plum94
Members
-
Joined
-
Last visited
-
I want your take on the recent oncology drug shortage we are experiencing now. Drugs like cytarabine, leucovorin, thiotepa, etoposide, bleomycin, doxorubicin, and cisplatin. During our last GI tumor board meeting, I heard about clinics in the midwest complaining about shortage of 5FU. Im concern about inadequate substitutions, inadequate alternatives and rationing. Its hard for me to explain to a patient that I can not give them X drug because they are not enrolled in a clinical trial or that they are not being treated adjuvantly. It distresses the patients and it worries me. Whats your take on this situation?
-
Im really interested in the use of medical marijuana specially for our oncology patients. NJ Governor Christie just signed the bill last Jan of 2011. Though there are still a lot of questions to be answered from production, distribution, dispensing and prescribing. I would love to put up my own dispensary.
-
Its the clinical trial NCT00112658. Combination Chemotherapy as First-Line Therapy in Treating Patients With Metastatic Pancreatic Cancer first designed in 2005 and later updated last May of this year. We have used this regimen in a number of patients with metastatic pancreatic cancer, about 10 now in a period of 7 months. Regarding the sequence of the drug administration, We prefer to give the oxali plus the leucovorin together since its run at the same rate first then the Irinotecan , then the 5fu bolus and the 5FU infusion. But looking at the study outline of the ARM 1 its showed oxaliplatin IV over 2 hours, irinotecan IV over 1½ hours, leucovorin calcium IV over 2 hours, and fluorouracil IV over 5 minutes on day 1 and fluorouracil IV continuously over 46 hours. I think we need to review the latest update. Im quite optimistic with the outcome and is curious on the buzz its creating. I'm happy to read that people are talking about it. I'm really hopeful that this maybe the first line in treatment for pancreatic cancer patients. There is hope after all.
-
-
-
-
www.amazon.com have it you can look at it online find out any institution around your area that offers ONS review classes...if not ONS have review classes every fall and spring during congress this fall its in Chicago...and spring next year is in Philadelphia...you can also attend the congress while youre there...I took my review class during last year's fall congress in Pittsburg...
-
Im really so sorry for your dilemna. Finding a new school is tough specially in the Philippines. A lot of the schools mass produce nurses. Sad to say there is no QC anymore. Im an alumni of UST. Im not in a position to say that its the best school for you but here is what I learned there...BE ASSERTIVE TO LEARN...it doesnt matter what school you graduated from, what matters is, that you have the desire to learn irregardless. By the way, Fundamentals of Nursing is really the basis of your whole nursing career...if you have failed the course on your 3rd try, you may want to consider another career path. Im sorry, Im not trying to be mean.
-
-
well, thats really good for wanting to learn what they said is true...those cert from Pi wont be accepted here, but the experience will benefit you in the future try your big local hospital if you are willing to spend, Philippine Heart Center et al have all those training courses good luck...and keep that positive attitude...
-
Hello I really do know have any idea what it is like working at Sloans. But I can tell you this...i love working in a comprehensive cancer center like MSK. The nursing education is endless, the clinical research is way beyond what you expect...INPATIENT?? uhmm not really keen on doing that...im just wondering, does MSK requires you to have a oncology experience? a OCN cert? I would look into that....i also would like to advice you to look at the outpatient facility MSK have....i remember i have submitted an application there are one point, but due to the commute I accepted a position at CINJ...they offer the same rates and benefits as MSK, guess they are also competetive
-
Im just curious....do you guys use a techoff cath for IP chemo or are you now using "mediports"? Im trying to look at FDA approving "mediport" for IP use? Have you heared/read of anything about this? I want to know your general practice in IP chemo administration Thanks
-
It depends...i work in an outpatient/ambulatory setting...its not depressing as people think...if you are working inpatient, well thats different...we are a comprehensive cancer center and we do clinical research, thats challenge for me...
-
I dont know I feel that you should have a solid backround in medical/surgical nursing to be a good oncology nurse irregardless of subspecialty you want.
-
I just took my ONC test today...and Im happy that I passed...anyone planning to take the test? I would advice to obtain a copy of the Core Curriculum book...the study guide was most helpful...dont be discourage you may not get all the answers right...just keep on answering and look back to the reference book why your answers were wrong, that would guide you...the experience plus a the book made me pass Good Luck to everybody planning to take that test