Daliadreamer

Daliadreamer

Oncology, LTC

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All Content by Daliadreamer

  1. Interim Manager to Manager?

    Daliadreamer posted a topic in Nurse Management

    Hi everyone, I was wondering if I could get some advice from you. I was hired at my hospital in March of 2010 after working 11 months in a LTC facility as a new grad. After one year on the floor, my...

  2. Heparin Flush for CVC

    Daliadreamer replied to astudentnurse10's topic in General Nursing

    We just use a heparin flush when we discontinue chest wall

  3. What is the lowest HGB you have seen?

    Daliadreamer replied to I<3H2O's topic in General Nursing

    3- in the ER. Was a cirrhosis patient. Doc wanted to throw an NG down, and my preceptor and I threw that order out the

  4. My lie to patient's mom

    Daliadreamer replied to hiddencatRN's topic in General Nursing

    I'm horrible at IV's, but I will never tell a patient that. Instead of three strikes your out, I leave it at 2 so that I can grab the awesome RN that gets IV's in the first try. I do get IV's in more...

  5. Shift Change

    Daliadreamer replied to Been there,done that's topic in General Nursing

    I know how you feel-- I used to work PM shift, and would get dumped on all the time. Now that I work days, I ALWAYS stay to complete my tasks along with every detail so that the oncoming shift can...

  6. When to call the doctor

    Daliadreamer replied to NurseLoveJoy88's topic in General Nursing

    I almost had the same thing happen to me once in LTC: I received report from the NOC RN that a patient had one episode of blood in her urine when she went to the bathroom. She said that the toilet...

  7. Renal Unit

    Daliadreamer replied to Been there,done that's topic in General Nursing

    I currently work on a hem/onc and renal floor. When a patient goes for HD, the dialysis RN calls and lets us know that they are preparing the machines for the particular patient and asks if the...

  8. Bedside Report dillema

    Daliadreamer replied to DJ-Adia's topic in General Nursing

    Make her sit in front of you while she pages all the docs regarding the above issues you mentioned, and make sure she puts her name in the page and not yours. I've had one particular nurse do this to...

  9. Central Venous Port Question

    Daliadreamer replied to esunada's topic in General Nursing

    Yes, it is confusing. The answer all depends and can vary greatly depending on the exact kind of port it

  10. Central Venous Port Question

    Daliadreamer replied to esunada's topic in General Nursing

    Where was the port? If it has the posi-flow valve on the end of it, NONE of the ports should have been clamped because this would cause back pressure and defeat the purpose of the posi-flow. I don't...

  11. Good news for a change..I'm promoted to charge nurse and nurse educator for my unit!

    Daliadreamer posted a topic in General Nursing

    Finally some good news for me to share! I've been on my unit for 1 year and my manager approached me and said there would be an opening soon for a charge nurse position and nurse educator for the unit...

  12. Understaffed Oncology Unit

    Daliadreamer replied to NataliaRN's topic in Oncology

    Wow, that kind of sounds like my unit. Know you are not

  13. What does high acuity mean to *you*?

    Daliadreamer replied to annister's topic in General Nursing

    This is interesting, and I am eager to see what others have to say on this subject. I too, work on a hem/onc, renal floor with med/surg overflow. The acuity of the patients have come up numerous times...

  14. Nurses refusing to draw pre-chemo labs through mediport b/c of infection risk?

    Daliadreamer replied to CharmedJ7's topic in General Nursing

    That doesn't make sense, poor patient! I LOVE when patient's have ports, because it allows them to save themselves from needlesticks for their comfort. Unless she had an infection from that port, or...

  15. What would you say?...

    Daliadreamer replied to RN0820's topic in General Nursing

    Yes, this sounds eerily familiar...I would look at the other poster's thread and take our advice from that

  16. How can they do this to us?!

    Daliadreamer replied to KSU-SN's topic in General Nursing

    I would say thank you, but I was scheduled to show up at 0800-1130 which I will gladly do, but I have other duties I need to attend to since this is technically my DAY

  17. Can someone teach me about Hep-Locks?

    Daliadreamer replied to nycNurse2b's topic in Geriatric, LTC

    We use the terms Hep-lock and Saline-lock interchangeably on my unit. I don't believe we use heparin to flush anything on our unit unless they are getting a powerport needle removed before discharge....

  18. New Grad Job Opportunities Chicago/Suburbs

    Daliadreamer replied to jesuslovesme's topic in Illinois Nursing

    And don't risk your license

  19. New Grad Job Opportunities Chicago/Suburbs

    Daliadreamer replied to jesuslovesme's topic in Illinois Nursing

    Try to find nursing homes or acute rehab facilities that are affiliated with a hospital or hospital system. Then you can get your 6 months experience and try to transfer to the hospital. I wouldn't...

  20. I Just Wanted to Let Oncology Nurses Know They Rock!

    Daliadreamer replied to TheCareerStudent's topic in Oncology

    Thanks! It is always difficult, yes, but is sure makes you realize the little things in life are always so important

  21. Need some advice

    Daliadreamer replied to Jenzel27's topic in Oncology

    Exactly. You made him as comfortable as you could possibly make him at that point. It sounds like the family is aware of this as well. Know that you clearly helped him out, helped him slip back into...

  22. Need help about mail

    Daliadreamer replied to hanasea's topic in General Nursing

    Do

  23. Is DNR status automatically transferable

    Daliadreamer replied to SilentfadesRPA's topic in General Nursing

    I believe it depends on the state you are in. I know in my state, the DNR has to be renewed with each hospitalization, and a doctor's order is needed for each. You even need a separate DNR order for...

  24. You know it's going to be a crazy night at work, when

    Daliadreamer replied to JennRN65's topic in General Nursing

    When you arrive on the floor from the elevator and the entire nurses station looks like a train went through it, and no nurses in sight. And then after you get ready and look up your patients and the...

  25. Pneumonia Vaccine Fell Through the Cracks

    Daliadreamer posted a topic in General Nursing

    A few weeks ago, I received report from the night shift that this particular patient was transferred from another unit to ours the day before. I don't remember the diagnosis or the patient. What I do...