Tsatalstrana

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 just started bleeding all over the place. I couldn...

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 going to print off your advice and keep it safely in...

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 with NS?....or can you push when line is clearing wi...

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 unit), she says "I don't know, different doctors prescr...

huh??

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. No past medical hx. Healthy adults. Ready for dis...

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 overwhelming. I am already a timid person by nature. I ...

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 me...I will not be offended if someone tells me th...

thanks Katie....still crying...and crying....and more crying....

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 say the least. I was sooooooo overwhelmed I had...

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 do they get urinary retention? Any help would be g...

EXCELLENT post! finally someone that understands that nursing is NOT just about paycheck but the WHOLE picture of healing! Thank you so much!

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 need!

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 just don't know anymore if I want to be a nurse in...

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 is my foot in door job I am desperately trying to...

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 a report from a family member that her coccyx loo...

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 wondering if they were required to stay in same pos...

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

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 door" with hospital and it is sink or swim with it. ...

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 life?

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? and how much should you consider doing before the ...

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 hardly anything and my instructor just sits in th...

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 job