Daliadreamer

Daliadreamer

Oncology, LTC

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All Content by Daliadreamer

  1. Need prayers please

    My thoughts and prayers are with you all! Keep up those ANC and
  2. calmoseptine

    At my facility, the CNA's could apply the barrier creams, BUT they were locked up in the med cart with the other meds. The CNA's would have to find the nurse to unlock the med cart, and then the nurse...
  3. should I talk to HR?

    Where do your friends work? That's pretty good for a new grad in LTC. Do your friends work in the hospital setting? Then yeah, they would be making more than you. Unfortunately. I used to work in LTC...
  4. Who is working tonight?

    I work tomorrow 0700-1530 so I will be cozy in bed when midnight rolls
  5. Quit stealing my stethoscopes!

    Mine just got taken, what a time for this thread! We have lockers on our unit, but there aren't enough for all of us, so we have cubby holes. There has NEVER been an issue of stealing. I worked...
  6. "Home" for the Holidays

    We do a secret santa too, but we give gifts once a week until that last week of Christmas. The first three weeks, the gift is $5 and then the last week the gift is
  7. Why do patients..??

    Let me just whip out my crystal ball
  8. disposable equipment kept in patient rooms

    On my unit we try very hard to NOT keep items left at the bedside. I am in charge of the unit supplies, and this keeps our cost down, because what one nurse may like to keep at the bedside, another...
  9. Just need to vent and have some encouragement (long)

    I know what it's like being a new grad and 'stuck' in your current job. You probably won't be able to accept another job because you are so new. Keep going, stay strong, and just work your butt off...
  10. Hospitalists?

    I love the hospitalists in my hospital too. Like the other poster said, they truly are experts in what they do. They are sometimes more efficient and better than the internists. You get familiar with...
  11. Mistakes we have made

    Great thread-- My first ever med error was when I was working in LTC. We had handwritten MARS (AWFUL- you think MD handwriting is bad?). My patient was getting po lasix, which I only noticed she was...
  12. New to er and iv question..

    Oh goodness, you sound like me! I would always panic when I needed to start an IV because I'm not good at them, but would just make me miss even more! Just relax, and if you don't get it, you don't...
  13. 12 Hour Shifts--A bad idea?

    I think that 12 hr shift, just like any shift, has their ups and downs. I work 2 12hr shifts, and 2 8hr shifts where I work. The 12 hr shifts are rarely 12 hours- they usually end up being 13-14,...
  14. what's on your whiteboard?

    We have one huge one at the nurses station. It lists the patient's last name and their nurse We also use a color coded system; working in oncology, we have several different patient statuses: DNR...
  15. Antibiotic Situation

    I think you did the right thing with what you had to deal with. I personally would give the blood priority, obviously, because her Hg was that low. You could have given her the antiobiotics in between...
  16. AVshunts

    It usually depends on the nephrologist, but we do get many patients with bilateral AV fistulas where one does not work, and we are allowed to use that arm for BPs, lab draws and IV's. Again though, it...
  17. ER handoff report to floor

    When I first started at my current hospital earilier this year, we would receive notice from the nursing supervisor that we would be getting an ER patient. Then the ER nurse would call JUST to get the...
  18. Special Ways to be supportive

    You are so awesome to be asking for advice!!! Making her food (and make sure she eats) is really good. Here are some things I wished my boyfriend would have done: -Don't get mad at her when she would...
  19. Funny doctor orders

    "Patient to have vodka on the rocks"...."with lime wedge, to be provided by family along with knife". -Patient just found out that she had terminal cancer, and since there were no hospital protocols...
  20. If you could create the visitors policy....

    On my oncology unit, we usually tell the patients to tell their visitors that they are nauseated and need to vomit. That usually clears them right
  21. Trying to be excited

    The SAME thing happened to me when I passed the NCLEX in Feb. of 2009. It took three months for me; applying EVERYWHERE in my state, calling recruiters. I had bills to pay, and was getting very bored!...
  22. Recent Grad RN moving from LTC to a hospital?

    That's exactly what I did- I worked in LTC right after I got my RN. After three months of searching for a job, I decided to apply to a LTC position and was called for an interview the next day. I was...
  23. Platelet Transfusion Rate

    Usually we just dump it in, unless they have CHF or fluid overload, then it's a slow drip with frequent monitoring. Like an earlier post stated, if the patient needs platelets, they need them
  24. Nursing Gear- Essentials

    Look Ma New Hands is the
  25. Nursing Gear- Essentials

    All of the above plus lip balm and a tiny tube of hand cream ( I used to be a manager at one of those 'bath' stores so these two items go with me