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BarbPick

BarbPick

Oncology Clinician, CRNI, OCN, FNS
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  1. BarbPick

    Specialization after Graduation???

    You get it cuz you lived it !!!!!!!!!!!!!!
  2. BarbPick

    Specialization after Graduation???

    I sincerely thank you.
  3. BarbPick

    Medical patients on post-partum floor?

    The american Nurses Association has created an RNc specialization of the "Nurse Generalist." This is the specialist of the future. With the nursing shortage, everyone has to adapt or not work there.
  4. BarbPick

    Medical patients on post-partum floor?

    This is one of the best posts I have ever read. I admire your insight. Putting on my Oncology CNS hat, when I am in the hospital, they have everything but an Oncology majority on the unit. It seems to be a trend to put oncology and Diabetes patients as well as hepatology patients on the heme/Onc floor.
  5. BarbPick

    Medical patients on post-partum floor?

    No one wants to listen when an older nurse tells all to do a full year of med surg. I will sit back and see Mother / baby nurses irrigate a post op TURP, have to de gunk G tubes, give pateints go lightly, Drop Ng's, Decubitus care, have a Lumbar CSF fluid cath and make sure it doesn't drain more than 10 cc per hour. All sort of diabetes patients with amputations. Your Nurse Manager is right. Every bed is to be filled with what ever is assigned to the room. Can't flame me on this here is a PP Nurse who sees the future is now.
  6. BarbPick

    Specialization after Graduation???

    I made my comments. follow the thread. Called out by name for giving my opinion like there is just one way. I do not believe in going to a specialty without learning how to organize time, learing how to tell when someone any age becomes ill . I have been practicing for 28 years and hold an advanced degree. My insight was given early in the thread. I guess you missed it. I will cut and paste it. BarbPick vbmenu_register("postmenu_670486", true); Registered User Join Date: Sep 2003 Location: South East Florida Posts: 1,055 I disagree I always use my Cousin Susan in all of my examples of mistakes, , well just some of them. Anyway, she went straight into Mother/Baby for 18 year, did not float much and her job was phased out. She was under the impression she was a nurse who could do anything. She found out later that you do not handle sick people on Mother /Baby. I don't mean ugly situations, but in Mother /Baby 90% of the patients are routine and bascially well. She was so sorry she did not do at least 6 months on an adult Med Surg unit in the begining. She was so lost, she had to go take a nurse refresher course just to function. I believe it is most important to know how to take care of sick people first.
  7. BarbPick

    Specialization after Graduation???

    This is not 40 years ago, as you are comparing to a nurse in the 60's. This is recognizing when a patient becomes ill very quickly. I will not get into an arguement. It amazes me how quickly some are to use someone name in their reply, when they disagree as if to dress them down for having their own opinion. Making it so personal when it is something to just discuss. I have sent these posts to the moderators. This was written by Ted after I sent the posts. No wonder Ted the moderator had to post this: Is is a full moon outside? Are we all just in a cranky mood? Or maybe it's just me. Maybe I unreasonably wish that we can have debates and discussions that do not spiral down to mud slinging. Honestly! I don't care what you choose to discuss or debate. But I do care how you respond to one another. I know that not every post can be perfect example of polite debate. But, GEEZE FOLKS, there's been more debate about each other than on the topics at hand. Here's a few suggestions (Note: JUST suggestions, not rules!): 1) If the debate starts to get heated, count to ten before posting. 2) If the debate gets too heated, avoid addressing each other by name. Instead, just write more in general terms. . . again focused on the topic. (Honesty time: I actually hate it when people address me by name during a recognized debate. It is a pet-peeve of mine!) 3) Stick to the topic at hand. (Am I beginning to sound redundant?) 4) Write to those as you would like to be written to. (Does that make sense?) 5) Do NOT debate like "they" do on television. What's usually seen on those "Point/Counterpoint" type debates is entertainment, NOT constructive discussion/debate! We're better than that, folks!! Feel free to add any Constructive advise on respectful debating. I'm sure many of us have taken debate classes (or something along those lines). Share your knowledge. What have been your postive experiences in a healthy, respectful debate?? Share! Finally, this is a "Current Events" forum. Any type of current events can be posted here (just as long as it's kept in the PG-13 realm.) In other words, it's "O. K." to post topic that's not necessarily political. No one is going to discourage the type of topics posted here. But variety is the spice to life. There's a whole world of current events happening out there. Some interesting. Some not so interesting. But all fair game for this forum! With only my deepest respect to you all! Ted P. S. Again, if you see a post or member who is violating a TOS, report that post or member to the moderators/administrators.
  8. BarbPick

    nipride run peripherally???

    I know some physicians will not allow it to run without an A Line. Though, they will run it peripherally just to get the show on the road.
  9. BarbPick

    Coumadin and Cranberry Juice

    The more people add to this thread, the happier I am to keep my house. I have one IV reminder, Dilantin, don't forget to flush the tubing before and after with saline.
  10. BarbPick

    Specialization after Graduation???

    I always use my Cousin Susan in all of my examples of mistakes, , well just some of them. Anyway, she went straight into Mother/Baby for 18 year, did not float much and her job was phased out. She was under the impression she was a nurse who could do anything. She found out later that you do not handle sick people on Mother /Baby. I don't mean ugly situations, but in Mother /Baby 90% of the patients are routine and bascially well. She was so sorry she did not do at least 6 months on an adult Med Surg unit in the begining. She was so lost, she had to go take a nurse refresher course just to function. I believe it is most important to know how to take care of sick people first.
  11. BarbPick

    Travel nursing agencies

    I read from a travel nurse's site that Motel 6 allows you to bring pets.
  12. BarbPick

    Liability insurance

    Nursing Service Organization reprsents CNA insurance, same thing
  13. BarbPick

    Liability insurance

    I have my life insurance with NSO. Their malpractice Insurance is the most popular and easy to keep in touch with. I have seen people squabble back and forth. No disrespect for the nurse who says she has been deposed three times and nothing happened. Since I am an old nurse and am called as an expert witness in Oncology and Vascular access cases, expert nurses depending who is paying them will will either help you or kill you. If I am called in for an IV or Chemo mistake, I make my case. Buy Malpractice and Liability insurance or lose your home. The last case I testified for the plaintiff and the nurse was found liable and HER insurance took care of the finances and the lawyer.
  14. BarbPick

    need advice RE: disclosing board monitoring

    Keep this quiet, no one is sposta know this but in your prospective nursing unit, one out of three nurses has had to have monthly reports done on them also. See the one over, there, no don't look now, wait, ok look, she bounced checks and has to pay restitution and she is practicing. See the one over there? Look quickly so he doesn't catch on. He was in Florida's INP, the intervention project for nurses. He is allowed to do traditional patient care, but can't carry the keys because is still his first year out of rehab, the best nurse weh have. Only the charge staff knows (unless he chooses to tell). DO YOU GET THE PICTURE? It feels like the end of the world but Nurses take care of their own when the are ready and need us. You will be fine. You will be hired for your merrtis. Barbara
  15. BarbPick

    Hepatitus b vaccine

    You start getting immunity immediately. You will be fine. On the other hand, I had my series in 1986 and was tested in 2003 and I needed to get immunized again, I had a booster shit. I showed antiboties a month later. It is more important to be immunized.
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