RNview

The 4 required discussions are based on your experience. If you have less or no experience, you may say so but will have to share your observation of your own department. The answer to 4 topic questions can also be found in the book. But your answer has to be subjective and it's to test if your organization is following the standard of practice. I agree with littleguccipiggy, stick to the book for the final test questions. The slides are helpful reading materials with links to video and some studies and evidence-based practice, but for the final test, all you need is your book. Make sure you download a copy of the ebook in pdf format. You can search the keyword and help you get to the pages easily. You can take the final test while waiting for the final grade of your 4 discussion questions. Good luck!

Thank you dream'n í ½í¸€

Hello- I've heard some clinics have RNs mixing Chemo. Is this within the Nursing Scope? Is there a website I could go to to support this idea that it's legal for nursing to mix chemo in stand alone clinic in California? Thank you in advance. RNview

Thanks for the confirmation :-)

Does any one here using EMR for Oncology? As an Oncology Nurse, we need a cosignature from a 2nd RN. Now that we have Electronic Records, we kind of use the term esignature. As far as I know, esignature requires a user name and a password. If you just type in the 2nd RNs name, and she doesn't type in her password, then it's not the same as cosigning. Does it make sense? Any input is appreciated. Thank you.

I work in Med/Onc. We have medical patients mostly but not limited to Pneumonia, MI, CHF patients. Then we have oncology patients. Our manager sends new nurses to a chemo certification class after 6 months of hire date. I love where I work. I also started as a new grad in that unit, and I'm still there and very well at home Goodluck!

I work in the inpatient and we also have our own pharmacist. In our OUTPATIENT they check everything at once for EACH patient. One time, when an OUTPATIENT RN floated to our unit, she double checked all the 3 chemo for the same patient all at once with another chemo certified RN. Our CNS questioned them. Our inpatient and outpatient infusion center have the same manager, same CNS and same protocol and it has been like that for years. I think double checking the pump setting is such a great idea for safety. Because one time, we had a case when a chemo was hung and double checked per protocol. It was supposed to run for 24 hours but in 2 hours it was all done... The patient survived, the nurse almost pass out. She was so sure she checked everything but there's no witness. From then on every time we hang chemo, we also lock the pump. And now we are double checking the pump setting too. And I think we are in the process of changing the rules and policy for checking the chemo. The outpatient nurses need to check chemo one at a time now. I don't know how are they going to do it in a very busy and fast paced outpatient clinic. Thank you for sharing.

Thank you guys. I work in the inpatient and usually we check one chemo at a time. When I first started working there, there was no policy whether we check the pump rate too. One time, a nurse from the infusion center worked in our unit and asked another nurse to double check chemo with her. 3 different chemo for one patient were checked per protocol. Then the CNS questioned these 2 RN for doing it and for not checking the rate of the pump. NOTE: the nurse who floated to our unit is from our outpatient cancer center. We have the same manager, the same protocols. It's good to know that some institution checks the pump settings too. I think it is safer that way. Thank you for your responses.

I would love to have 2:1 ratio for First induction of Rituxan. In our unit, we have 5:1 no matter what. This is crazy at times, especially when there's no charge nurse around to help out. It makes me want to cry sometimes. No matter how good I am with time management, things happen and you know the result of that. :redlight:

In our hospital, we check a lot of things before we hang the chemo. It has to be double checked by the 2nd RN who is also chemo certified. original order VS MAR VS Chemo Tag Patients Full Name Patients Medical record/ Account Number MD's Calculations VS Nurse CalculationsQuestions: 1) Do you ever check the pump too? Like how the primary nurse sets up the pump? 2) In the outpatient infusion center and/or hospital setting, do you check all the chemo all at once (for one patient)? Or do you check it one at a time prior to each infusion? I'd appreciate your feedback. I'm just wondering how other institutions do their safety checks on chemo. I've heard some issues at work related to my questions above. Thank you.

I hope you feel better. I know it's not easy to get an ASAP appointment with the PCP. If you don't feel any better, just go in the ER. For the meantime, take care of yourself and get better :icon_hug:

I totally agree with you with every thing you said! I was one of those lucky ones who had only one preceptor and it made a huge difference. One of my friends who started at the same time had 4 different preceptors and she was totally lost. She missed a lot. It was very stressful for her and she left after 8 months.

It is not worth a penny. Precepting is not for everybody. I've been doing it longer than anybody else in our unit. I like doing it, but it wears me out too. Honestly, this past few months, I asked my manager to give me a break until next year. Some of my co-workers think that it's easy until one day I called in sick :chuckle and one of them was assigned to precept the new nurse then they start rolling their eyes . Every time we get new nurses, some of them literally hides in one of the rooms so they won't be assigned to orient the new nurse.

I precept and get paid. There were classes offered before (when I was on vacation). I never took the class, but I'm still precepting and getting paid. For a long time, I was the only one precepting then I get tired and asked my manager to assign somebody else because I'm getting close to blow my fuse. It finally occurred to her that she needs to have a back up preceptor. Now, classes are offered for those who ask for it. Classes or not, we still get paid.

Not a lot of people where I work compliments anybody when I started working there. From the management down to the housekeeping. It was so sad 'coz everybody works hard, and not even a little word of appreciation was said. I decided to show them that it's ok to compliment each other for the job well done. The first person who noticed? Our chaplain. So she and I worked together to recognize everyone who did an excellent job. We write them a letter of appreciation, a copy goes to the manager, then the manager pass it to the admin. then the person's name shows up in the newsletter under the lists of the MVP. The next thing I know, it becomes a norm in our unit. I'm glad it broke the ice. It helps build a good relationship with colleagues and build a good team work! With all the stress we are experiencing at work, it's always helps to hear words of encouragement and appreciation. It doesn't only help for Patient satisfaction, it's certainly good for Nurse Satisfaction too.