nursepearl

nursepearl

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About nursepearl

Onoclogy RN working at a teaching hospital in LA

Latest Activity

  1. Liver Failure R/T cirrhosis

    When my boyfriend was in Liver failure he had ascities but the MD did not believe it was as bad as we said it was. He was a short gut pt. so he had NO intestine...his normal belly was caved in. When we went to the MD and showed him his abd, he said...
  2. Drawing blood from a PICC line

    As an oncology nurse our pts have either piccs or some kind of central line (ie. hickmans, groshongs) or a permacath. I use vaccutainers with all blood draws, unless I cant get any blood back and then I will try to used 10cc syringes. If that doesnt...
  3. Starting nights, what to eat?

    I too look like a health freak while I am at work. I pack easy stuff like pb&j, grilled cheese and tomato soup, fruits, veggies, diet coke and water. People comment and say how healthy I eat, but I only eat that way because if I brought somthin...
  4. night shift

    I have been working nights for a few years now and it seems to work pretty good for me. I get home about 0830 and head right to be, usually watch some tv and fall asleep. I wake up between 12-2 and then I have to pick up my son from school. If I a...
  5. myeloma transplant/BMT?

    Hey guys, I have been a working on an solid, hematology oncology and bmt/stem cell transplant floor for three years. We have tons of new grads. I think it is a great place to start nursing. Although my floor also get a lot of med/surg over flow if ...
  6. Shift and weekend differentials- what are yours?

    we get $4.00 for night shift and $2.50 for weekends
  7. TPN additives

    IN the hospital setting we do not add anything to the TPN and if the TPn order changes then we send it back down to the pharmacy to be changed. As far as the 70/30....sounds fishy to me. My boyfriend is on TPN at home and we add mulite vitamins an...
  8. Changing Careers--What Makes Onc Nursing Special?

    hi there, I am a bedside nurse in a large university hospital and I work on an oncology. We mostly work with leukemia and lymphomas here but see a little of everything. I love oncology nursing because you really get to know your patients and there ...
  9. Pancreatitis

    my bf has chronic pancreatitis, although it is TPN induced. They are going to do a nerve ablation to try to get rid of the pain....so we will see if that works. I hope you are doing better and get this under control.
  10. I have looked this question up online but havent come up with an answer. So, why, if a spleen is functioning normally, would it be removed with a liver and bowel transplant?
  11. running antibiotics into a permacath?

    I work on a hem/onc floor and our pts. have permacaths place for stem cell collection. We are allowed to use them just as we would any other IV. Most of them do not get hep. locked....we run tko@ 20 cc's. Only hep.locked upon discharge.
  12. Dumb IVPB question

    We run IVIG pretty much every wednesday with or stem cell transplant pts. We can run it two ways...piggy backed into d5w and also long-lined into d5w. Of course the IVIG has to be run through a run.
  13. When patients lie about rides.....

    This is an inpatient problem as well.... My boyfriend was a pt. at the hospital I work at. I was supposed to give him a ride home before I started my night shift. I told the nurse over the phone that the d/c instructions had to be ready by 3pm. So...
  14. Tpn

    It could also be what we call a "banana bag" which is basically a bag of fluid with vitamins. Somtimes we hang it with lipids....depending on the pt. We use TPN a lot here on our oncology floor as out pts have a lot of nausea and of course can be ...
  15. PICC's

    As a hem/onc nurse I deal with piccs on a daily basis. Most of the ones here are arrows, power or groshong piccs. You can draw from either port using the same technique as several people have stated above.