mappers

mappers

Med/Surg/Tele/Onc

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All Content by mappers

  1. Help a girl out here...

    mappers posted a topic in LTC: Directors, Assistant

    Hi, I'm an RN who teaches clinicals two days a week in an LPN program at an LTC/Rehab facility. I'm an oncology nurse in my other life, doing outpatient chemo, and I worked Med Surg in a hospital...

  2. PPE

    mappers replied to mappers's topic in Oncology

    How many times a day/week do you give chemo and how many patients at a

  3. Anybody LIKE working holidays?

    mappers replied to wooh's topic in General Nursing

    People get paid time and a half for working Easter??? I've never experienced that ever in any type of job I've

  4. Anyone familiar with Epic?

    mappers posted a topic in Nursing Informatics

    I have a possible job opportunity and I'm trying to decide what to do. A major hospital system in my area is getting ready to convert to Epic and is hiring analysts and trainers. I'm probably giving...

  5. Very little witnessing going on with drug wastes on my floor!

    mappers replied to Nurse ABC's topic in Patient Medications

    They can engineer a system for McDonald's that automatically dispenses the cokes into the correct size cups for the drive thru by order so a person doesn't have to actually, you know, put ice and soda...

  6. Very little witnessing going on with drug wastes on my floor!

    mappers replied to Nurse ABC's topic in Patient Medications

    Nothing, but what exactly are we witnessing? I think we are witnessing that they waste "extra" portion of the med. I don't know of any place that requires nurses have witnesses to actually giving...

  7. What is your biggest nursing pet peeve?

    mappers replied to ferfer's topic in General Nursing

    Know-it-all nurses who know everything that management is doing wrong and know how to fix all of it. If they were in charge things would be perfect. They are brilliant, were in med school, or...

  8. What is your biggest nursing pet peeve?

    mappers replied to ferfer's topic in General Nursing

    Yep, it is a culture thing per floor I guess. When I worked MS, we worked 6:45 -7:15 to give 30 minutes of overlap for report. Most morning crew came in 15 - 30 minutes early to get their stuff...

  9. Very little witnessing going on with drug wastes on my floor!

    mappers replied to Nurse ABC's topic in Patient Medications

    The system is broken. People who design these checks and balance systems really work in the trenches to see if it is practical on a day to day basis. Does drug wastage need to be witnessed?...

  10. It's a Myth that it takes thousands of dollars to train a new Grad RN

    mappers replied to andywolfe's topic in First Year After Licensure

    You are wrong. By Law, a business cannot charge more than the cost of the insurance. It is not inflated. They are allowed to charge a small percent over the cost for administration. (It costs...

  11. when a patient has chills and shivers?

    mappers replied to tokebi's topic in Oncology

    Did the patient have a fever? If so, no do not put blankets on them. They need to be cooled down, not warmed up. Was the patient having a reaction to rituximab or another MAB drug? In this...

  12. Large number of IV Chemo treatments

    mappers replied to notthesun's topic in Oncology

    I can only tell you about our practice, so here it goes. We were an individual private practice up until about 2 1/2 years ago when we were purchased by the hospital chain across the street. I've...

  13. Large number of IV Chemo treatments

    mappers replied to notthesun's topic in Oncology

    Where I live, most chemo is given in an outpatient setting. All of the outpatient settings around here are affiliated with a hospital and most are on the same campus, but are not part of the...

  14. Xeloda

    mappers replied to adamsmom2's topic in Oncology

    Yes, it is made for patients to take at home and most do very well. There may be some nausea or other GI symptoms associated with it. Get an anti-emetic ordered if the patient has nausea and use...

  15. Double usage of saline flush? (flush and reconstitution of drugs)

    mappers replied to pineau's topic in Oncology

    When I was in the hospital, we did have sterile vials of NS and water for reconstituting. I also used these to dilute drugs. I did not use flushes. Others did, but it was against policy. Now, I'm...

  16. Is it because we never knew them when we were well?

    mappers posted a topic in Oncology

    Recently, my daughter asked me if I ever got sad when patients died. I said yes. She asked me if I ever cried and I said rarely. I told her that usually the patient was so sick by the time they die...

  17. VENT about getting cancelled....

    mappers replied to Morainey's topic in General Nursing

    We always cancelled extras first (people who signed up for more than their usual), then we had a book where we kept a list of who was cancelled when and we went in that order. You could also...

  18. Air in IV lines/syringes

    mappers replied to kcochrane's topic in General Nursing

    The real issue with air in syringes is dosing of medication, not the air itself. If lot of space in your syringe is taken up by bubbles, then the patient might not be getting the correct dose. For...

  19. Infusaports...

    mappers replied to NurseKennedy's topic in Oncology

    I'm right handed. In larger patients, I use the first two fingers of my sterile-gloved left hand and I'll palpate for the top and the bottom of the port (And the side if it's a power port maybe even...

  20. Therapeutic Phlebotomy help

    mappers replied to jwhitman's topic in Infusion, Intravenous

    We use 500 mL vacuated glass bottles and 22G IV needles. Clotting is rarely a problem. For us, we have fewer problems with light-headnesses after phlebotomy because it does take a little longer....

  21. What's in your Chemo Cart?

    mappers replied to Robinroo62's topic in Oncology

    We had flush twice signs on the walls in the bathrooms of all the oncology rooms. I'd forgotten about

  22. What's in your Chemo Cart?

    mappers replied to Robinroo62's topic in Oncology

    " do you guys put up a sign to warn people patient is getting chemo?" when i was in the hospital we did not. (and i think this might be a privacy issue.) i'm not really sure why you would need

  23. What's in your Chemo Cart?

    mappers replied to Robinroo62's topic in Oncology

    We do even though technically it is a MAB. We treat all the MABs as chemo, like Herceptin, Erbitux, etc. Speaking of reactions, I'm not talking about nausea. I'm talking about full-on reactions with...

  24. What's in your Chemo Cart?

    mappers replied to Robinroo62's topic in Oncology

    We don't have chemo carts, but will there be drugs on this cart? We do have emergency boxes with standing orders for if a person has a reaction. If a person is getting certain drugs (Rituxan,...

  25. Interview for oncology position: Do I disclose that I'm pregnant?

    mappers replied to jessicakay's topic in Oncology

    Well, we've come a long way baby. Geesh!! Is this how women treat other women in the workplace? Have you ever had a co-worker get pregnant or been pregnant yourself while working? It is illegal to...