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Certifiable BSN, RN

Oncology/hematology

Content by Certifiable

  1. Certifiable

    Trouble conceiving

    I've been trying to conceive for 5 months. Now, i know that it's only "trouble" if it's been over a year. But nurses are not your average textbook patient! I do two nights and two days\evening shifts a week (8.5hours each) in a high stress BMT unit. I'm 32 yrs old. Major work stress, my age, shift work (fatigue, lack of sleep and weird sleeping hours), not much physical activity outside of work (not overweight though)... Just sounds textbook for infertility. How do all the nurses in my ward get pregnant?! It's really starting to get me down... after 3 months i've started bursting into tears every time i get my period...
  2. Certifiable

    Trouble conceiving

    I can't do the basal temp measurment because of the shift work... If i'm racing around at work my body temp will be elevated regardless of my cycle. Cervical fluid is the next step. I just don't know if that is putting too much pressure on myself after 5 months...
  3. Certifiable

    Stop the Silence...Violence Against Nurses

    Two weeks ago, a mentally disturbed patient walked into a community clinic, sprayed a nurse with lighter fluid and set her on fire. She died. Apparently, he was upset about adverse effects of his flu shot. He came in to complain about it a few times. Tragic.
  4. Certifiable

    15 Minutes in the Life of a Nurse

    I disagree. If I get a call from the lab about crazy electrolights or dangerous CBC, it's much quicker to intervene. I can immediately stop a drug that can be causing more harm, open fluids, check vitals and then... I call the doc and notify him of the problem. There is a lot that needs to be done before a doc makes a decision. Like in a hematology patient with PLT of 15K, he may not requite platelets if he's not actively bleeding. All that aside. This post describes my job to the T.
  5. Certifiable

    How common is chemo through peripheral IV?

    Very common.
  6. Certifiable

    Ganciclovir, how to prepare it?

    Hi, We also don't receive it prepared from the pharmacy. In my unit, we have what we call a "hood" that you prepare drugs in. in theory it sucks out the air inside thus you are less likely to be exposed. However, we are still supposed to use gloves and a surgical mask while handling gangyclovir. Not all nurses do, unfortunately.
  7. Certifiable

    Starting on the bone marrow transplant unit - help!

    Thank you all for the great advice. A little update: i'm 6 months into working on the BMT unit, and my heart still pounds whenever the charge nurse writes the patient assignments on the whiteboard -gulp! the problem is, during my month-long orientation, i was so focused on learning all these new nursing skills that all the important info that was bmt focused flew straight over my head, so i'm still playing "catch up".... I do fine with patients post bmt, managing symptoms and juggling AB regimens, but pre-transplant i really dread- back to back chemo - I never get comfortable with that. Another problem is the day shift. My hospital works in 8hours shifts so the 7-15 shift is when most of the chemo and bloodwork is done- I HATE that shift! There is a ton of insanely pressurized work, worst pay--- in all i feel like i've been run over by a truck by the end of the shift. For some weird reason our unit is really low on transplant patients at the moment so our pt:rn ratio is waaaay off. So every so often our nurses are being floated elsewhere (mostly hem/onco)- tonight i was sent to hematology as a float nurse- I was super stressed all night! I almost missed the last bus home! And did i mention the kids? Our unit usually has 2 kids (5yrs and up) receiving a transplant- i really hate working with kids for a number of reasons, but the main thing is just the medicine safety issue- the doasages are different, less fluids going in- and when they crash- they do it in spectacular fashion. Oh, and not to mention that the language most spoken is arabic or russian- which i am not fluent in? (Arabic is easier to pick up than Russian though) I still don't know if this is the specialty i want to work in, at the moment what really keeps me going is the great staff that i work with- 100% willing to help even when they're super busy.
  8. Hi, I'm about to start my first nursing job as a nurse on the bone marrow transplant unit. I know what a lot of you are thinking- not a good place to work straight out of school- but I really like oncology and this was the only job available. Now, i'm set to start working in a few days and I'm TERRIFIED- of making a mistake, of being out of my depth... you name it. I'm so used to being in control I feel like i'm jumping out of a plane with no chute. I just got back from a surfing vacation and I feel like I left half my brain cells in the Atlantic ocean... I'd appreciate any advice... especially from someone who works with BM transplant patients or hem-oncology.. Sincerely, A nervous wreck
  9. Certifiable

    Starting on the bone marrow transplant unit - help!

    Thank you, this was reassuring.
  10. Certifiable

    Moving from student to nurse

    Hi, I'm happy to post this in the RN forum after finally finishing my BSN a few months ago and passing my exam. However, i'm TERRIFIED of starting my new job in a few days. I feel that all the stuff I learned has been knocked out of my brain (I went on a surfing vacation so I might have killed off some essential brain cells from head blows and hypoxia ). I'm terrified of making a mistake... especially in meds. Everything was always far away, dreamlike- the degree, employment... now that it's all here, I feel like taking the next flight and postponing my first day for 6 months... Sounds like I'm off to a great start huh? Thanks for reading, sincerely, a nervous wreck.
  11. Certifiable

    Random TB question

    Can TB start off as full blown TB or does it have to have a Latent phase first? my common sense says that it starts off active then switches to latent... but for some reason I can't find and answer.
  12. Certifiable

    Random TB question

    Thank you.
  13. It's that time. I'm 3 months away from my national licensing exam (eek!) and every 2nd person I meet or that hasn't spoken to me in a while asks "so where do you want to work?" (where=what kind of nurse)... it's really starting to get on my nerves--- because I want to shout at them "I DON'T KNOW"! I'm very sure as to what I DON'T want: pediatrics, ER, Cardiac, neuro, OR, dialysis, hematology. I'm most inclined towards oncology. But i'm afraid of starting in such a specialized field... I don't want to go to a general ward, for example- internal medicine, because I just finished 38 shifts on that ward and never felt comfortable (constantly stressed)- the nurses says it takes a year and a half for a new nurse to finally feel comfortable there. I couldn't hack that, even if it's "the best thing a new nurse can do" according to my preceptor. I want a "field" that has a root cause for the patient being hospitalized, not a smorgasbord of illnesses that I saw in internal medicine. This is starting to stress me out. End of rant.
  14. Certifiable

    Best Nursing Quotes

    I used to say that my favourite quote was from Legally Blonde "exercise gives you endorphins, endorphins make you happy, happy people don't kill other people"----- BUT, only after seeing Patch Adams as a nursing student (the other 5 times it never registered) I now say my favourite quote is the same as yours ‎"You treat a disease: You win, you lose. You treat a person, I guarantee you win. No matter the outcome."
  15. Certifiable

    Simulation labs

    I wish my university had sim labs... they don't have the money for it. We just have the regular labs with empty beds, not robotic patients. I completely agree that it would be more constructive to screw up in a conrolled enviroment than on the ward.
  16. Certifiable

    Is this cheating?

    I really believe that making a class take the same test right after another class already did it is extremely stupid of the administration. Cheating? I don't know.... but I agree with the above poster, that there is something very dishonest about it and it would make me as uncomfortable as you seem to be. My university is lazy and doesn't invent 100% new questions for each test - maybe 80% is new, and they know that every year writes down the tests to pass on to the year below. They don't consider it cheating. Just irksome :)
  17. Certifiable

    Class of 2013 anyone?

    We start here in two weeks. First up is my pediatrics clinical *gulp*
  18. Certifiable

    Class of 2013 anyone?

    September 2013 (4yr BSN program)... *drumroll please*
  19. Certifiable

    iPhone?

    I don't understand why this post was moved. Asking about an Iphone in the general nursing student forum seems right. If things are moved to very specific places, people won't read them. Less people reading and responding is quite the opposite goal of a forum.
  20. Certifiable

    Cranial Nerve Assesment

    I posted a youtube video on the subject. part 1 for overview and mnemonic, part 2 for specific function. Hope this helps. part 1: part 2: Just type in Youtube - "how to remember cranial nerves"
  21. Certifiable

    The Nerves!

    Practicing over and over again calms the nerves. Because that way you remove or at least diminish the emotional part of the stressor- and you can become a calm thinking machine. If you want to try and simulate the stressful enviroment of an exam, jump up and down a few times so that your blood is pumping loudly in your ears and try and figure out calming techniques while going through the motions. maybe it'll work, maybe it won't but it doesn't hurt to try. I found taking a BP really hard and I kept thinking that I had a hearing problem... but somehow I made it... My problem is that since my 1st year when we learned BP's in skill labs, I have not encountered a manual BP --- everywhere in the hospitals and clinics I visited had electronic ones! Hard to keep up that particular skill when there is no opportunity to practice. And manual BP's in good nick are not cheap in my country... If I ever need to use it, I am not ashamed in saying to a fellow nurse that it's not my expertise and I'd need to practice a bit. But again, the most important thing i can tell you to do is PRACTICE!
  22. Certifiable

    Nursing Student Syndrome Finally got me

    Hi, I understand that you are feeling that everything we learn will somehow happen to you. That is because all you see around you in the hospital is usually on the sick end of the spectrum- i mean your teachers pick the patients you see- and most of the time they don't give you run of the mill cases, because that wouldn't be challenging enough. However when there are multiple pathologies- there are multiple learning opportunities. That being said, I understand that you have relatives that went through a health scare with kids. I think almost every person has some part of their family with a health problem or other (including neonates), so you're not alone in that concern. But you need to look at the odds also: It may be that certain cromosomal illnessess are attributed to late in life procreation. but again, that is not 100%... I don't remember the figure-- i doubt it is even in the double digits. again, it's about the odds. Imagine if you would that the general public knew about Achondroplasia (a form of dwarfisim). almost all cases are because of a new gene mutation and not the fact that it's a recessive disorder (i think... genetics was a few years ago). And how often does this happen? Not as often as we (the hypochondriac nursing students) may think. again- a numbers game. And the general public doesn't worry about it- because it hardly happens. From personal experience, both my parents married when they were both over 30 - and together they had 5 healthy children, two years apart between each kid, (all top university grads) in good health. In the 80's the only genetic test that was available and of relevance was Tay-sachs, and that was a negative result. Nowadays who knows how many mutated genes and genetic issues might show up if my mom would have done the same tests. But having that information wouldn't have changed the physical outcome, only the mental burdon of decision. I wouldn't call your thinking "irrational", because this is what we learn! pathology! But I believe that some things in life are never certain, and children fall into that catagory and until you have that pink squishy bundle of joy in your arms, you can never be sure that everything will be 100% smooth and OK. I hope this was somehow comforting.... as the above person said, you should speak to someone professional about this - might I advise that you speak to a OB doc and ask them how THEY handled having their own kids--- I mean, they are the ultimate person to worry about everything surrounding a birth- so maybe they could put your mind at ease. Good luck!
  23. I'm going into my 4th year of a BSN program and every year I like to set goals for myself, sort of a guide for the year. This years goals are: 1. Finish nursing school (yay!) with an average of 85~ (i'm ready for the grind). 2. Continue with my awsome workout that I started this summer: running 6.6KM three or four times a week in my hilly city, at 9pm. Someone somewhere said that if you want to get into the habbit of doing something, you have to do it about 20 times before it really sticks. 3. Help other students study. I found it to be a great way of retaining material. too bad I found this out 3 years too late... 4. continue working as a swimming instructor. It's a great way to get away from anything to do with nursing- and I get paid for it! (also get free access to the pool too) 5. To enjoy this last year and make th emost out of it. I'M READY FOR THE ROLLACOASTER!!! ARE YOU?
  24. Certifiable

    SOMEONE PLEASE HELP (physiology) (scary rant)

    Here are my weird study tips that help me: 1. DRAW a process out. things become more clearer when it's not just about memorising a paragraph - also, by drawing you are reinterpreting the information into your own language, in a visual way which may be easier to remember. 2. SING it out. When I was studying pharmacology I used the backstreet boys' "tell me why" to go over material that I just read - it was scary how much that helped (and I'm not a big Bacstreet boy fan). The lyrics really help because when they sing "tell me why" I'd insert my explanation "tell me why- aint nothing but beta blocker, tell me why, ain't nothing but propanolol"--- you get the drift. It worked well for me. And it take the stress out of rereading the same old textbook over and over again. Hope this helps.
  25. Certifiable

    Failed two exams already, but still trying to push through.

    That's awsome! The only way that my university grants more time is if you have a learning disability (documented). A lot of students pay for the ADHD test etc' just for the extra time. My anxiety usually kicks in on nursing math tests (which we have before each new clinical rotation- fun) that we have to pass 100%. so no pressure. Argh. AlliNeedisAMiracle Hang in there. I'm going into my 4th year of a BSN program, my three year average is 84 (this year alone was an 88) and it wasn't always smooth sailing. I had to redo biochemistry and statistics because I didn't pass them the first time around. BUT once you get past the "i'm such a loser" / "everyone else is so smart" / "maybe i'll never be a nurse" pitty party that is going through your mind, you'll be able to focus on whats important! I'm happy to hear that you have asked for help and are recieving support from the administration.
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