westieluv

westieluv

Med/Surg, Tele, Dialysis, Hospice

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All Content by westieluv

  1. no random drug testing

    westieluv replied to modernhippie_'s topic in Nursing Career

    Ditto what everyone else said about smoking pot being more important than your career. Also, and I know that when you're 20-something you tend to feel invincible, but have you considered what smoking...

  2. Transfering out of Michigan, What transfers where? Where can I find this information?

    westieluv replied to samanthajo23's topic in Nursing Career

    Michigan is not a compact state, which doesn't help. If you are not familiar with what a compact state is, in a nutshell, there is a group of states that have a compact with each other where you can...

  3. Fresenius called me today...

    westieluv replied to westieluv's topic in Dialysis, Renal, Urology

    Wow! Thanks for all of the good information. I actually was wondering about getting off on time in the evening, because my floor experience has taught me that dialysis patients are never on a set...

  4. Fresenius called me today...

    westieluv replied to westieluv's topic in Dialysis, Renal, Urology

    Thanks for your reply. If you don't mind my asking, what is it that you like better about Davita? I have no connection with either company, I just don't want to make a huge mistake, as the company...

  5. Med-surg a stepping stone?

    westieluv replied to Nurseinthemaking20's topic in Medical-Surgical

    I'm SMH on this one. A Med/Surg nurse doesn't do a "focused assessment or pay very careful attention to labs, vitals, etc."? If anything, a Med/Surg nurse has to do the most comprehensive assessment...

  6. Bladder Scanning Question

    westieluv replied to westieluv's topic in Medical-Surgical

    Thanks, kelly. Good to know, I hadn't thought that the scanner would measure abdominal fluid but that makes sense and this lady was definitely a candidate for abdominal fluid retention as her liver...

  7. Bladder Scanning Question

    westieluv replied to westieluv's topic in Medical-Surgical

    Thanks, yeah, I did that. I had her lie flat and then sit in a semi-fowler's, and both times I got the same reading of 601 ml. I also gently palpated the bladder to make sure that I could locate it...

  8. First RN job M/S Intermediate Care/Step Down

    westieluv replied to lovesroses's topic in Medical-Surgical

    Does your facility have monitor techs? If so, always check your patients' strips and don't take for granted that the tech will always notify you if something happens that you need to know about. The...

  9. Bladder Scanning Question

    westieluv replied to westieluv's topic in Medical-Surgical

    Thanks for your reply. I did have the scanner set for a female patient, but it hadn't occurred to me that she may have had a hysterectomy, because she was one of those chronically ill patients with...

  10. Med/Surg/PCU RN to Dialysis

    westieluv posted a topic in Dialysis, Renal, Urology

    I have been an RN for almost 23 years and have several years of experience in inpatient Med/Surg and Cardiac Intermediate, which is where I am now. I am considering applying for a position within my...

  11. Med/Surg/PCU RN to Dialysis

    westieluv replied to westieluv's topic in Dialysis, Renal, Urology

    Thanks for your reply. This position does require on-call time, but not until the nurse is proficient. Other than that I don't know all that much about it because the job description was kind of...

  12. Can They Do an Autologous Stem Cell Transplant...

    westieluv posted a topic in Oncology

    on someone who is not in complete remission? I have a family member who was diagnosed with mantle cell lymphoma last summer. He has gone through two rounds of chemo and one round of radiation at a...

  13. Future Shortage in Bedside Nurses

    westieluv posted a topic in Patient Safety Issues

    I have been an RN for 22 years. In recent years, we all know that the trend has been for acute inpatient facilities to try to hire BSN nurses as much as possible. However, another trend that I am...

  14. Are Stem Cell Transplants Done...

    westieluv posted a topic in Oncology

    on people who are not in remission from their cancer? I know someone who has MCL, and he was told that his chemo was not effective and did not put him in remission. His doctor is still talking about...

  15. Are Stem Cell Transplants Done...

    westieluv replied to westieluv's topic in Oncology

    So bear with me here, since this is obviously not my field of expertise, but if this person was told that he has a very aggressive NHL, then while the tumor in his thyroid is being radiated for weeks...

  16. Are Stem Cell Transplants Done...

    westieluv replied to westieluv's topic in Oncology

    Yes, thanks for the clarification. In the meantime, he has learned that the cancer is throughout most of his entire neck, not just the thyroid as he had hoped. The plan is for heavy radiation to the...

  17. Are Stem Cell Transplants Done...

    westieluv replied to westieluv's topic in Oncology

    I should have mentioned, this person has a large, inoperable, cancerous mass in his neck that was untouched by the heavy doses of chemo. What do they do in a case like that, where the cancer isn't...

  18. Are Stem Cell Transplants Done...

    westieluv replied to westieluv's topic in Oncology

    Most of what I can find on the subject says that stem cell transplants are designed to rebuild the immune system of someone who has no immune system left due to massive doses of chemo and radiation,...

  19. Dumb Question From an Experienced RN...

    westieluv posted a topic in General Nursing

    who should probably know this, but do people still get diagnosed with stomach ulcers? I haven't heard of anyone having that diagnosis for years, but my mom had one back in the 1970s and I have all the...

  20. Dumb Question From an Experienced RN...

    westieluv replied to westieluv's topic in General Nursing

    Thanks, and yes, I apologize, I forgot that we aren't allowed to dispense medical advice

  21. Did I Do the Right Thing?

    westieluv posted a topic in Cardiac

    I have worked regular Med/Surg for several years, but I am new to working on an intermediate cardiac floor. A couple of nights ago, I got a transfer patient from Med/Surg who was an 89 year old lady...

  22. New Job as a Hospice Intake Nurse

    westieluv posted a topic in Hospice, Palliative

    I have about a year of hospice experience, but I never did intake, just inpatient and on-call field nursing. I'm a little nervous about this position. I just want to do a terrific job! Can anyone give...

  23. Did I Do the Right Thing?

    westieluv replied to westieluv's topic in Cardiac

    Thanks for your replies. I see what you're saying, even though we can hold some meds based on parameters, but if those parameters are not defined, then yes, I should have called the MD right when she...

  24. overly pleasant demeanor after CA diagnosis?

    westieluv replied to ashleyisawesome's topic in Oncology

    It may have something to do with her spiritual values. If she has a very strong belief in everything that happens being God's will and that heaven is a beautiful place where she will be reunited with...

  25. How to resign/change status gracefully?

    westieluv replied to Catch22Personified's topic in Nursing Career

    Google "sample resignation letters" and you will find dozens of examples of what to say and the format in which to say it. It's really not all that hard, especially since you have already given verbal...