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StephRN08

StephRN08

oncology/BMT, general medicine
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StephRN08 has 3 years experience and specializes in oncology/BMT, general medicine.

StephRN08's Latest Activity

  1. StephRN08

    med/surg worksheet

    Hello everyone! I was looking through all of the threads re: med/surg worksheet and report sheets. I have not found anything that I like and noticed that these threads have not been updated in a while. Does anyone have a worksheet that they are willing to share? I work on a med/surg unit and can take up to 6 patients. TY
  2. StephRN08

    Best floor to work on for an aspiring Nurse Practitioner

    It depends on what type of NP you want to become. I have a few good friends that are NP's or in NP school... one is an acute care NP specializing in transplant and she worked in a liver transplant ICU, one is an adult NP with an additional post-MSN certificate in women's health and she worked on a gyne oncology unit and antepartum, and two others are in pediatric NP programs and worked on pediatric med/surg units. Just FYI, the DNP is a Doctorate of Nursing Practice. It is a specific role as it is intended for all advanced practice nurses - NP's, clinical nurse specialists, CRNA's, and nurse midwives. Many programs will be replacing their MSN programs in these areas with a DNP.
  3. StephRN08

    Stress Relief after a BAD shift?

    I pass a few of my favorite restaurants on the way home (all with amazing desserts), so I will treat myself to a little food therapy! I find that fried food and chocolate do the trick. I also love a little retail therapy... and I have bought most of my Vera Bradley bags after awful days at work!
  4. StephRN08

    Six Cultural Phenomena Assessment

    I am disgusted by some of the attitudes on this site. I only asked for some resources, such as scholarly articles. Websites do not cut it in graduate school!
  5. StephRN08

    Any MSN-CNL grads out there?

    I have also worked with a few MSN-CNL grad before too. I agree that their clinical skills are seriously lacking. My manager refuses to hire them because she feels that you must have bedside experience before you can become a good leader. I couldn't say it any better myself!
  6. StephRN08

    Christmas

    On our oncology/BMT unit we have many patients that just cannot make it home for Christmas. In the past few years, we have started a week of holiday festivities on the unit to help lift the patients' spirits and it does wonders. A group of us will go around the unit singing Christmas carols with our scarves/hats/gloves and an electric candle. We buy candy canes and holiday candies that we put into stockings and give to the patients. On Christmas Eve, everyone pitches in money to have a dinner for the patients and their families in the family lounge. It's something nice that we do for our patients! Does anyone else have holiday festivities in their units or facilities for patients?
  7. StephRN08

    Need help in Oncology Nursing

    When I first started in oncology, I purchases Oncology Nursing which is published by Mosby. This book is my top recommendation as it includes everthing you need to know to care for oncology patients. I personally learned so much from this book! It does include OCN prep questions in the form of case studies, which I think helped me pass the exam. There is a new publication from the Oncology Nursing Society, Cancer Basics. It is a good, easy-to-read book with very basic information. I think it geared more towards someone just entering the speciality that wants a good foundation, but it is important to know that it does not go into much detail. Cancer Nursing by Connie Yarbro is supposed to be a very good read, but I have never gotten around to purchasing it. Many co-workers like to use it and have nothing but good things to say about it. The core curriculum book is OK. I did not like the format (outline style). The study guide had a lot of great practice questions for the OCN.
  8. StephRN08

    New Hire Pharmacology Test

    Hello everyone! I just started a job with the VA and will be working on a general medicine unit. My background is oncology/BMT. I will have to take a general pharmacology test next week as part of the orientation process. In BMT land we give the same drugs over and over and over, but I am familiar with things like insulin, BP meds, statins, diuretics, and anticoagulants. Is there anything else that anyone can think of that would be included on this test? I would like to have an idea on what to re-familiarize myself with. Thank you!!!
  9. StephRN08

    Which path would you choose?

    First of all, you need nursing experience in order to become an advanced practice nurse. There are graduate programs that will accept students who have obtained a BSN without any nursing experience. However, I have worked with some of these individuals and there is a definite lack of knowledge. It would be in your best interest to get at least 5 years of nursing experience before stepping into an advanced practice role. I have not heard many good things about the accelerated BSN programs in the Pittsburgh area and we have 3 of them. However, this does not mean they are not producing quality graduate nurses. I precepted an accelerated BSN student this past summer during her transitions course. Their classes/clinicals were Monday through Friday with some evening classes in the mix. This is a lot! Also realized that you are cramming 2 years of material into a year. I would go with the associate degree program! Working as a nurse tech provides you with valuable experience and will be a foot in the door for a future job.
  10. StephRN08

    Preceptor Gift Ideas

    Things that I have received from student nurses/new employees: -a coffee/tea/hot cocoa gift basket -stationary with my initial -nurse tote bags -lunch gift card for the hospital cafeteria
  11. StephRN08

    Medical vs Surgical Nursing

    I am a medical nurse working in oncology/BMT. Although I can't specifically say why I like medical rather than surgical, I do know that I do not like incisions/wounds, drains, etc. One thing about oncology/BMT that I really enjoy is the long-term relationships with the patients and they some of them are like our family.
  12. StephRN08

    How do you switch specialties???

    Well apparently my co-workers are some of the only people that found this appalling. I don't give a damn about nurse-to-patient relationship and blah blah blah... what she said was down-right rude. That's like someone saying why are you were a Steelers t-shirt when there are other teams. I am oncology certified nurse and have worked as an oncology RN for almost 3 years and 3 years as a nurse tech before that. I have never in my life heard someone (with cancer or not) say such a thing.
  13. StephRN08

    Some people should just stay quiet!!!

    I was taking care of this elderly woman today with fallopian tube cancer for a port placement and chemotherapy and accompanied by her daughter. I should have ran as soon as the daughter started calling me "Nurse Stephie". Anyways, the patient was very sweet but her daughter was absolutely nuts. From the time I introduced myself until the time they walked out of the department, she was up my rear end! While I was starting the patient's IV, the daughter was on the other side of the bed holding her mother's hand. She looked at my badge clip (a breast cancer ribbon) and told me that I needed to get a new one. I explained that I have a soft spot for breast cancer because my mother is a survivor and two of my aunts had lost their battles from it. Well, this lovely woman was quick to tell me, "Well, there are other types of cancer. Don't you think it insensitive to support only breast cancer?" I was at a loss for words and there was a period of silence before she said, "We have breast cancer in our family too, but I don't ever wear those pink ribbons." I left the discussion at that because I was ready to let this lady have an earful. Little does she know that I am a volunteer for the American Cancer Society and Leukemia and Lymphoma Society and participate in several cancer walks throughout the year. I just happen to have chose a breast cancer badge holder for the reason mentioned above. Thank goodness I didn't wear one of my pink ribbon jackets today! However, I have never in my life received a complaint about a badge holder, and I taked care of mostely blood cancer patients. I am very appalled that someone had the audacity to comment on this in the first place and to then go on an on about it. Some people should just stay quiet and keep their opinions to themselves. I don't care if it's a patient or family member!
  14. StephRN08

    Where can I get my certifications????

    Are you currently working in oncology? At my hospital, the only RN's permitted to administer chemotherapy must work in the inpatient or outpatient oncology departments or the physician practices. Our float pool has a few nurses that are chemotherapy certified, but they are not allowed to administer the drugs unless they are working in one of the above mentioned areas. You also must have six months of oncology experience to even take the course and it really does make a difference. If you are working in oncology and are interested, the Oncology Nursing Society offers this course... http://www.ons.org/CNECentral/Chemo/Main You would have to find an upcoming class and pay for it yourself. Our hospital currently has two nurses that can teach this course, so it is the one that we use.
  15. Nurse Tech for 3 years on the same unit... RN for 2 1/2 years... Job 1 - 8 months in ICU Job 2 - 1 1/2 years inpatient/outpatient oncology/BMT and IV team I left the first job because I quickly discovered ICU was not for me. When I took my present position, I swore that I would never leave but the health system is integrating services. I refuse to go from a Magnet hospital to a unionized hospital. So I will be starting job 3 in a few weeks. Also did a 2 week part-time stint at a major cancer center in the area but quickly left because it was unsafe.
  16. StephRN08

    Curious about sedation

    It is very individualized and based on anesthesia's assessment. We get a lot of interventional radiology patients post-procedure and the RN's administer the sedation in that department - they most often (80% of the time) give Fentanyl 50 mcg and Versed 2 mg.