luvbug9956

luvbug9956

Oncology

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All Content by luvbug9956

  1. I had a patient in my care yesterday who was a pretty interesting case. I had never seen anything like it (I am relatively new to nursing...still in new grad orientation). This patient had a history...
  2. Troubles as a new manager

    It is lonely at the top! I have to say though, although this seems like a weak answer, sometimes it is time to move on. My first career in management was very difficult - I managed a group of...
  3. Dayshifters- What time do you get up on your days off?

    I get up at 5:15 on work days and I tend to wake up around that time on my off days...but try to get back to sleep until at least 7:00. I am one of those who feel like crap if I sleep past 8:00 or
  4. Flushing a Port-a-Cath--to waste or not to waste?

    I draw back to check for blood return anytime I access a port. When I do that, I just go ahead and waste 3-5 cc's. I want to know that I am flushing into a patent
  5. Nursing is not what I thought...hate my job...need ur opinion

    Telemetry units are notoriously difficult. I floated to tele one day from my med/surg unit and was flabbergasted. I had a new-found respect for all you tele nurses I work in oncology, but really...
  6. Education vs Experience

    I am a recent (5 years ago) grad, and I struggled with the same issue. Do I go and work for awhile, or go straight to grad school? I decided to work, and I am really glad I did! I have already moved...
  7. Trying to get information about GBMC in Baltimore

    I worked there for about 2 years as a student, and then 2 years as an RN. There are positives and negatives and I think it depends on which unit you work. I worked newborn nursery/postpartum as a...
  8. Magnet Hospital Status

    I have to say, my facility received Magnet status about a year ago. And honestly?? The staff nurses hate it. They don't feel that they are receiving any benefits from it. And they are required to do a...
  9. I will be starting my grad program in August, and I am currently enrolled in the NP/CS/Oncology program at UMB. I am going to start with one online core course this fall to ease myself in. I work 40+...
  10. Oncology nursing student...peds or adults?

    Nurses in pediatric oncology tend to be quite loyal...less turnaround time. It would probably be very difficult for a new grad to obtain a position in that field. I would suggest starting in adult....
  11. High Dose Chemotherapy & Hemorrhagic Cystitis

    I agree with the above posters. We did not institute CBI unless our patients showed initial signs of hemorrhagic cystitis (first sign of blood in the urine). I would think that infection rates would...
  12. carbo/taxol/avastin order of admin

    Taxanes are always given before carboplatin, or severe pancytopenia can occur. We actually give the Avastin FIRST in our clinic. We do this for convenience, as we do not wait for the patient's lab...
  13. Sorry....this is long! I am a nurse 3 years out of a BSN program. For two years I worked inpatient oncology and for the past year I have been working in an outpatient infusion clinic. I had a...
  14. I am a new grad nurse beginning a 36-hour a week position (3 12hour shifts). When I began nursing school I got a VERY nasty case of Epstein Barr (mono) -in the hospital for a few days, developed...
  15. I'm curious about isle 2 patients

    There is a big difference between chemotherapy and biotherapy in regard to both toxicities and method of action. I am 26 and have worked oncology for 3 years. There is no definitive data on whether...
  16. Hanging Chemo

    We usually give chemo with ANC of 1.5 or above. Often times we will treat with a lower ANC with filgrastim or pegfilgrastim support. It also depends on the patient's regimen. If you are a member of...
  17. Nursing Work Ethic

    I had an interesting discussion with my husband this evening about the differences between nursing and other professions. My husband is a contractor and has had a lot of experience with "bad...
  18. Change in IV Phenergan Policy

    I work in an outpatient oncology clinic infusing chemotherapy. In the years that I have worked in oncology, Phenergen is rarely given. With the new alternatives out there that have FAR fewer side...
  19. Nursing Shortage? Yeah right...

    In one of the hospitals that I had been previously employeed, an LPN program was piloted, as they had previously not employed any LPN's at all. The program was piloted on one of the medical-surgical...
  20. Nursing Work Ethic

    I totally agree that most of us are VERY hard-working and I am sorry if it came off that way that I was putting down the rest of us hard workers, but don't you find that the few that are not seem to...
  21. Shock Trauma

    I did my senior year practicum on the MultiTrauma unit. I learned a lot, but I do have to agree...a bit much for a new grad. They offered me a position when I left, and I politely declined! Plus, the...
  22. Moving to Baltimore--quiet/safe areas to live?

    I live in northern Baltimore county (cockeysville, near Timonium and Hunt Valley) and work at Sinai, in the city. To answer your question, Angel75, my husband and I make a very good living (he is a...
  23. I have become quite concerned recently about the work ethic of our nursing tech. More concerning, however, is the way that the problem is being dealt with. I work at an ambulatory infusion clinic....
  24. Administration Protocols

    I currently work in a pretty intense outpatient infusion center (we see about 80 patients per day); recently we have had some disagreements re: protocols for administering certain drugs; i.e. how...
  25. Bad Nurse...Need Advice

    One of our unit's staff nurses is a very poor nurse and we have no support from the management about this subject. This nurse has NO bedside manner at all (and we work on an oncology/inpt chemo floor)...