mappers

mappers

Med/Surg/Tele/Onc

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All Content by mappers

  1. Don't rule out research. Look at Community research opportunities. I work for an oncology practice and we employ three research nurses plus a clerical person. Grant funding is not an issue. Our...
  2. What type of an oncology unit is it? Not all oncology units administer chemo on a regular basis. Where I worked, I didn't get my chemo certification until after I'd been there several months. We...
  3. Care Planning Confusion

    What is the bigger priority for the patient? That is what should be the first Nsg DX. For example, if the pt is in so much pain that they really cannot progress with physical therapy, then pain has...
  4. Dressing question

    I thought wet to dry was used to debride, and that it was old-fashioned and not the best choice to use these
  5. I know teach clinicals for a college and I have a better appreciation for nursing dx now. When I'm trying to teach a student how to think like a nurse, how to prioritize and then come up with what...
  6. I work in a clinic. One MD will occassionally eat with us. He is very young and I think he relates more to some of the nurses than the docs. A few of the other docs might join us on a "food day"...
  7. Question about two chemo meds

    OCRN, this is how we do it. Our policy is that if a vesicant is to be pushed through an IV (shudder) only the nurse who starts the IV can do it. Sometimes if that nurse is busy, we'll hang the...
  8. Nursing students are not allowed to give medication without supervision. Doesn't matter what rotation you're
  9. Another nurse told me something the other day that I have never heard before. I tried googling it and couldn't find anything either. He said that if you are giving insulin and you aren't sure when...
  10. How do you handle codes?

    We call 911. We all have BLS and we have an AED. Once we actually started a line and started NS, but the paramedics took over . No Code
  11. Outpatient infusion/chemptherapy staffing

    We don't really have a pt-nurse ratio like in a hospital. We have 11 beds and 15 chairs. So potentially, we could have 26 pts on the floor at one time. We usually have anywhere from 8-11 nurses on...
  12. Question regarding insulin administration

    Thanks for the responses. This nurse has been a nurse a lot longer than me and worked in several areas. But this threw me when he mentioned it. Then I couldn't find anything on it when I researched...
  13. Question regarding insulin administration

    Thanks, but that doesn't really answer the question. No where did I say I would do that. My question was has anyone ever heard of this. I guess your answer is
  14. We do symptom assessment more than sign assessments. Always do weights, v/s. If a patient is on Chemo, we ask about s/e, n&v, pain, mouth sores, constipation, etc. We might look at the mouth....
  15. Admissions during change of shift

    We tried to divide the work. Someone would settle the patient, review orders and get them entered, do vitals, etc. If there was time to start the admission stuff, then we'd try. Assessments had to...
  16. Nurses writing Scripts for Doctors

    This is what we do. We check to see if current, check to see when last filled, read the last dictation, etc. If there is any question, we ask the docs about it. We are an oncology office so there...
  17. relationship vs work? when to say yes/no...

    "My bf already said he's heading for the door if I decide to travel beyond our province." Hmmm. This is a red flag to me. A healthy relationship usually involves helping the other person realize...
  18. What helps you get through a shift ?

    I think "It's just 12 hours. I can do anything for just 12
  19. Saline flush without a physician order?

    At my facility, there were order sets that could be initiated by a nurse such as skin care, IV orders, and specific order sets for specific floors. Doctors did not have to write "initiate such and...
  20. Lunches: Brown bag or cafeteria?

    I'm big on soups. Make a big pot of soup and freeze part of it. You can even freeze it in individual bowls for quick grab and go. If you make a few varieties every few days and freeze some, you'll...
  21. simple math ques but I am confused

    It doesn't matter what the units are, the math process is the same. Looks to me like they are testing your ability to apply the process and how you can think critically/logically about a
  22. doctors using to ER to adment ?

    Our doctors direct admit (oncology), but they have to be seen by us in the office first. We have patients call us with symptoms that really they should go to the ER for, but insist they come see us...
  23. You don't share a bathroom with your husband??? I like my little 1.5 bathroom house. I share the one full bath with the three other members of my family and it is just fine. I was in a third world...
  24. "Keep Your Mobility for a Lifetime"

    What about falls prevention? The best way to recover from a broken hip is never to break it to begin with. Talk about trip hazards, through rugs, adequate lighting,
  25. Nurses that work in CLINICS!!!

    Do you like where you work? Yes, very much. What are your hours? 7:30 a - 6:00 P, 4 10-hour shifts a week How is the pay? Less than hospital What kind of clinic do you work in? Outpatient...