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llerkl ADN

RN =Non-Oncology Infusion/Ambulatory Care



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  1. llerkl

    Inappropriate Conversations in the Workplace

    With the current events and everyone being SO polarized and offended about EVERY little thing.......you never know when you will stumble upon a controversial topic. I work in a small infusion area....the patients will have discussions among themselves and attempt to "draw" you into the convo. I say NOTHING or if asked, I politely say, "I don't discuss politics at work". Usually the convo stops, but if not, that's okay too, I just DO NOT engage!!!
  2. llerkl

    "I am a nurse!"

    I agree with others here who have said they NEVER identify themselves as nurses when seeking care for themselves or a family member. I have ALWAYS wanted to respond to the "I'm a nurse!" comment.....with something like....."well that's awesome! Then you should totally understand why I need to do X, W and Z for your loved one now, instead of stand here talking about YOUR nursing career". Don't worry....it's only in my bubble, have never actually done it
  3. I wasn't aware until recently, that "private" smaller free standing infusion areas are held to different standards than larger, hospital affiliated centers. Not exactly sure what the standards are. I know the nursing staff must be trained in compounding, to be able to mix the medications. I would also think chemo therapy certification of SOME type would be necessary if administering Rituxan. Sounds scary though, compared to the infusion area I work at!!
  4. llerkl


    I am at the top of the career "hill" looking down, rather than the trail leading TO the hill......Sometimes folks are unfriendly and not helpful just because that is the kind of people they are, age is not even a factor!! Yes, there is a little truth to the old vs new nurses stuff......both groups have their issues to work through and do their best on most days. MUTUAL RESPECT and kindness go a LONG way to cut through so much of it. We all need to be kind,understanding, and patient with one another......especially when it is really difficult.:cheers:
  5. llerkl

    Why I LOVE night shift

    SO TRUE!!! If only we were't working against our body's natural rhythms....that is what I worry about. Long term fall out from working nights forever is questionable. It IS my family though and I love the climate of the hospital at that time. Stupidest thing I hear a lot...."oh....you work nights. That must be so nice because the patients are sleeping all night". ARE YOU KIDDING ME???!!!! CHEERS to all my fellow night shifters everywhere
  6. llerkl

    Book: The Basics of Camp Nursing

    I LOVED this book!!!! I just returned from camp after caring for about 80 high school marching band students in northern Michigan. I was there with them for a week. Had a BLAST!! It is the fourth time I have been their nurse but still ordered this book in April to brush up. Many good ideas and for those of us who only dabble in camp nursing, very helpful! Highly recommend this. I ordered a used copy from Amazon and it was less than $10.00. Totally the way to go! I am officially....a HAPPY CAMPER!
  7. llerkl

    Pain Management Certification?

    I recently became certified in this area. There are a lot of free CEU's on line....I used places like Gannett Education online, Medscape LLC, and Nursing Spectrum Continuing Ed. Looking at my application to take the exam, some of the course titles I have in my records are: Knocking Out Pain Safely with PCA, Recognizing Drug Seeking Behavior, Identifying Pain in the Hospice Patient, Complex Regional Pain Syndrome, Type !,Common Fallacies About Cancer Pain. You can also use conferences you have attended if they apply. Check out the references for the test and order some of the texts to study from. I studied on my own, looking at all the specific test content/objectives......I gathered this information. There are some good practice tests on the ASPMN site when you are nearly ready to take the exam. Give yourself a good 4-6 months to study the material and work on the practice tests. There is a LOT of information to cover but it is fun to learn about it! Good luck!!!!
  8. llerkl

    What do you use as your "brain" while on the job?

    When I worked in the Neuro ICU, I used to rip off a piece of EKG paper, label the back of it by the hour. Wrote down whatever was due each hour (12 hr shift) such as labs, vs, meds etc. and carried it in my pocket. Worked like a charm! Of course I never had more than 2 patients, so it was easy to make 2 columns, one for each patient's needs.
  9. llerkl

    ANCC Pain Management Certification

    GOOD LUCK on exam! I just took it last week and passed. Summer begins for me NOW!!!!
  10. llerkl

    ANCC Pain Management Certification

    I looked at the paper work posted on ANCC website: You have to have "a minimum of 2000 hours of practice in pain management within the last three years" and have practiced the equivalent of two years, full time as a registered nurse. Guess your next move is to ask them to specifically define "pain management".....the only reference to that in the packet is "pain assessment and management, pain management education, research, etc". Sounds like if they can't give you a definite NO, you can apply to take it and see what they say. The only bummer is having to pay with the application, letting them hold onto your $$ until they either tell you no, or you get to take the exam. Again, good luck, and hope you get to take exam!
  11. llerkl

    ANCC Pain Management Certification

    Maybe you should contact ANCC with your specific question about this. They have pretty specific guidelines for eligibility to sit for exam. Not sure how strict they are on them. Good luck!!! Hope you get to take the exam!
  12. llerkl

    How Does One Start in Pain Management as a Patient

    I agree with keeping up with the PT. Work as hard as you can. Possibly, getting another primary care doc's opinion if you think you still are not getting any better. Does anything help your discomfort? Like whirlpool, heating pad, ice pack, stretching exercises?? Can you alternate acetaminophen and ibuprofen?? Back pain is so frustrating.......hope you find something that works for you!!!
  13. llerkl

    Why apologize to doctor when calling?

    My standard line about calling docs in the middle of the night....." If he/she wanted to be a plumber, they should have been a plumber!". However they ARE a doctor and patients DO have issues 24/7 and sometimes they need to be notified. I have no shame calling docs in the middle of the night....IF IT NEEDS TO BE DONE. I do try to wait till a reasonable hour if the patient condition/situation allows. A pet peeve of mine is when you finally do call the doc about something important....and they say " I'm just cross covering". Then I LOVE saying, " So are you telling me you are not medically responsible for this patient right now?".
  14. llerkl

    MD orders via computer

    Computerized order entry is great for the most part. I LOVE that you can determine WHO wrote WHAT and the exact time it was written. My personal opinion is, at times the computerized system keeps Docs/Practitioners FARTHER from the patient bedside. Example: You are concerned about a symptom/change in condition you are seeing in your patient........you notify DR X via telephone about the situation.......she/he puts orders in, based on what you have shared. Yes, you have used your critical thinking skills to share an observation.....but the Doc has not LOOKED at the patient (I know this is not always possible). Another issue is the "soft stops" or warnings that pop up with some order sets.......sometimes clinicians just acknowledge these and keep on going, without really thinking about what they mean or how they apply to the specific patient at hand. This can cause BIG problems!! Learning to use computerized order entry is frustrating at first, but eventually navigating the system becomes an advantage and time saver for nursing. Change is hard!!:)
  15. llerkl

    Advise regarding acute pain management

    My answer is based on practicing on the USA but some of the principles may apply......I think you need to get into a PACU situation, working with patients/ pain issues Also lots of CEU's are available online regarding acute pain and post op pain management. Typically only larger medical facilities have actual teams dedicated to acute pain management and they are anesthesiology based. You can consider pain management nursing certification, but you need a minimum amount of hours working with pain patients to even qualify to take the exam. So basically, congrats on getting the education, now you need to acquire the experience to compliment it.