Tsatalstrana

Tsatalstrana

Longterm/Rehab and Hematology/Oncology

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All Content by Tsatalstrana

  1. therapeutic phlebotomy

    Hi All, Am an RN working in very busy Cancer center. I finally attempted my first therapeutic phlebotomy. Pt had some man veins, so I thought no problem. Well, as soon as even TOUCHED the vein he...
  2. therapeutic phlebotomy

    OH WOW...iluvivt...thanks soooo much...this gives me SOMETHING to look forward to now. Yes, I was told to go bevel up, and I inserted very slowly, tentatively. So much appreciate your help. I am...
  3. blood transfusion

    Hi..working in a hematology/oncology center. Just a question about blood transfusions. When Lasix is ordered between units...do you push the lasix when the first unit of blood is done and cleared...
  4. IV flulids/solutions and WHY??

    I really would like someone to EXPLAIN to me, or guide to a resource. Seem to have some confusion as to why a solution is given to a patient. When I ask my preceptor(just started on a med/surg...
  5. IV flulids/solutions and WHY??

    huh??
  6. IV flulids/solutions and WHY??

    ok..psu__213...you have 2 pt's that are fairly stable...both post op several days. One gets D5 1/2 sodium chloride, the other gets LR. Labs both normal. Vs stable. Hemodynamically stable as well....
  7. Help with med/surg

    Hi All! Ok, I am new to the med/surg culture. I had 3 days orientation so far (need I say with 3 different preceptors...but I think that was just for last week). I thought it was completely...
  8. Help with med/surg

    Well, I am a new grad to RN, but have been an LPN for 5+ years, all of which were in LTC. I still had a tremendously hard time. It is like moving to another continent!! The PACE is way too fast for...
  9. Help with med/surg

    thanks Katie....still crying...and crying....and more
  10. Help with med/surg

    So, my fourth day on the floor and I walk in and my preceptor hands me the full patient load....I thought ok, by this time I guess I should have a full patient load i guess! What a total disaster to...
  11. PCEA

    Does anyone have any info regarding patient controlled epidural analgesia? Med/surg book gives no real details. Just started on med/surg floor with post op patients on pcea. How do I assess? Why...
  12. Burned out from floor nursing, need advice, please..

    EXCELLENT post! finally someone that understands that nursing is NOT just about paycheck but the WHOLE picture of healing! Thank you so
  13. Burned out from floor nursing, need advice, please..

    excuse me...but...he says he is not able to "minister" to people. Do you have any idea what that means??? Nursing is NOT just giving meds, assessments etc...it IS ministering to them in this TIME of...
  14. HELP!! NURSE BURNOUT

    Working in an oncology infusion center. No prior experience. RN for only 1 year. I FEEL BURNT OUT. I hate going to work. It is soooo stressful. I was an LPN for 6 years in long term care. I...
  15. Neupogen

    Hi, I am an new RN and just got hired into a chemotherapy clinic. First off, it is sink or swim...no orientation and not really helpful people, doctors are snobs and nurses are all STRESSED OUT. It...
  16. skin breakdown after total knee

    Nurses on the ortho unit! I don't have much experience with ortho but have a question. If a patient has TKA, can the patient be repositioned after the surgery? My mom just had TKA in Canada. I got...
  17. skin breakdown after total knee

    OK...FYI..was not asking for ANY medical advice...but just for the ortho nurses to relay how they handle TKA and mobility. Thanks for all the responses. The patient was up as listed above but just...
  18. Neupogen

    thanks everyone..that helped...and i did ask one of the NP's and she basically said all the
  19. Neupogen

    I hear ya...i would really like to...I got my RN is March from 6 years of LPN and wanted to try something new. Just got hired about 2 months ago into this Oncology clinic as a sort of "get foot in...
  20. Neupogen

    OK, makes sense, but I still don't understand the "24" hours thing. Why choose 24hours as opposed to 48 etc...Does this have to do with the chemotherapy's drug half
  21. NCLEX

    Hi! i need some advice regarding Nclex study books. There are soooooo many out there. Also I understand there is new setup for 2010 testing. Is there anything out there that is CURRENT for 2011?...
  22. nursing student discouraged

    Hi, I'm an LPN with one semester left in the RN program and wondering why I don't feel anything close to being an RN! I just clean patients and change their beds. The nurses I follow won't let me do...
  23. New Grad RN in LTC Needs Advice Please!!

    please give yourself one month and believe me you'll become very proficient at it. LPN for 4 years in LTC....congrats on getting a