's a matter of overtime vs. working understaffed. In an effort to save money my hospital seems to be severely limiting overtime - what this ends up meaning is that we...

  23. Oncology vs. Med-Surg.

    CharmedJ7 replied to havehope's topic in Oncology

    At my hospital Oncology is a Med-Surge specialty floor. One piece of advice/wisdom I always keep in mind with onc is that onc is everything: chemo can cause cardiac issues (as can some cancers like...

  24. Compassion or reality for obese patients?

    CharmedJ7 replied to stefanyjoy's topic in General Nursing

    1) Yes, as previously agreed, muscle mass will increase weight and artificially increase BMI. But honestly, that's not the case in most people, and for times when it is, one would expect the...

  25. Compassion or reality for obese patients?

    CharmedJ7 replied to stefanyjoy's topic in General Nursing

    I aboslutely see your point. Although I would amend your statement to say BMI can be really misleading. Professional athletes are not the norm, they are the exception. I would agree to say perhaps...