mappers

mappers

Med/Surg/Tele/Onc

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All Content by mappers

  1. extended stay patients

    Insurance companies have been running hospitals and Dr's practices for 20 years at
  2. offended....

    I would have said, "I'm sorry, I'm in the middle of something. But you should be able find
  3. My day as a patient

    I have said to patients (in a joking manner), "Are you sure you want to talk that way to the person holding the
  4. It's not a HIPAA violation if you ask permission of the patient and they consent. If they don't consent, then you do it somewhere else. We did it at my last hospital. At first I was reluctant, but...
  5. Procrit Orders

    Does anyone work in an environment where you frequently give Procrit? I'm in an outpatient chemo/Dr.s office. We never actually have the orders in the computer for this. Usually in the dictation it...
  6. Procrit Orders

    We have a matrix that we use. If the DX is MDS or Renal, then we try to keep Hgb around 12. If it is due to chemo, then it's 11. This has to do with what medicare will cover. If hgb drops by a...
  7. Is this unusual?

    The first thing? No. Unfortunately "key messaging" was a big thing at my hospital too..."I have the time" anyone? The second thing?
  8. Do you think this is fair?

    At the hospital where I used to work, the weekenders made significantly more than shift differential. So if I worked a weekend, I got shift differential ($2 -$3) an hour. They got paid time and a...
  9. Do you think this is fair?

    I'm not sure if it is unfair. Let's talk about the typical American Holidays...New Years, Memorial Day & Labor Day, Christmas, Thanksgiving, 4th of July. Since Memorial, Labor Day, and...
  10. Thinking about applying for Oncology position??

    Go for it. There is never any harm in applying. If you get an interview, go in with the attitude that you are interviewing them to see if you think it is a good fit. If this really is a unit that...
  11. needleless syringe disposal

    Yep...You don't want a patient helping themselves to syringes. Put them in the sharps
  12. maybe I wasn't being nice.....

    "Doesn't rapid response include a doctor of some kind? even a resident?" Not at our hospital. We are not a teaching hospital and do not have residents. ER docs do not respond to RRs and it would be...
  13. maybe I wasn't being nice.....

    "need to take the next step and notify the MD so you can get some med orders. " Ummm....You do realize that they most likely could not have done anything with those orders since Med Surg nurses...
  14. maybe I wasn't being nice.....

    At out hospital, once R/R is called, they take over. We get vitals, monitor the pt, etc and wait for RR. We have protocols some protocols in place, but mostly get vitals and draw labs. Notifying...
  15. I work in Oncology and started applying for outpatient chemo clinic positions several months back. I had an interview with a clinic within my hospital organization that went very well, but I didn't...
  16. Breastfeeding support by HCPs

    Hello Everyone, I hope you don't mind me popping in here. I'm a nurse but do Med/Surg Onc, so haven't been here before. I also participate in a debate board on another website for Breastfeeding vs....
  17. Telemetry nursing

    Ummm...I'm on a "low level" tele floor. Pts are on heart monitors and we have protocols we can use for CP. We also have protocols for K and Mag replacement. However, we do not have certain drips,...
  18. Sell 'em. I look stuff up on the Internet and we have resources at work like Micromedex and Up-to-Date. And to be honest, the only time I'd need them would be when I'm at work and.....they're at...
  19. Celebrities who were formerly nurses...

    "The Countess" from Real Housewives of NYC is a nurse, isn't
  20. I've been offered a job in an oncology office and I'm ecstatic! I have a choice because they have two positions open right now....4 10-hour days a week or 5 8-hours a week. I currently do 3 12's at...
  21. Breastfeeding support by HCPs

    Thanks to everyone who responded. I guess I'm hearing several different things. There really is an issue with BF support in the hospital. Sometimes it boils down to the old chestnut of nurse/patient...
  22. What do you think of this Ambien order?

    This is what the KY Practice Advisory says: "When an order/prescription for medication contains a minimum/maximum dosage range (i.e Demerol, 50 - 75 mg, IM q3-4 hours, prn for pain) the registered...
  23. Breastfeeding support by HCPs

    Thanks for the replies. I hope to see some more! I guess it saddens me that the lack of support being touted is true. I'm glad there are nurses out there who are willing to buck the trend and...
  24. Leading (or best) practice

    Have you tried MircoMedex, UptoDate, CINNAHL, OVID? Most university libraries with med schools/nursing schools have online search engines to search articles and
  25. Litany of Nurse Management - Old vs New

    We have a DON. There are two people under her whose titles I can't remember. One is over the ICUs, OR, ER, and other procedure areas, the other is over the med/surg, tele, tcu floors. They wear...