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SolaireSolstice

SolaireSolstice BSN, RN

Adult Oncology
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SolaireSolstice is a BSN, RN and specializes in Adult Oncology.

SolaireSolstice's Latest Activity

  1. SolaireSolstice

    Please Explain the Certs.

    Do you have your CPR certification? That's BLS, basic life support. ACLS is advanced. It is required in my hospital for ICU, ER, OR, L&D, and I believe telemetry. There are a ton of certifications available for nurses and which ones you "need" are depending on what area you wish to work. I only hold BLS. I am also chemo/biotherapy certified. You wouldn't need that if you did orthopedics. I'm thinking of going for wound/ostomy certification too. Wouldn't be required, but would be beneficial. Many certifications require you to already be a nurse before starting, and many others require an RN.
  2. SolaireSolstice

    bariatric bed "too big"

    The bariatric beds we have can be "broken down" to fit through the doorways. They simply expand along each side. Was this an issue with the bed not being able to fit through the doorway, in which it was an issue of lack of equipment teaching? Or did the room not accomodate the bed? Which I cannot fathom how small the room must be to not fit a bariatric bed. We had an issue once where the patient, on a bariatric bed, needed to go down in the bed for a procedure. We broke down the bed to fit through our doorway, but somehow, halfway through the doorway, the bed frame popped back wide and the bed was hoplessly stuck in the door frame, with the patient on the bed. Was a stupid hour long issue that had our superviser demanding maintenance to remove the doorframe. We ended up transferring the patient lengthways onto another bed, took the headboard off one and the footboard off the other. Took 7 of us. Once she was off it, it was easy to manipulate the bed to get it free. Reminded me of that puzzle of a truck stuck under an overpass and the little boy says to "let the air out of the tires".
  3. SolaireSolstice

    Safety while on BT

    Yes, you can stop a blood transfusion. As long as you get the transfusion into the pt within the 4 hr period, then it's fine. While I *have* kinked the line above the port and flushed, put in med, flushed again, I think it's safer to stop the transfusion, disconnect, flush, administer, flush, reconnect and re-start. Whether to hold the med until after its done depends on the med for me. What's it for? Do they need it NOW? What would change if it were held until the transfusion is done? A PRN pain med? I try to medicate before transfusion, but if breakthrough pain happens, then there you are. Do I make the pt wait 2 more hours? No, that would be mean. I've had a peripheral line infiltrate during a transfusion. What to do? Well, you stop the transfusion, start a new line and restart. However, it is best to follow your facilities policies.
  4. SolaireSolstice

    Late name change. Worried.

    I don't see anything that says you have to change it within ten days of the name change. I see that it will take THEM ten days upon receipt of the name change information. It would be ridiculous to require notification within ten days of a name change. I'd like to see where you got the information "on your own". But if you are that concerned, you can call them or e-mail.
  5. SolaireSolstice

    Precautions and Med Administration

    We are on electronic mars. If there isn't a computer in the pts room, to bring the mar in you have to wheel in the cart. I usually park it in the doorway to the room to minimize "exposure" then wipe it down afterward. The third "check" is scanning the med, so you have to have the computer to check the med against the mar.
  6. SolaireSolstice

    Cover your mouth....the right way!

    I had a huge argument with my sister (a teacher) about the coughing in the hands vs the elbow thing. I voted elbow. She says hands because then "they get washed". I said "only if you wash them".
  7. I would address the fact that this patient is moving into end stage care, comfort care, while the doctor is ordering invasive and uncomfortable interventions that will prolong life. For what purpose? To what end? How about: Risk for compromised human dignity?
  8. SolaireSolstice

    has anyone ever discharged a patient with their IV still in?

    I forgot to deaccess a mediport once. Pt was being transferred to a SNF via transport service on a Friday, and was going for OP chemo on Monday. The SNF had no idea how to deaccess, so I called the MD who said to leave the mediport accessed and that way they wouldn't have to reaccess him on Monday. Thank God. The SNF was all the way on the other side of town and I really didn't want him to have to get transported back just to deaccess it.
  9. SolaireSolstice

    Is she taking advantage of my RN license?

    Yes, either talk to her about it, or when these reference seekers call, let them know it's been 10 years since you worked with her, and actually she's your cousin, so maybe you could give a personal reference.
  10. SolaireSolstice

    Funny things patients say !

    After this incident https://allnurses.com/nursing-humor-share/things-patients-have-52823-page150.html#post5020053 , the oncoming nurse and myself went down so I can show her where the IV line had "just come apart" (we knew he had done it on purpose) and she asked him "Why did you do that?" He answered "I guess I just wanted some excitement."
  11. SolaireSolstice

    Things Patients Have Taught Me NOT To Do

    Do not "mess with", "play with", or even "touch" your IV line if they seem to "come apart by themselves" (like it did a couple of days before, amazingly right above a pressure hub, again, making your chemo infused blood spill all over the floor). Especially when your nurse just hung chemotherapy. Especially when that chemotherapy is a vesicant. Especially RIGHT AT SHIFT CHANGE.
  12. SolaireSolstice

    IV question

    I was taught differently; to round normally based on the first decimal point. But you should check with your instructor in order to get the question counted right in case they don't give partial credit. In practice, the difference between 17 drops/min and 18 drops /min is 1 drop and in this case
  13. SolaireSolstice

    IV question

    Well I'd say it's a typo and they meant to say drops/minute, but maybe there's something I've missed? You've got micro drip tubing there, and it's drip factor is 60 gtt/min. I did find a calculation for micro drops, but basically you would just move the decimal over, what, 6 places? So you'ld get some crazy number like 18,000,000 micro drips/min. Which is just ridiculous and not even applicable to nursing care. What would that number even mean? How would you apply it in practice? This is homework right? Ask your instructor if they mean drops/min or micro drops/minute.
  14. SolaireSolstice

    IV question

    And does it really say microdrops/min? is that some new conversion I don't know? You can't calculate a microdrop can you? I'm seriously giggling now, mcgtt? It sounds like something you could order at McDonald's. At least it's not apothocary conversion. Those REALLY made me irritated and luckily we only have like 2 MDs who still order that way.
  15. SolaireSolstice

    IV question

    Use that calculation I gave you up there; it's: (Amount of solution X drop factor)/time in minutes = drops per minute
  16. SolaireSolstice

    IV question

    ok i got 49 kg x 6 mcg/kg/min = 294 mcg/min 294 mcg/min = 0.294 mg/min 0.294 mg/min = 17.6 mg/hr 17.6 mg/hr = 17.6 ml/hr then: (17.6 ml x 60 gtt/min)/60 min = 17.6 gtt/min and i'd round it up to 18 gtt/min.