AugustRain

AugustRain

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All Content by AugustRain

  1. Is it weird that I love wound care?

    I'm an outpatient nurse, so I follow my pts closely long term. I love doing wound care, especially for my pts with long term devices - it's very satisfying to see improvement in the wound and help the pt go back to living a more normal life.
  2. Chemotherapy Protocols

    Congrats on your new job! Each hospital will have its own chemo protocols, but the ONS Safety Standards is a good place to start: http://ons.org/CNECentral/Chemo/Standards Actually, if you haven't already joined ONS, I'd highly recommend it - it's a ...
  3. Need help with a Mastectomy case scenario

    Yes, that's a good one. Also think about the whole picture, not just the surgical wounds - cancer, smoking (how does it affect healing, etc?), family, sexuality, teaching points...
  4. Need help with a Mastectomy case scenario

    Have you given any thought to a nursing diagnosis that would address the psychosocial aspects of her care?
  5. This is the link to the ACIP Vaccine Administration Guidelines: http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/D/vacc_admin.pdf The first sentence on page 10 states their position on aspiration (not needed) and the rationale. I still ...
  6. Possibly getting my OCN?

    Just wanted to clarify a point in the above post - you don't need 1000 hrs of hanging chemo to sit for the exam, just 1000 hrs of oncology practice within the 30 months prior to applying. Actually, as far as I know, you don't need any chemo experienc...
  7. Don't know when your paper is due, but if you're still working on it, I'm a surgical oncology nurse and happy to point you in the right direction.
  8. Lovenox Dosing - Abdominal Surgery v. Knee/ Hip Surgery

    This actually depends on the facility. Some prescribers will split the daily dose and give the Lovenox q12. I've also seen this done lately if the pt is to go home on Lovenox. You could certainly take your own informal poll of pharmacists at the dru...
  9. Heparin Flush for CVC

    My current hospital does use Heparin on all central lines, but my previous hospital only used it when de-accessing ports. Neither P&P stated the rationale. I too would be interested in the literature on the subject, as it's something I have been ...
  10. Still in school & want to specialize in Oncology-Advice?

    I went straight into oncology after graduation. Like you, I had non-nursing onc experience prior to nursing school, which did help get me the interviews. Your best bet would be to apply for inpatient oncology floors as a new grad - you'll gain valua...
  11. If you're still looking for someone to answer the questions for your assignment, feel free to PM me. If you can't PM yet, let me know and I'll send you my e-mail.
  12. lying? about cancer

    It all depends on the cancer. This isn't the most common form of tx and I'd probably inquire further from a more reliable source, but it wouldn't make me think she's lying. A borderline or low grade ca may not require chemo, she may be having XRT to ...
  13. Foley Catheters

    I was really squeamish about cathing people when I first started nursing school too. I observed whenever I could, practiced on the dummy many times, then started volunteering to do the procedure. My first job had plenty of opportunites for Foleys, an...
  14. new job

    I'm a surgical onc nurse too, it's a great job! My first suggestion is to join ONS, if you haven't already. Take advantage of the online CEUs they offer (most aren't free, but it's worth it). Become familiar with the types of procedures you'll be se...
  15. Cleaner RN jobs

    I don't think there's anything wrong with wanting a more office-based position (insurance or drug company, perhaps?), though I don't know how much luck you'll have without a little hands-on experience first. But I would look closely at outpatient job...
  16. Is EPIC coming to your facility??....

    I used EPIC at an old job and liked it a lot. It's very user friendly and many features can be adjusted to the needs of your facility (which can sometimes speed up charting & order entry). Any time there's a hospital wide change, there's a learni...
  17. I'm hoping to get some feedback from current nursing students. In addition to my regular nursing position, I'm considering starting a business offering tutoring/resume/job-hunting assistance to nursing students. I have done this informally and really...
  18. Question for Philly Area Nursing Students

    Thank you both for your replies. I've been giving the idea some thought lately and decided to go ahead and give it a try - worst that happens is it doesn't work out!
  19. Drexel ACE Fall 2010

    Just thought I'd throw this out there for anyone about to start the ACE program...I graduated last fall and just found a bunch of books in my closet. I'm not familiar with the current book list, but I have a med-surg text, health promotions, leadersh...
  20. Dosage calculation help?

    I use ratio/proportion too. Here's the problem worked out with that method. Hope it helps! Order: 3mcg/kg/min patient weighs 87.4 kg Supply: 50mg in 250mL You need to do a couple of steps before setting up your ratio... First, work with the units you...
  21. what should i do?

    It's totally normal to feel overwhelmed when you're first starting out. Three weeks can seem like forever when you're nervous everyday, but give it a shot. It may not be bedside nursing that you dislike, it may just be that you don't like being new a...
  22. Drexel ACE Fall 2010

    You can PM me :)
  23. Drexel University ACE Spring 2010

    Everyone's perspective will be a little different on which quarter is most difficult, depending on their interest in the subjects, what's going on in their personal lives, and probably which professor they had. Second quarter is more intense than fir...
  24. Drexel University ACE Spring 2010

    Sure, PM me and we'll work it out.
  25. Drexel University ACE Spring 2010

    I do, yours if you want it.