I'm debating on getting either my Oncology or Med-surg certification but I'm not sure how valuable they are. Any opinions? I'm not looking to change positions anytime in the near future but thought they could improve my overall portfolio. Any input i...
You say you work in a hospital so why not speak with both a PA and a NP to see what they're opinion is. I work with a great NP so was able to grill him with questions about what he likes and doesn't like about his job as well as his schooling. If I w...
Recently had a pt with an H/H level of 4 and 15. MDs were leery of transfusions because everytime she has been getting transfused her levels would drop even more. I know you can develop antigens overtime occasionally but the MDs were utterly confused...
Wbcs were 16. Platelets 275. She wound up going to ICU after she had chest pain during her transfusion She's stable from what I've heard but they still don't know what is causing this this. She's so young it just breaks my heart!
Thanks everyone! I only had her for half a shift but she really got to me as she's a young, otherwise healthy girl. Definitely no gi bleed and no active bleeding anywhere else. We wanted to transfer her to the main big daddy hospital in the state but...
Wanted to be treated for said illness then complaining to the MD and everyone else in the United States of America when your injections to help said illness hurt. Seriously??? Or insisting that your three lab results for the same thing are ALL wrong...
I was terrified my first six months or so!!! It's completely normal and it's also good to be scared at first. Anyone who isn't scared probably should not be taking care of people's lives. Give yourself some time and it will get easier. I probably did...
Tobygo2 replied to nurseajrn's topic in Stress 101
Congrats on recovering!! I too have struggled with an ED and know how hard it is. We're not technically allowed to eat at nursing stations either but since everyone else does I've joined in. You won't always get your break and besides you need to ea...
Hi all, Do your significant others understand the stress that comes with being an RN? I'm an RN on dayshift working in a very busy med-surg unit. I typically don't get to use the bathroom until after 1pm, rarely get the chance to take a lunch and us...
As the above poster said it can be very, very sad however you balance that with many happy endings as well. Just know you WILL see young people die and sadly many times pts you have known for quite sometime will pass which is very difficult. For the ...
How do you deal with a difficult coworker? I'm not one who likes confrontation in least, in fact I avoid it at all costs. Said coworker is someone who seems to make rude, condescending remarks whenever I we work together. Basically someone who tries ...
I was 28hrs so three to four nights a week. I also was up until at least 2am watching television :) Plus my only "real" meal was dinner... Healthy RN here too lol
I have done both and while you feel like you've wasted your whole day before working evenings it was much better on my sleep/wake cycle. Nights didn't have as much stress and busy work of admits/discharges however it killed me personally.
Hi all, I currently work evening shift and have an opportunity to move into a day shift position which I've wanted to do for quite some time. Of course now that I have the opportunity to move I'm quite scared of the change. While I adore my evening...
Just tonight I had one pt get platelets and 2units of PRBCs and sometimes I have multiple patients getting transfusions. However on other shifts they may not get any! All depends on the patient's condition.
Tobygo2 replied to sleepdeprived1's topic in Oncology
Know what you're facility considers to be neutropenic. Ours is a cutoff of 1500 but I know other places differ. Know about ANC, H/H and platelet levels as MDs frequently call to check on these labs to decide on transfusions. Also become familar wi...