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Restroom Access
This right here! Exactly! as I said in my post, the principal is the one who sent something out to teachers. But you are a healthcare professional. You have the tools to add health science to the argument. A teacher can easily say "well I can't go to the bathroom during class" you're also an adult with the frontal lobe development that handles impulse control. Kids don't. And kids have to hydrate. And not allowing kids restroom access can cause other health issues. I get it some kids will abuse the privilege, but we know that's not the majority.
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Restroom Access
I ran cross country and track in high school in the Temecula Valley, where it can get hot. Practice for all sports was after school, therefore we needed to be sure we were adequately hydrated throughout the day. Naturally, the more you hydrate, the more you'll need to use the bathroom. Some of our teachers didn't let us use the restroom. Some even restricted our fluid intake during class. I distinctly remember one football player classmate end up relieving himself in the sink in science class because the teacher wouldn't let him leave. Finally our principle, after hearing multiple complaints from our coaches and parents sent an email to all the teachers stating they HAD to let us use the restroom during class. For Pete's sake, let kids use the bathroom.
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Question about IV push
Oncology RN in an outpatient infusion center here. First of all, we like to keep a closed system in the Cancer Center. Most of our patients have some level of immune compromise. Keeping a primary saline or dextrose line (depending on the chemotherapy that will be infused, and we always check compatibility as we have a lot of incompatibilities even with saline in some drugs) line flowing lowers the constant disconnecting and increased risk of infection, which increases risk of sepsis in many of our patients. This is especially true for patients with central lines, like portacaths or PICCs. Second, medications like ondansetron and dexamethasone have horrible side effects if given too fast. Ondansetron can cause dizziness and bradycardia, and dexamethasone can cause nausea/vomiting or a horrible burning sensation or cramping in the groin. Your patient will literally jump out of the chair. We often dilute dexamethasone AND push it on the higher port, still pushing slowly over 2 minutes so it "floats" in. Third, yes, it helps control the rate. Now you know why we do things the way we do in the Cancer Center :)
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Infusion Tx and OCN
It’s on the ONS website. ? https://www.ons.org/courses/onsoncc-chemotherapy-immunotherapy-certificate-course best of luck!
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Infusion Tx and OCN
I think you’re confusing OCN certification and the ONS Chemotherapy & Biotherapy administration certification. The latter is akin to a competency certification: you take a class and pass an exam at the end that says you’re certified to administer these medications. Most infusion centers require this upon hire, and I’ve never worked at one that will allow non-chemo certified nurses to give these. There is no minimum level of experience to get this “chemo card”. The OCN certification is certifying you as a clinical expert in this specialty, similar to CCRN, etc. It is designating a nurse as specialty certified. It requires a minimum hours of clinical experience in oncology to be eligible to sit for the exam, and requires continuing education and clinical hours to maintain. It earns you the letters “OCN” after your name. Many centers are requiring this or strongly encouraging specialty certification, especially hospital based clinics. I would clarify this with the hiring manager. Usually if you don’t have Chemo certification before hire they will compensate you to get it (similarly to BLS, etc).
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How would Medicare for all affect nursing?
34,000 pounds is 44,000 USD. The pound is worth more than the dollar. https://www.google.com/search?q=34000+pounds+to+dollars&ie=UTF-8&oe=UTF-8&hl=en-us&client=safari
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Should I report this nurse?
This old myth bugs me to the core. If you have a working iv, i dont care if it's a 24 or 16: hang the freaking blood. There are patients who you just can't get a 18 or 20 on, but they still need blood. I actually pulled up an old study recently that looked at the issue, and it stayed that as long as the iv was patent, it was fine. There was no "lysis" of the RBCs or any of that nonsense. It only stated to run the blood a little slower to maintain integrity of the line, which is a given. Yes, an incident report it warranted.
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Did anyone have to relocate for nursing school?
I moved across the country for nursing school. You do what you gotta do to get what you want. Pull yourself up by your bootstraps and go for it!
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Facebook and employers/school
How are your privacy settings? If you don't make everything public, there's not much they can see. Be smart about what you post, and know how to set your filters. Example: your username on here looks like it could be your real name. This is a public forum; that means everything you post is there for the world to see. You tell me if that's smart...
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Stanford Rape
Did you read her letter? Did you read the part where she wished she could take off her body like a jacket? She specifically said she was not okay, from the moment she realized her underwear was missing. She was not okay, and she knew she had been raped before she went home from the hospital.
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Being blamed for fall after shift
This is considered an "assisted fall"
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New Grad Interview for Bone Marrow Transplant
BMT is under the umbrella of oncology, which is specialty nursing in most hospitals. Because the patients are a little more acute then general med surg, the ratio is usually lower. Even in states with higher ratios, you typically will have no more than four patients. BMT is its own beast, and it is highly specialized. Going into an interview as a new grad, you won't be expected to know much, or anything, so I wouldn't stress too much about that. Once you've been hired, your clinical educators should give you a class, and ongoing education. ONS has a WONDERFUL course on BMT, that I would highly recommend taking on your own, once you e had some exposure. Don't stress. Should you receive an offer, just remain open minded to a whole new world of nursing. BMT is a special place.
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My boss looked in my EMR for my miscarriage
You can file a complaint about a HIPAA violation
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The film: Vaxxed.
This has got to be a joke, right? The poor grammar mixed with the cured stage 4 CA screams it. If not, please know, Your friend was NOT cured of their "stage IV cancer" by natural means. As an oncology nurse, I am first and foremost an advocate for my patients before anything else. For someone to say that I am in it for profit is first of all, blind because look at my paycheck, and second, it's downright insulting. PS inject myself with vaccines? While I don't give them to myself, I gladly lend my arm every year for my flu shot. So my patients don't spend big money being hospitalized with the flu. But, you know, I'm all in it for the money... maybe I should quit doing that, and ask for a bonus, or every patient I touched, that got the flu.
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The film: Vaxxed.
It actually had nothing to do with property values. It was a fire hazard. My mother lived in high risk fire country, and the dry, out of control weeds posed a risk to the entire community. This isn't anecdotal information, it's an analogy. There's a similar point. Certain rules have to be in place for the greater good. We as nurses are taught to look at the big picture. From a community health and safety standpoint, it's about protecting not just little Johnny, but little Johnny's classmates, his friend at the playground, that friends sister who is too young to be vaccinated, the grandmother who has cancer, the aunt who had a stem cell transplant, and on and on. The same as keeping the backyard fire safe, we have to keep the community safe.