BD-RN

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.

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.

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 :)

It’s on the ONS website. ? https://www.ons.org/courses/onsoncc-chemotherapy-immunotherapy-certificate-course best of luck!

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).

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

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.

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!

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...

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.

This is considered an "assisted fall"

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.

You can file a complaint about a HIPAA violation

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.

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.

Before my mother landscaped her backyard (she bought her house brand new in 1993), she had weeds in the backyard. She got lazy, let them grow, and the fire marshal came, and wrote her a ticket for the fire hazard. What was the big deal? It's her property, she can do what she wants! WRONG. The weeds were a fire hazard, it proposed a PUBLIC SAFETY issue. THAT is why it's important to vaccinate.

First of all, you can't be fired for being pregnant. That's discriminatory. If you didn't know, you didn't know. What gets you into hot water is that you probably won't be eligible for FMLA, since you won't have been there a year. Also, you're not the first nurse who can't work on the Sabbath. Usually there's a workaround for that. For example, we had nurses in school who had Saturday classes. Those nurses worked every Sunday. I used to work every Monday to make up for being off every Friday, and so on. If they can't work around that... Idk what to tell them. People have lives outside the hospital.

I remember drugs on it that weren't even used in the US anymore. That's it. Go to the NLN website for the study guide.

Thank you, for making me smudge my makeup. I'm literally crying!

Actually, the associates degree in nursing is slowly being phased out. Not that our experienced ASN aren't incredibly valuable. Their knowledge base from years of experience is irreplaceable. But the minimum BSN is becoming the norm for entry level RNs, especially in academic medical centers. To say the education is not difficult and rigorous is completely false. Even in the associate program, A&P, chemistry, & Microbiology are all required. Nursing is competitive, and to simple pass is not enough. Secondly, what pension plans? I know of only ONE hospital system that still offers a pension, and it is actually paid into at 9% by current employees. Pensions, and even 401K contributions are becoming a thing of the past. I highly suggest researching the nursing profession in a little more depth before publicly bashing those who could be your colleagues one day.

That's what I did. I would still be on a wait list if I stayed. I packed up and moved across the country, got into a top ten nursing school, got experience, came back as a traveler, and now I'm back as staff. It was worth it.

The two words that come to my mind are big brother. If we have a uniform EHR, who would regulate it? It's a great idea, in theory, but it unfortunately comes with ethical dilemma. I also think of Blue Shields data breach, or UCLA's data breach. Imagine if that happened with a national EHR? That would be a disaster. Also, a note to expected ED wait times: patients in the ED are seen based on acuity. If it's a true emergency, you don't pass go, you go straight to the back.

I worked at Duke as a new grad in med surg, and our ratios were max 1:5. During the day we usually only had 4. Night shift we'd have 4-5. One time I had 6 on night shift, but that was the absolute last bed in the hospital. The step down floors were four patient max, with a goal of three. I have to say Duke is the most nurse friendly hospital I've worked in. There's a lot of shared governance, in that RNs are very involved in policy and procedure development, and there is a lot of opportunity for continued education. The CEO was a nurse as well. However; the pay was low, and the retirement benefits weren't great.

The only way for your voice to be heard is to say something. That being said, have you gone to your supervisor? I would start there. Be diplomatic, not emotional, and state your concerns. Try to suggest a solution if you can. If your supervisor is completely unresponsive, THEN I would escalate. Yes, California is the only state that has mandated nurse patient ratios for inpatient RNs. However, safe staffing is a crucial component to patient safety, whether it is the law or not. PCT's, Care Partners, or Nurse Assistants also have an important role in delivering safe and complete care of our patients. They need to be staffed adequately as well. So many RNs don't speak up for fear of retaliation. The laws were enacted in CA because RNs spoke up. You won't get results by being complacent.

Anyone who has not taken the online version of the course has to take it: that's the new policy. All of us who previously took the 2day course had to take it online. If you have testing anxiety, this will be a better format for you anyway.