nursie_pants

nursie_pants

oncology

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All Content by nursie_pants

  1. Barnes-Jewish starting RN salary

    Hi everyone: I've got an upcoming interview at Barnes-Jewish and was hoping to have a ballpark estimate of the hourly RN salary for a new grad - any idea? Any shift differential pay or difference with...
  2. Outpt Infusion Clinic and PPE

    Hi All: It has been a bunch of years since I was last on allnurses.com but I have a burning question/survey type thing I was hoping to get all your input on. I have worked in the last 4 years in a...
  3. NPO/clear liquid status during labor - evidenced-based?

    Here are just some random links supporting in a quick Google. Note I have not verified the sites:...
  4. NPO/clear liquid status during labor - evidenced-based?

    No formal research, just in what I've read as far as midwifery books go (like the crazy but on-her-game Ina May Gaskin)... I'm sure in the NICU you've seen/heard a lot of the pros for a NPO/clr...
  5. NPO/clear liquid status during labor - evidenced-based?

    Honestly, I don't work on an L&D floor, but I'm quite sure the NPO/clear liquid orders are *not* evidence-based. It's completely ridiculous. Fancy getting enough energy to push out a baby from...
  6. Possibly getting my OCN?

    Yay for looking into the OCN certification! Not to be a downer, but you have to have logged 12 months work experience before you can even register to take the exam... I started my first job in January...
  7. payscales are secrets huh?

    I find the lack of transparency annoying. Just makes doing your due diligence/background research that much more difficult. I had the issue of pay brought up in an HR screening interview - the first...
  8. Zofran: IV push or Piggy Back?

    I'm not sure how many 50cc bags of NS we'd go through on our floor if we diluted > or = 8mg zofran w/each administration. You can safely push it directly - undiluted or not - over a couple minutes....
  9. want to be an oncology nurse

    If you're willing to move, I worked in St. Louis straight out of school for my first nursing job in oncology. In fact, the floor I just left is hiring 10 new grads this June and continues to hire...
  10. Giving Methotrexate in an OB setting-Nurse safety?

    To dovetail on OCNRN63's response, make sure you also do some teaching with the patient/family about chemo in the pt's bodily fluids for about 72 hours following chemo administration. That means no...
  11. No blood transfusion r/t high WBC??

    Sorry, I'm responding not with an answer but to also express my curiosity w/this. Depending on just how low the h/h was, I think I've heard of doctors holding transfusions for pts w/leukocytosis......
  12. Treatment for uncontrolled N/V post chemo

    At my last job, docs never ordered phenergan for those side effects you list above. Like other people mentioned, alternating zofran and compazine ATC seems to help folks + ativan PRN. Dex and Emend...
  13. What's the worse thing you have seen?

    Hardest thing with my job - wounds aside, since I have a weak stomach - has been seeing patients in their 20s dying of cancer. Gets depressing and wears on you
  14. Are you serious?

    Oh, we get those gems on our floor as well. :) I had a patient tell me a couple nights ago that I enjoyed waking patients up in the middle of the night. I wanted to roll my eyes. Yup, that's why I...
  15. Planning to have a baby.. new nurse

    Also, not to sound negative or anything but just based on experience I wanted to throw this out there: I know the excitement of wanting to start a family.... and yet getting/maintaining a pregnancy...
  16. What is back priming?

    Glad that helps. ? Yes - you'd change the tubing per policy. Our hospital is every 72 hours or whenever you start a new peripheral IV or change caps/reaccess a central
  17. What is back priming?

    Also, you'll want to back prime 10-20 ml NS (just eyeball it) into that empty vancomycin bag before disconnecting to ensure that all the vanc is removed from the secondary tubing. This will avoid...
  18. What is back priming?

    Correct = back priming is used to prime a secondary med w/fluids from the primary set. Here's a scenario that might help describe it more: Let's say your primary line is connected to a 500ml bag...
  19. On the floor I work, we do self-scheduling so it's fairly easy to get three in a row. If there are wide gaps in coverage, we'll get moved around but the powers that be are very understanding of night...
  20. Interesting way you work out the transition from night to day. When I get home the morning after my last night worked (and I almost always do three in a row), I go to sleep at 8:30am and force myself...
  21. Second career nurses: Do you like nursing better?

    2nd career here as well. Spent my 20s working in int'l development project management consulting (basically, working on US foreign assistance programs). The transition to nursing sort of feels like an...
  22. Well, I'm a day/night rotator, so I get the best/worst of both worlds. :) I generally work a couple weeks of nights followed by a couple weeks of days. My nights are 3 in a row and I don't keep up a...
  23. What are the top 5 medications YOU administer daily?

    I work on a medical oncology unit. Top 5 are probably: (1) nexium (2) heparin (subq) (3) potassium (4) valtrex (prophylaxis for our BMT pts) (5) tie:
  24. No gloves ever?!?

    That is f-o-u-l! And btw, I've only been working as a nurse for about a year but feel like the term "old school" when referring to a colleague essentially means crazy @$$ shortcuts taken. I just...
  25. Oncology vs. Med-Surg.

    I work on a medical oncology floor at a large hospital. Our patients are either solid tumor (e.g., lung, breast, pancreatic CA) or hematological (e.g., leukemia, some lymphomas). We don't have GYN-onc...