DatMurse

this!

btw, because I made this post. I met my fiance, we are getting married in a month

There is a saying, if you don't like the way things run, get into a position to make a change. Sick and tired of people complaining that wont give feedback to the NM and wont give suggestions. Not all NM are great, but the ones I had have tried. The upper management is the problem. Not lower management like NMs and ANMS. People need to join committees, in services, practice, etc. My current floor is new and people sit there and complain but do not offer solutions. They are complaining that they are short. Nurse Manager is offering double time for people to come in and the nurses are still attacking her saying she isn't doing anything. You have 2 sides wailing on you and its hard to make people happy. I tip my hat to you

Exactly... there is one flip side. There comes the financial ethical dilemma of who is paying for this. I think Keytruda goes for 6-8k a pop. Although I'm not completely sure

definitely gets real when its someone your age, Its always worse to me when they are younger. "This shouldn't be happening" is what I always think.

there are "sexy" everything nowadays. female cops, female batman, male cops, etc. I honestly wouldnt overthink it as something targetting nurses but society.

ONCC Web-Based Practice Tests one is free, you pay for the other 2

Did it in maybe an hour. These are great books I highly reccomend. I did not use the study guide general curriculum book. Based off of other people's review, I would say get the previous study guide/book.(The green one) OCN Exam Practice Questions: OCN Practice Tests & Exam Review for the ONCC Oncology Certified Nurse Exam: 9781627338783: Medicine & Health Science Books @ Amazon.com OCN Exam Secrets Study Guide: OCN Test Review for the ONCC Oncology Certified Nurse Exam: 978161

would a new grad that took the ons chemo cert be proficient? probably not.

How comfortable are you with chemo? if you are going to travel get the chemo cert IMO.

even then, there are so many new drugs that the chemo courses do not offer it. competency relies on the nurse, not on a certification. Rules of administering safe chemo, chemo ordering rights if the doctor is allowed to, knowing drug interactions and withholding parameters, how to administer it, tubing etc. chemo regimens, bsa dosing. Was it done properly? standing height/scale etc. There are plenty of things nowadays with computers at our stations. looking up globalrph to see manufacturer recommendations. The online class is a joke and I done it at 6 months of EXP. I think it is dependent upon the nurse. Its like BLS or ACLS. just because you have the cert, does that mean you will function when the time comes? I know plenty of nurses that do and plenty that dont. I would say OCN would show that you aqre more than competent imo. ex of new drugs that are not on chemo/biotherapy. Darzalex, they do not mention Campath for sure., trabectin, REPOCH is not on there either. Ninlaro, elotuzumab. I think alot of it is up to the individual nurse. basic competencies of knowing contraindications of the big drugs are important for sure. Dox/etoposide/vin/cytoxan/ifex/arac/dauno etc. but I am still a fresh nurse at near 3 years. I still havent seen anyone get near to lifetime dose of an anthracycline. Maybe its cause there are so many combo options nowawadays.

I have both. I think the biotherapy class is a joke(online). Atleast for me it is. It is good for the initial certification, but followups and learning the meds listed is kind of pointless sometimes. There are new meds every month and the only way to keep up knowledge is by reading into the new drugs prior to administration and ask your coworkers. Now I was never a participant of the IN PERSON class. I heard those were very informative, engaging, and more effective. So I do not have an input on the old ones.

unless you are locking with 5000u/ml i wouldnt worry about flushing the heparin down the line. it is usually a small dose and it shouldnt be an issue, Even if you flush TPA down the line(cathflo) the half life is so little.

I highly doubt you would get too many immunocompromised. that would be very high risk for postop