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mykidzmom

mykidzmom

oncology, med/surg (all kinds)
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mykidzmom specializes in oncology, med/surg (all kinds).

ADN, outpatient oncolgy after trying a bunch of other stuff

mykidzmom's Latest Activity

  1. mykidzmom

    Saline flushes causing nausea for my patients

    slower push, anti emetic prior to flush (if feasable) and sour hard candy.
  2. mykidzmom

    Oncology Interview - Any advice?

    1. what are the nurses and doctors view on end of life care? (nurses separate from docs) 2. how is the subject approached with the family. (during a code? an arranged mtg? the nurse because the dc is too chicken?) 3. if a patient is non palliative care on monday but the decision to make her that on tuesday, how will her care be different. some agencies will give blood transfusions for comfort, some do not view transfusions as appropriate for end of life. 4. is there a class i can take or book you could recommend that i could read up on some of the nuances of this specialty? good luck
  3. mykidzmom

    Does this make me a bad future nurse?

    oh yes, nurses don't just eat their young--they eat those that they perceive as young as well, even if we're old. nurses are a tough buncha ******* to work around. but i can't imagine doing anything else. i went into nursing school thinking a i wasn't to do one thing. flopped around for a few more years, learning about my interests and my strengths doing all sorts of nursing jobs. finally found my niche. it's where i belong. my advice: you will compare the realities of everything you experience with your perceived view of what NICU will be. nothing else will measure up. this will prevent you from falling in love with another specialty because you will be blinded by the call of NICU. then, once you get to NICU....you might love it, might hate it, but it WILL NOT be what you think it will be. so--go thru school with the openest of minds. judge the specialties by specific interests. i have a co worker who can't stand patients with penises. if you keep your mind genuinely open to RECEIVE the experience, you will be called to it. Like your marriage analogy, you will not find the perfect husband by deciding how he should be and then finding him. he will find you when you are not looking! just throwing that out there. NICU might really be the thing for you--not trying to talk you out of it. good luck
  4. mykidzmom

    What does Assessment mean?

    this is a pretty hot debate. i'm not even going there because i know PNs who i would trust with my life and RNs i wouldn't let water my plants. i wanted to comment on your CLEP comment. don't know what that means, but i THINK you mean trying to test out of a class. unfortunately, regardless of your knowledge, i am pretty sure that there are a minimum number of hours you must attend the RN program in any state. that is, if you were an MD, say, an OB with 10 years of experience and decided to go to nursing school, you would likely not be able to test out of your nursing OB rotation. it is not so much the education--altho that is part of it, of course--but they physical hours spent and documented by your school in clinical and didactic settings. good try, but i don't think you will make it out of any of your RN or bridge classes. but, maybe someone needs to be the first!
  5. mykidzmom

    Applied for nurse residendy, how do I get them to pick me?

    specialty residencies are not just for new grads: i actually took one in L&D --6 months long--after i was a nurse for over 2 years. you might not like this suggestion...but i have done it and it is a very common tactic in the entertainment industry (my husband's field): if you really want it: WORK FOR FREE you might consider sending a note to the manager of L&D and requesting a meeting. At the meeting you can tell her (or him) you would be willing to come in --say--4 hours once a week--volunteer--and do anything they need. you will being ice to patients, clean up poopy sheets, hold a hand, run errands--it will likely not be RN work. you have to be willing to do the least-fun stuff. she might say "why do you want to do this" and you will not say "to get into the residency program" but you will say that you want to get your foot in the door, see how it is so that when when the time comes for you to make that change into L&D, first of all, you will know what it is really like and be able to make an informed committment--because you know no job is ever how you think it is going to be--and number 2, once she and the other staff see how awesome you are and how hard a worker you are, the next time they need to make a decision over who to hire, they will choose YOU. never in my nursing career has HR been helpful in any way whatsoever. in fact, the 2 coolest jobs i ever had, i bypassed HR and went straight to the manager of the unit--because there was no way HR was going to see how *badly* i wanted those jobs. you are always taking a chance when you go around the system, because if you're not careful it could be interpreted not the way you mean it to. good luck. i know how it feels to want a job so so bad and know that on paper it just doesn't quite show.
  6. mykidzmom

    Thank You On Behalf Of The General Public

    i had a rough day. thanks for that. it helped to hear.
  7. mykidzmom

    Grieving over brother's death, would like your thoughts----

    i am very sorry for your loss. i am very sorry you were treated poorly by the nurse. as nurses, even the most compassionate of us have all responded to a family member in a way that we might not have meant. i am not defending her, but her tone of voice might not have matched her intentions. and her stress might have shown thru more than she meant--or maybe even more than it usually does. i say this only so that in your memories of your brother's last days, you think of that nurse with feelings other than anger. she might be a crappy nurse or a good nurse who clearly didn't handle the needs of your family the way you needed. this is something RNs must do, but we sometimes fall short. i hope if she were reading your post, she would apologize and maybe explain herself. as far as your other question: when i was a CNA, i had to take care of a patient we all pretty much considered a vegetable. there was *nothing* there. but i did the best i could. he went away, i didn't know why and didn't expect to see him again. months later....another patient. he knew my name, was very nice and made several references to things in the past. turns out this was our vegetable. he told me i was the nicest nurse (i was a CNA then, but i guess one might miss those details in his state). he said he loved when i talked to him and told him what i was doing ("i have to turn you now to get the sheet, etc). he said i made his time in that hospital bearable. i don't remember what was wrong with him, why he went away or came back. but i will never forget that he was living proof that people can hear you and even feel your love and good intentions when you think they can't. i am not a religious person, but i have no doubt--NO DOUBT--that your brother died knowing he was loved and felt and heard everything. and i am so incredibly touched that through his death he was able to save other people with his organ donation. you are all obviously an amazing family. people like your brother and you make the world a better place. wow.
  8. mykidzmom

    is this a form of medicaid abuse?

    please don't come on this site and tell me these stories. i can't handle it. my head is going to explode. are you trying to kill me????????? i see things like this all the time, but from The Other Side Of The Fence, so even though i see this abuse and manipulation, i don't really get the joy of hearing them BRAG about it. this mamma is PROUD of what she is doing. Nothing will make her stop on her own. why did you have to bring this up????????????? i can't stand it i can't stand it i can't stand it!!!!!!! sarcasm doesn't always seem to translate well in writing. hope you know i am not really "scolding" you! i just hate hearing about this crap--actually, i really just hate that it happens. argh.
  9. critical care/icu is full of lifting. med/surg too. most outpatient types of nursing would have less lifting. peds would have lifting but the load is lighter. post partum and l&d aren't terribly hard physically--compared to lifting comatose 300 pound people. hmmmm..... some cardiac floors aren't too heavy with the lifting--not the cardiac ICU--that's heavy. home health might have some lifting, but the travelling between patients might give you the break your body needs. hospice would likely be more lifting than you want. if you live in a big city, some hospitals are big enough that they have units based on diseases. a urology floor full of prostatectomies might not take too much out of the elbow. i had better stop. i will end up offending someone by insinuating their job is easy when all i mean is that it might not be too hard on your elbow. chronic diseases and trauma and surgery patients i think are the most likely to have the heaviest lifting. 'night!
  10. there are lots and lots of nursing jobs you can do with a bum elbow. clinicals and your first job might be tough because in clinicals you are trying very hard to impress and might not be as careful as you need to be. and first jobs in nursing, like most jobs, are rarely the job of your dreams. but, you don't have to start in med/surg (where most nurses are encouraged to start their careers for many good reasons). there are even lots of nursing jobs that don't seem like nursing, until you really know what they do, like research nursing. check out the "specialty" section on this web site to give you an idea. by all means, don't let anyone talk you out of nursing. except me, on a bad day. i could probably make you run away very fast. and whatever you do, don't make up your mind what kind of nurse you think you want to be before you get thru school! you might really know what your calling is, but then again, if you close your mind to other options, you might dismiss something you could be great at. if someone told me when i started nursing school that i would be an oncology nurse, i would have never believed them. good luck!
  11. mykidzmom

    Never seen anything quite like it (the things visitors do...)

    i wish it wasn't common for admin to kiss the butts of everyone who makes a scene. this sure seems like an extreme example, but this sort of thing happens every freakin day. we even give out gas cards and walmart cards to anyone who expresses displeasure. we had one woman who was dumb enough to admit that she knew if she wanted a gas card all she had to do was make a scene in the waiting room. i like the idea of a mind-blow icon!
  12. mykidzmom

    And I continue my rant of MAs pretending to be nurses..

    there are several issues here. the first is the respect MDs have or don't for RNs. many doctor's don't care if you are an RN, MA, CNA--you are not an MD, so we're all alike (to him or her). without disrespecting the value of the UAPs, we MUST make sure the MDs understand what it means to be a nurse. this is a huge issue. the public often doesn't care. i work with one MA who knows her stuff very well and she often oversteps her scope, so she needs to be reigned in a bit. but if i had an issue--i would trust her. i also work with an RN who i wouldn't let water my plants, let alone touch me or even look at my lab results. but scope of practice is scope of practice. i can only pray the MA finishes nursing school quickly and the idiot nurse gets fired..... the docs might not care. some of the public might not care. but WE MUST care when a non-RN comes off as one, overtly or otherwise. our profession depends on it. why hire an RN if you can hire an MA? RNs may do many of the same tasks as MAs so to the casual observer, what is the difference? MAs are performing TASKS, collecting DATA. they may be individually brilliant, but they are not able to assess, give nursing diagnoses, plan or evaluate actual or potential human conditions. they are not trained to critically think (tho many are capable). when i see posts on MAs and CNAs and the various frustrations that come with working with them, it always seem to lead to the fact that most of what an RN does, and our most important work are not the tasks we do. it is our critical thinking and our understanding of disease, drugs, health and the response of patients to illness. we can do many of the same tasks. this is why docs think we are all alike. they need to know how we are different. patients need to know. and the UAPs need to know as well. many CNAs think nurses have it easy because all we have to do is (fill in the blank) while they have to (fill in the blank). they can't see the real work we do. i would strongly suggest everyone check out the web site http://www.truthaboutnursing.org. a lot of energy on that site is spent on media portrayals in nursing--which is crucial since people (and most docs are people too) get their notions of What A Nurse Is from t.v. and movies. but there is far more than that and they get into all of it. if we nurses don't educate ourselves on what it means to be a nurse and how to properly advocate for our profession, then the world will think they don't need us. not when an MA can do it cheaper! and what kind of world would we have if there were no nurses? by the way--we nursing and medical folk can be a sensitive bunch: when i referred to the posts dealing with difficulties working with MAs and CNAs i mean absolutely no disrespect. just like the happy stuff doesn't often make the news, in a forum like this, we are often more compelled to express our frustrations than our joys. there is room and need for all of us. many of us are brilliant, excellent, thorough caregivers within our scopes. some of us suck--RNs on down the line. *my own little advocacy thing is to not use the word "nurse" very often. because a mother can nurse her sick child, a child can nurse a pet back to health, etc. nurse, as a verb can be viewed as a generic word that can conjer up loving care, which MAs CNAs and MDs can all do. I am proud to be a nurse. but i try to say RN whenever possible or Registered Nurse. just my own thing.
  13. mykidzmom

    I'm about to lose my MIND!!

    i know i just posted. but i am really really really excited for you! have you written your name with RN after it yet????? congratulations and welcome to the club! i've never been so happy for someone i didn't even know! (i'm relieved myself!) hugs to you!
  14. mykidzmom

    I'm about to lose my MIND!!

    Woo-Hoooooooo!!!!!!!!!!!!!!!!!!!!!!!!! you should print out all these posts for posterity. the whole NCLEX thing is now just a memory.......
  15. mykidzmom

    New to nursing

    many pre-req courses can be done on line. however, i would STRONGLY suggest you refrain from putting rigid time schedules on yourself. life will get in the way, as it always does and if your plans include getting certain things done in a certain amount of time, you will get frustrated and make decisions that are based on your time line. classes fill up, some classes are not done on line....then of course there is always getting in to actual nursing school which, unfortunately varies from state to state (california couldn't admit based on grades when i went---it was strictly a lottery for the 2 year programs. other states count grades.) and then from school to school. you might not get in exactly when you apply. if you got a degree in chem, you are obviously a smarty-pants, so you will probably do well with whatever way you decide to attack this. but i have seen too many people give up dreams because of a snag or 3 in the time line. good luck and welcome to the site. don't let us scare you!
  16. mykidzmom

    Growing concerns about new RN position

    Night shift handed off two pts to me, one with a glucose of 388 and the other with a blood glucose of 279. Accucheck was done at 0600...neither pt was covered w/insulin this is not unusual. usually insulin is given right before breakfast. it might not be best practice, but that is what was done wherever i have worked. this is something you will run into often. Night shift reported of on a pt who looked terrible. Orders were to have pt on 02 to sat at 94%. I assessed pt immediately...no 02 on pt, HR >200, SOB, sats @ 88..did what I could do and called rapid response pt's can deteriorate quickly. could have been orders neglected or that he went that bad that quick. this is also something you will likely run into--hopefully not due to prior nurse not paying attention Received an admit without report or notice as much as i hate that--put that on your "get used to it" list. i only had that experience with ED and it was standard from them. Charge nurse reassigned one of my pts. to another nurse who at the end of the day stated "thats not my pt" Asked preceptor multiple times for help and preceptor helped by siging off on my orders when I begged for help with pt care. that is lame and you should not get used to it or tolerate it now--because if you do, they will keep doing it to you. Received report that a pt was heplocked, only to discover that pt should have been rec. NS @80 ...and yes the order was signed off on by the reporting RN. that could have been an honest mistake. another thing you should not "get used to." i would keep an eye on orders to make sure that nurse doesn't make a lot of those honest mistakes. Given a pt with altered mental status, was known to be violent and had to call security. I felt like this was an inappropriate assignment for a new RN. when i was a new grad, i felt there were certain patients who should not go to new grads. seems, it is only the new grads who think so! i see both sides to the argument. try to get used to this one. Received report in the am on a pt who during the night had a troponin II of 2.8 (MD was called), checked labs 1st thing, troponin III was 4.05..pt was having an acute MI and somehow nobody on the night shift noticed that the pts atrial pacer wasn't pacing....I noticed! i am not a cardiac nurse, so i can only say that doesn't sound kosher for that to be missed, but i don't really know. i hope i don't sound harsh are cavelier about your situations. i don't want to condone practices that are less than best-practice care. but real world nursing has a lot of these types of things. i believe you will find most of these things everywhere. sometimes it is a case of everyone is doing the best they can, but we just can't get to everything just right. sometimes, you are dealing with nurses who, for whatever reason, are simply not careful or attentive enough. the trick is to know the difference. that you will only learn with a little experience under your belt. and of course, do the best you can yourself. be careful of sounding accusatory with your co-workers, because if you are being nit-picky with them, they will be nit-picky with you. and as a new nurse, you deserve some serious slack while you are getting the hang of things. the things you mentioned are not nit-picky and in this forum, they are most appropriate questions. while i am not saying that what you encountered is okay, i am saying that it is not unusual, so i don't think changing facilities will help. except for the preceptor thing and the "not my patient" thing. that is just completely unacceptable. hang in there--you will learn not to be shocked by this soon. glad you are so conscientious and do your best to never lose that. you sound like a good nurse!