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ShantheRN BSN, RN

Pediatric Hem/Onc
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ShantheRN has 4 years experience as a BSN, RN and specializes in Pediatric Hem/Onc.

ShantheRN's Latest Activity

  1. ShantheRN

    Working overnight and all day classes

    You're going to have to work weekends. It sucks, but it's temporary. It's pretty difficult to arrange a work and school schedule to include a full off day from each. I used to always look forward to the holidays because there was a 50% chance I'd be off at work, too. I work nights, and doing school during the day is totally doable. You have to commit to a sleep schedule, and make sure you don't work the night before clinical!
  2. ShantheRN

    The Controversy: Mandatory Flu Vaccines

    This is in response to whoever called me ShuntRN lol now I can't find the original post. Not that it matters, because no one's mind is going to changed by this yearly debate. Ugh. Just to clarify, there were two flu vaccines that year because the swine flu strain wasn't in the original vaccine. It was too late into production to make it in the original batches. Secondly, you missed the entire point of that story. Without the vaccines, I probably would've ended up hospitalized with pneumonia. Instead of pneumonia, I got secondary bronchitis. Hence the extra long recovery time. If I had to live it over again, I would get both without hesitation. Please read the entire post before latching onto a single passage. I do make sense occasionally :)
  3. ShantheRN

    The Controversy: Mandatory Flu Vaccines

    I hope I live to see the day that this won't be considered controversial, and instead will just be plain common sense! Yes, I get it every year. Yes, my very large nationally ranked pediatric hospital employer requires it. I work in peds hem/onc and it would absolutely be the most selfish, irresponsible thing ever for me to work with that population and not acknowledge how my personal beliefs will kill a patient. I'm diabetic so I've gotten it every year since I was a kid. I don't understand how people can consider themselves health care professionals and not acknowledge the massive amount of data that supports vaccination campaigns. As a nurse, I find that extremely concerning. As part of a vulnerable population, I find it infuriating. I've had the legit flu once in my 38 years, the year the swine flu exploded. We took care of tons of kids with that particular strain during that time. I made it all the way to January before it got me, despite all the precautions I took. It took me 8 weeks to recover. I have never been that sick in my life! I received both flu shots that year. Had I not, I probably would've ended up hospitalized with a more serious complication than bronchitis. Vaccine programs work. Period. I forgot an answer! Yes, I know people that have been terminated due to their refusal. They sued for wrongful termination. They lost.
  4. ShantheRN

    Nurses with fibromyalgia/cfs/similar conditions?

    I have fibro, along with a weird degenerative form of arthritis in my back (DISH or Forestier's disease if anyone is bored and wants to google). Fibro flares exacerbate the back symptoms. I was diagnosed with DISH last March, and the fibro was the past winter. I'm on gabapentin, which thankfully was the first med we tried and it worked. It took about 6 months to get my dose correct. The biggest thing with any chronic illness is making your health a priority. I used to push through pain because it seemed ridiculous that I was so relatively young and felt so bad. I say no when I need to. I don't work overtime. I have a sleep routine that I follow pretty strictly, and my diet is mostly whole foods. Giving up artificial sweeteners made a huge difference pain wise! I use melatonin nightly. I work nights, but my sleep disturbances occur whether I'm on a work schedule or living a regular one. I take tramadol at bedtime as needed. Sometimes, my best friend is my electric blanket. I've learned to listen to my body and take care of it. I'm 38 and sometimes I feel like an old woman with my electric blanket and ceramic mug of tea....but my quality of life is SO much better when I do what I need to do. I started grad school this month, and I am careful about planning out my time. I use a planner and schedule in rest times and exercise throughout the week. The key is consistency and adaptability! Nursing school and a nursing career are possible. I actually intended to spend about 10 years at the bedside before starting my MSN. Instead, I started it after 4 because I can't physically do my job for as long as I intended. My rheumatologist has been pretty amazing. Rather than telling me I can't be a nurse (which I've read about online....grrr) she worked with me to develop a plan that will work for my life. Follow up with your care team - no matter how busy life gets...I remember the craziness of nursing school - is critical. If I work three nights in a row, I know my first off day is likely going to be spent lounging in bed watching TV and trying to distract myself from the pain. I accept that, but it took a long time for me to do that. Get yourself a solid support system and you'll be fine!
  5. ShantheRN

    Which is better to be hired in peds?

    Psych nursing is vastly different from the hospital setting, regardless of the patient population. Peds psych is a foreign world that has nothing to do with my acute care peds experience. Listen to your mother - there are just as many nutty family situations in the adult world as there are in peds. At least in peds kids can be forcibly removed from a bad situation.
  6. ShantheRN

    5 Reasons Why Being A Pediatric Nurse Is Like Being A Disney Character

    This.....so much. I was about to write a long wordy reply, but you nailed it perfectly! A lot of my patients don't get better, and I get to help them - and their families - through the death process. Disney doesn't really cover that. That being said, I have had a few dance offs and sing alongs while doing sterile procedures :) There is some joy to balance out the sad!
  7. ShantheRN

    CPN exam prep

    I didn't bother with the class. Do you still have your peds book? You can brush up on weirdly specific stuff with that. My hospital offers the classes and materials to all employees. I brushed up on GI because I felt like that was my weakest area...other than that I really didn't study. I work hem/onc so I rarely see those conditions. I passed it easily, and I didn't think the test was bad at all. Make sure you're solid on growth and development stuff!
  8. ShantheRN

    How long should I stay at my first nursing job?

    Most internal transfers only require 6 months. Just remember there's a big difference between being a student intern and an actual nurse on a unit. Make sure you really love it before you transfer. If you truly love ED and can transfer now, I say go for it! Typically ED is a competitive floor so it might help your chances if you stay where you are a bit longer. If you can get in now, why not? For what it's worth, I have never worked a single day in adult med/surg. It's not the prerequisite that everybody thinks it is.
  9. I waited a year, which was a great decision on my part. The learning curve is pretty steep on my unit and I think adding coursework to that crucial first year would've been too much stress for me. Most RN to BSN programs can do done in around a year so I didn't miss much. My employer paid for my tuition and I had 5 years to complete my BSN. I did it in 14 months.
  10. ShantheRN

    Oncology Nurse Burnout?

    I don't think your issues stem from being an oncology nurse - that schedule is brutal! A few chosen ones are able to flip their schedules all around without issue, but most people need an established sleep cycle. You feel tired because your body is totally confused with your rotating sleep schedules. I'd imagine you're not getting any quality sleep either. I work straight nights, and I have to maintain the same sleep schedule on my off days. I'm looking forward to finishing grad school so I can afford to go on straight days. I also highly recommend a diet/exercise regimen. Sometimes I'll go for a short run after work (provided I'm not back at work that night) or do a Beachbody DVD. It's helpful for sleep too. I'm betting if you approach someone and offer to work all their night shifts, you could get a straight PM shift. I did this after rotating for about 3 months. My body just couldn't handle it, even with our rotation of 3 weeks each of nights and days. Good luck! I hope you figure out something that works for you.
  11. ShantheRN

    "I need to eat, I'm a diabetic!"

    As a diabetic (my endo classes me as "nonspecific" because I have traits of both types - it's made my treatment plan a load of fun!), I'd like to launch into a rant about the disease process and how reading the phrase "typical type 2" (as used in this context) makes me twitch. I am slightly symptomatic once my BS drops in the 120 range. That's the high end of normal for regular folks, but my body doesn't care about that. It usually presents as hunger and maybe a slight headache. Once I'm below 100, that's when the profuse sweating, trembling, labile emotions, and raging hunger starts. Before I had some BG control, I would start getting symptoms when I hit the 180s, simply because my BG had been so high for so long that anything lower than 200 felt low. Now I actually feel great when I'm 120-140. As a nurse, I'd love to initiate some education about chronic illnesses, their effects on patients, and how our conscious/unconscious bias in managing care can affect patients. I could also rage about patients/families that try to treat nurses as waitresses. I can also rant about nurses that don't take care of themselves. I maintain that my own body function trumps patient care. It makes me so sad/mad when I read about people that don't have enough time to eat, drink, or pee during their shifts! But instead, I'm going to let the rest of it go and hope I don't ever encounter these attitudes as a patient. It seriously sucks when the person that is supposed to be taking care of you is judging you. And sorry, OP....your first post came across as condescending, whether you intended it to be or not.
  12. ShantheRN

    Ebola Nursing Survey: to Quarantine or Not to Quarantine

    I'm just now catching up on this. I work for a pretty big hospital so we have the staff to do this. Smaller places? Not so much. We can do it even though it isn't necessary. As you can see from this ever growing thread, the fears of the public (however unfounded) are guiding quite a few policies on this.
  13. ShantheRN

    Ebola Nursing Survey: to Quarantine or Not to Quarantine

    This has been a most interesting read..... Until I see some compelling evidence that supports mandatory quarantine for anyone that may have come into contact with someone that can possibly have Ebola (heavy dose of sarcasm in that statement, btw!), I support that nurse's decision not to quarantine. The media has turned this into a witchhunt. At this point, I'm still more afraid of the flu. At least contagious people with Ebola are visibly sick. The flu just ninja attacks people. My hospital - although we will never likely see an Ebola patient - has formulated a plan should we need it. Staff can volunteer for it. After caring for the patient, you will be quarantined for 21 days.....with your regular salary and accommodations which include basic living supplies. Since I live alone, I could easily stay in my home for 3 weeks. Food delivery and I get to catch up on TV and reading while curled up on my couch? Score! I don't think it's necessary, but that plan is definitely preferable to the nonsense that's happened. I wish we could poll how many people think she's the devil, yet scream about the injustices of mandatory vaccine programs.
  14. ShantheRN

    Fluids with + KCl

    We use K fluids all the time - in fact I usually question if the fluids don't have it! My population is hem/onc, though....and they are notorious for electrolyte imbalances, particularly during chemo cycles. However, if a kid came in with a K of 4.7, was eating/drinking fine, and they still wanted K fluids, I would definitely ask. It can't hurt to ask regardless. Let them roll their eyes. It's all fun and games till someone's kidneys or heart goes boom.
  15. ShantheRN

    Life after 4510...

    Community was one of my fave classes....although for the life of me, I can't remember what they substituted for the windshield survey. It wasn't nearly as tedious as that assignment sounded! 4510 is the worst of the worst, trust me.
  16. ShantheRN

    PRCM Business Comm

    When I took it with her, the entire class was posted at the beginning. From what I've read, it looks like she made some major changes to it so you might want to ask. How exciting to almost be done! It still hasn't sunk in for me. The other night I had a nightmare that I was registered in a class and didn't turn in assignment for 4 weeks of it. I have PTSD lol