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What is the maximum number of patients per nurse?
That is bull! 4 patients 95% of the time, with an occasional 5th. 2 techs for 41 patients free charge unless short Day shift Florida
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Chemotherapy administration
ASCO-ONS has provided safety guidelines that would be helpful.
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OB nurse working Med/Surg
I would have asked for appropriate orientation if I hadn't worked med/surg in 5 years. As a med/surg nurse I wouldn't be permitted to work OB.
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ER burnout
We feel the same way on the floor. It is tough to keep upbeat and interested in your job when you don't feel useful. Why have we allowed it to become this way?? Or has it always been the same? Seems ED's are working to much with primary care rather than emergency's which is why you went in to emergency nursing. What can be done to get these people to go to a clinic or those that can to a PCP?
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Bone Marrow Biopsy
It is amazing how differently treatments are "treated" in the different settings i.e. inpt or clinic. I work in a hospital and we don't perform many bx at bedside I think because we are unable to give conscience sedation on the floor. I'd rather my pt be comfortable rather than have someone tell them they can't have medication.
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Simple things new nurses or experiece nurses are not doing?
Couldn't agree more! Some nurses have a hard time with the fundamentals. Other things seem more important with all the new technology.
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Medication Questions (Provigil)
You could stop the medication until you finish breastfeeding.
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administering blood products
We're required to administer the product within 30 minutes but I have never had a problem with returning it to the bank if I ended up not needing it at that time.
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When your patient goes bad....
Likely it couldn't have been avoided and just be satisfied that you got her transferred and she is alive.
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Verification of NG tube placement
Where I practice we never check NG placement. Yet with a dobhoff a KUB is protocol but we still need an order!?! And from my practice, if you place a dobhoff and the KUB shows its not in place leave it! Ultrasound will not place it unless it has been attempted 3x on the floor. So do not remove it and order US guided placement. They made me replace it it attempt an additional 3x before they would place the dobhoff.
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IVPB Question
Have someone show you.
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low platelets and measuring blood pressure
We use automatic cuffs even with platelets below 20. Perhaps that facility has had a problem in the past. A lawsuit usually leads to change in practice.
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power ports
I don't see many power ports but I find the double ports quite useful for the patient needing chemo, IVF, ABX, transfusion. Or for the patient needing pain meds every 2-3 hours during an infusion!
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OCN Review advice please!
I just completed that ONS review. Plan on taking the exam in Nov.
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Hoping an Oncology Nurse can help me with my Rehab pt!
If you work in a hospital setting I would contact a Radiation Oncologist or Nuc Med may be able to answer some questions. I have never worked with an ovarian ca that has received radiation. We usually see a routine such as chemo, surgery, chemo, IP chemo if necessary.