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

looks like it was designed for chemo specifically. http://www.carefusion.com/documents/brochures/infusion/IF_Chemo-Safety-System_BR_EN.pdf

its Easy. maybe 4 hours of time

I believe Texium are a standard of practice vs c35. I have only been to 2 facilities and I am currently at stanford. Both of us utilize it. http://www.carefusion.com/assets/images/our-products/infusion/body-components/chemo-safety-system_detail_IF_0812-0009-1.png

there is no true prep. Ask questions, feed off the more experienced nurse and the ones with knowledge. Some of the newer nurses that know the patho and what not have questions. If the fellow/attending are cool ask them why they do particular interventions for things. I probably harrass the fellow quite a bit because they are entering their specialty and they are excited about what they are doing. OCN curriculum book, chemo biotherapy book. Hematologic Malignancies in Adults: 9781935864264: Medicine & Health Science Books @ Amazon.com This is an awesome book. One of our NPs at my facility wrote it. Very easy to understand. chemocare.com is an awesome website to look over(for families) different chemo as they break it down for the patients without listing every horrible thing that can happen to them. I will never take care of kids, let alone kids with cancer. I cannot rationalize why some of them may die and I dont have any tips to deal with that population. My suggestion to dealing with hospital families, especially oncology is that no matter how much of a pain the family can be toward the nurse. They are just scared, they are out of control and want to care for their love one but they dont know what to do. They may lash out at you but keep your composure because you know they are scared, I have had families that were harsh apologize to me for lashing out. We all die, we just dont know when. Whatever time that someone has, just make it as fun as possible.

most people who feel sick do not take in enough fluids. unless they have CHF, hypoalbuminemia, ascites, 3rd spacing, or some other symptom that can cause fluid overload there is no reason a small reasonable rate of 50-100 hr would cause an issue. In the cancer ward it may be related to a chemo. People's bodies are very resilient to minor things.

late response. I leased a car there. went from hawaii to there. I work at one of the best hospitals in the country now. My EXP in ND on top of my own personal practice is what got me here. However, every other hospital that the other new grads that went there with me seems less acute than there from ICU to medical... for sure medical..

meh, I dont think the job market is that bad. My friend does ICU here. quit one place, went to the next, and then went to the first. Depends on you to be honest. he had about 1.5 years exp.

Ageed, many nurses never question there practice and just follow. They dont know that rationale and report what they are supposed to report. Now as long as they do their job that is fine. But when I started working or doing clinical studies a few years ago, I was always paired up with a preceptor who likes students. Clearly one who likes to teach. So I had this idea that every nurses knew every little thing. In reality many dont. Ex. People are worried about blowing iv lines on a generally healthy person due to rate. Or doing 1l of fluid over an hour. Fluid overload with complications will not happen over 1l on someone with solid tumor and no complications in their kidney function. OR even the iv blowing, product specs say these can handle 18l an hour. These are not the first Iv catheters made. We changed the technology for a reason. But not all nurses know that....

0 immune system, high risk of bleeding, anemic. Leukocytosis cause cause problems of their own by overcrowding. There could be other factors such as leukemic infiltrates in her body. Regardless of how long the doctor says, keep enjoying everything day to day. I dont think its appropriate for us to tell you the harsh stories we see of the leuks. I will say usually they are the coolest people.

I think showing social skills such as that is a big thing. much of the hospitals today are very catered toward hospitality and patient satisfaction.