tokebi

tokebi

Hem/Onc/BMT

Member

All Content by tokebi

  1. My apologies, since this kind of questions have probably been asked already. I did try sifting through old threads but found none that applies to someone who work both places at the same time. I am starting a new grad RN position at a hospital but I...
  2. Sickle Cell Disease!

    It depends on the degree of genetic defect. Normal hemoglobin is made up of four "subunit" proteins -- two alpha units and two beta units. With sickle cell gene, the beta units are defective and has wrong combination of amino acids that will result ...
  3. Area of nursing with greatest amount of vomit

    It's totally a parody of the other post. The title is exactly the same except "most" instead of "least." If someone has a fetish of vomit, I highly recommend oncology!
  4. how to study for OCN in march 2015

    Here's the amazon listing of the study guide: Study Guide for the Core Curriculum for Oncology Nursing: 9780721603599: Medicine & Health Science Books @ Amazon.com You'll also see the Core Curriculum under "related materials." Like I mentioned, ...
  5. how to study for OCN in march 2015

    Hi Drcricket, I took OCN exam last year. I studied from both Core Curriculum by ONS and the study guide (with questions.) Core Curriculum is a nice book to have although I felt some information is outdated. The most helpful preparation in my opinion ...
  6. worth the debt? Im stuck on this decision...)

    My opinion is complete opposite. You already have a debt of $45k. You say the program will cost you additional $35k even after getting financial aid. And then you still need living costs. When you are done, you''l be left with $80k plus in debt with...
  7. Should I go to school to become a nurse or PA?

    Whether you pursue nursing or PA depends on which model of care you want to provide -- nursing model or medical model? Don't settle on one or the other because of convenience or cost or prestige. Really think about this one. With that said, if you ch...
  8. False Facebook Health Messages

    Problem is, even the perfectly intelligent people will believe the stupidest BS when they are desperate. And hearing stuff like "eating this fruit every day will cure cancer" seems like a certain, immediate answer they crave than a physician's long l...
  9. Scrub the Hub

    This is why I suggest developing a more mature perspective. I have no intention of going tit for tat, so I'll just stop there. OP, none of us meant to make you feel worse about making that one mistake. We all make a mistake, it's true. When it comes...
  10. Scrub the Hub

    Sorry, I work BMT where patients walk the fine line between recovery and fatal sepsis daily with zero neutrophil count, where nurses absolutely have to be neurotic neat freaks so that our patients do not end up in ICU or even DEAD in the first place,...
  11. Scrub the Hub

    How funny, I was going to comment how I don't forget to swab just as I never forget to put on my pants before walking out of my house. You beat me to it with the "pants" analogy! Yes, it should be a completely ingrained part of the routine. But some...
  12. Do you know the reason? We are taught to draw from PICCs using vacutainers. I once had a pt who was an RN working in another state request that I draw her labs using a syringe. I wondered if she was just being paranoid or if there really was a safety...
  13. drug computation.. help!

    If you're certain you copied it correctly, then the only explanation is that you've got a crappy book full of typos. For the first question, maybe option D is supposed to be 4/3 tabs instead of 3/4. 1.3 is approximately one and a third (=4/3). For th...
  14. Evolution and Nursing

    At the risk of stirring the pot even further, this news came out just in time for this discussion: Poll: Religion Trumps Belief in Big Bang Theory for Most Americans - NBC News
  15. Floor nursing making me question....

    I know what you mean. But I really hope you try different specialty before denouncing floor nursing altogether. I started as an LVN working tele floor and SNF. At some point I swore I've had it enough and decided to leave nursing. Years later... I am...
  16. Medication administration vs Patients wants

    I can never find the right words in confrontational situations. I'm saving this script so I can use it when I get belligerent patients. Thank you SoldierNurse!
  17. No more glucose checks by CNAs/PCTs

    Actually, I do re-check BP myself, sometimes manually even, before holding routine BP meds or giving PRN BP meds. It's not that I don't trust UAPs, but I just want to make sure the original number wasn't a machine error or positional. As for glucose ...
  18. Career help!

    I don't have any advice to help you... It does sound like a very difficult decision to make. But I just wanted to comment on your feelings about not being a "real nurse." To me, it seems like you're the one who's doing the real nursing. I know that a...
  19. Medication administration vs Patients wants

    Ditto that you shouldn't leave meds at the bedside. Most often, the admin time printed on MAR is an arbitrary protocol per pharmacy. A physician just orders, "Amlodipine 5mg PO once daily." They don't specify an exact time. Pharmacy will generate the...
  20. Triage Call Bell?

    Maybe it depends on the setting. In ED where patients are often frustrated and tired of waiting, they might tend to misuse the system? It hasn't been an issue on our hem/onc floor at all. After we started the new call system, there was just one patie...
  21. The face of LTC is changing????

    It's not unreasonable for reimbursing entities to require certain services to be performed and documented to justify the payment. The real problem is the staffing -- the de facto "normal" ratio of 25-30 patients in a SNF that is accepted and somehow ...
  22. Triage Call Bell?

    If all calls come to RN's phone regardless, that's ignoring the full potential of those dedicated buttons. Why not have the call directly go to CNA if pt is calling for water or bathroom? It sounds like a lot of time wasted just delegating. My phone ...
  23. Triage Call Bell?

    This simply does not happen with our system. Whoever answers the call light at the central phone at the station will page the appropriate nurse or aide on their cell phone. No more "it's not my patient" nonsense.
  24. Do you read hospital Yelp reviews?

    Thanks to the OP, I looked up the yelp reviews for the prominent hospitals including mine. These are the "best" hospitals in the area. Sadly, 99% of the negative reviews are complaints about billing department... People love the doctors, love facilit...
  25. What is nursing to you?

    Nursing is a good, stable, well-paying job that also provides me with continuous challenges to keep motivated. I started as LVN and I was just looking for a fast track vocation. I felt burnt out and went back to school to study other things but event...