Aeterna

Aeterna BSN, RN

Oncology, Medical

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All Content by Aeterna

  1. Pain Med Administration

    Generally, we try not to have two types of prn narcotics ordered so we don't accidentally "double up" on them and overly sedate our patients. If two different types of narcotics are ordered, our...
  2. Collaboration....

    It's good to hear these kinds of stories! I wish there was more collaboration in my workplace, but I'm seeing small improvements here and there. When I first started working, morale was very low. It...
  3. I've never done the foot bath thing. However, if I'm doing a bath and the patient is able to sit up on their own or turn on their side for long enough, I'll rub some lotion into their backs. Usually,...
  4. How do I give better reports?

    Everyone has their own way of giving report so there is no set structure. For us, we have the option of writing out report or giving a verbal report. Writing it out is probably the better way because...
  5. Does anyone work on an oncology floor?

    Pretty much this. Oncology in and of itself is a pretty diverse field. That being said, what is expected of you will vary depending on your instructor and what level you're at. Onco patients can be...
  6. Extreme Lab Values

    For onco patients, pancytopenia is a given if they've gotten chemo. We routinely see WBC Probably the worst I've seen with my own two eyes? (Note: these are not on the same patient, thank goodness!)...
  7. What Kind of Patients Do You LIKE Most?

    I love working with anyone who can maintain a sense of humour. There is a patient on my floor right now who I have a great working relationship with, but really, she's just a sweet and funny old lady...
  8. Extreme Lab Values

    I work with a lot of oncology patients and dialysis patients. Do I need to say much
  9. I'm not "experienced" - I've only been working for about 2 years so I'd probably be considered more "junior" than anything ^^; However, I keep a basic structure to my shifts. As you said, there are...
  10. Ugh, I hate this, too. We once had a patient whose wife, upon meeting a new nurse, would go on and on about how they "know people who are high up there" in the hospital administration while looking at...
  11. 1) End stage lung cancer. They never end well. I've seen people having to tolerate pit bottom O2 sats for days, struggling for breath despite 100% oxygen. I've seen people hemorrhage from severe...
  12. What are you really good at?

    For me, I've gotten lots of comments about how I always look calm, composed, and under control. What makes people visibly stressed out, I seem to stress about less or just not show it. Even on days...
  13. If I'm in a rush, I've used saline flushes to reconstitute drugs, but as soon as they are reconstituted, they go into a mini-bag to be piggybacked on an IV. For example, say I need to give a stat dose...
  14. Future Shortage in Bedside Nurses

    I'm in the same boat of having little to no ambition to go higher xD I have my BSN because, here in Ontario, most hospitals are moving towards requiring a BSN to work as a nurse (I only graduated 2...
  15. Post your daily nightmares here.

    Were you, by chance, referring to my post? (as I think I'm the only one who has mentioned 4 patients so far...) Nope, I don't work in the ICU! I work on just your plain ol' med/onco floor, hence why...
  16. Rapid Response - primary RN

    It's our practice that the primary nurse stays with their critical patient, as they are the ones who have the latest assessments, the history, the events leading to the critical situation, etc. Our...
  17. A senoir refusing to bath.

    Maybe he really is having pain or is anticipating pain with the shower. Is there a way to better control that? What is causing the pain? Or, talk to his family if possible. See if he ever showered at...
  18. Post your daily nightmares here.

    Terrible, terrible day today. In order to critical-ness... Patient #1: A cancer patient who took a turn for the worst yesterday (I was also working that day). He is a DNR, but still...O2 sats low even...
  19. I will admit, I hate getting fresh stroke patients. I work med/onco and in our hospital, we have a "stroke unit", so pretty much all fresh strokes get admitted there. As a result, I don't have the...
  20. I've heard more than a few times that my floor, while having a negative reputation as being chaotic and unorganized, is regarded as being quite friendly to newcomers. Basically, people will talk to...
  21. This, pretty much. Never let anyone tell you that psych nurse requires "no nursing skills". I learned tons in my psych rotation in nursing school, but more in terms of communication and "thinking...
  22. Since when is there literally a certification for anything in nursing? I recently was looking at a job posting and one of the requirements was "Certification in medication administration" or something...
  23. I'm going to echo what has already been said: if it's urgent, then sure, call the doctor. If it's not, then it can wait until the doctor rounds on the patient. I've had to insist with patients/family...
  24. Where I live, something like a CNA or medication aide is pretty much unheard of. Nurses here in Ontario, Canada tend to provide total care to their patients, sometimes with the help of a PSW for...
  25. Should I bring treats on my last day of work?

    Where I work, it's usually the other way around - the staff get the person who's leaving something! But, I'm sure they would not mind if you brought a little something on your last day. Heck, I even...