Aeterna

Aeterna BSN, RN

Oncology, Medical

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All Content by Aeterna

  1. Examples Of Good Nursing Notes

    We are supposed to chart by exception where I work, but I like to do a little narrative charting simply because I find it gives a much better picture of what went on that day and shows you actually...
  2. Well, I graduated and found a job last year, but this was my timeline, basically: I think I started applying around March. I literally applied to about 40 places all across Ontario, to both hospitals...
  3. RN jobs off the beaten path....

    I know plenty of people who went into home care type of jobs, and I don't think they lost their skills at all! I think one of my former classmates starts more IVs than I do...and I work in a hospital!...
  4. What is the Oncology floor like?

    I work on a medical/oncology/palliative floor so we see a wide array of people and diagnoses. I can't say which specialty in particular is the "busiest". They have so many different needs, different...
  5. Mistakes we have made

    I am honestly regretting a decision - or rather, a lack of one - from today. One of my patients is a very sick woman and has been on our unit for nearly a year now. During that year, I've worked with...
  6. Where do you take temps??

    We only have oral/axillary and tympanic thermometers on our floor. Our tympanic thermometers are very limited - something like 2 or 3 for the whole floor - so if you're stuck with an oral/axillary...
  7. Drug seekers

    I am not well versed in the complexities of the changing American health care system but, living in Canada, we have "free" health care. Reading some the posts on this forum, I'm getting the feeling...
  8. Hmm, interesting. I've never tried taking my vitals when experiencing a migraine so I'm not sure what I'm like (but I also live alone and I don't have an electronic BP monitor, just a manual one, and...
  9. Are nurses "above" menial pt tasks?

    On our unit, we have no aides or personal support workers so us nurses perform all patient care - baths, transferring to and from chairs, feeding, changing bed linens, etc. It can get pretty hectic...
  10. Would you give Lantus without BG check?

    Depends on the patient. For the most part, since I'd be giving the Lantus regardless, it's not a huge deal to give it without checking the blood sugars, particularly if the patient is eating well and...
  11. Funny things patients say !

    I was working a night shift and caring for an older man. His daughter was staying the night to ensure he was comfortable and to assist in his care, as well as to act as a translator (as the patient's...
  12. Mean Doctors....

    We have at least one "mean" doctor on our floor but we all know he's always snappy and touchy so we know not to take it personally. He never outright says anything rude or is physically aggressive,...
  13. Refusing Patients' Requests: Can it be done?

    Like others, I've never ignored call bells or requests, per se. However, if they're calling so frequently that it's interfering with my work with my other patients, there's a point where I say, "I'm...
  14. PICC Lines And TPN

    If it's a double or triple lumen PICC, then you don't have to interrupt the TPN - just connect the other med to a free lumen. We currently have a patient on our floor who has just that - a double...
  15. In need of encouragement.

    A lot of good responses already so a lot of what I say will be echoing the others xD First, about the code...I don't know why but I've found a lot of nurses who have patients who code beat themselves...
  16. whinny nurses

    We all need to vent every now and then. I've done it. There are a select few patients I can name that have really worn down on my patience (and, IMO, my patience is more durable than most). For...
  17. No blood transfusion r/t high WBC??

    This actually makes a lot of sense to me. I'm still curious as to what exactly was going through the doc's mind at the time, but at least we have a guess.
  18. 1mg Ativan 7 times per day?!?!

    I just took care of a patient who is on 8mg of subcut Ativan per day (2mg QID) on top of a high dose of continuous+PCA Dilaudid but I think she's developed a high tolerance for them both because,...
  19. I agree wholeheartedly. As someone else said, no nurse is ever 100% ready straight out of school to take on real world nursing and succeed right away. It takes learning and practice. I remember...
  20. help please - with diabetic patient case study

    Between applying oxygen and administering insulin, yes, maintaining sufficient oxygenation is top priority. You can't live if you can't breathe And a CBS of 15.2 is high but not life threatening. So,...
  21. RN Orientation Length

    Here in Ontario, we have something called a "New Graduate Guarantee", where the government funds employers of new grad nurses to have 3-6 months of orientation under a preceptor (a more experienced...
  22. On my floor, for day shifts, our patient-nurse ratio is 4-5:1. Plus, we're medical-oncology so, often, it takes our patients a bit longer to recover (i.e. chemo patients). We also have a huge ALC...
  23. Recent grad..no job :*(

    Don't give up! I have many friends who took months to get their first job. Some had to choose jobs that weren't their "first choice". I have a couple of friends who ended up in home health care even...
  24. LPN/RPN Question

    We have a palliative section on our floor and it is primarily run by RPNs. RN patients are generally less stable, while with palliative patients, it's comfort measures only so it's not like you'll be...
  25. What's the worse thing you have seen?

    The worst I've ever seen was probably the woman we received who was deemed palliative because the wounds she had developed due to neglect over time were too extensive. It was awful, emotionally...