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Swellz

oncology, MS/tele/stepdown
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Swellz has 6 years experience and specializes in oncology, MS/tele/stepdown.

Swellz's Latest Activity

  1. Swellz

    Do you have a side hustle?

    To echo Trixie, you aren't interpreting the information (for example, coming up with the stage), just collecting and organizing it. Where I work, there's set parameters you follow, so it's really just working within those. It's pretty straightforward (or at least, as straightforward as the chart is). I don't have much to compare this to as it's my only abstracting job, but my interview was more about them getting to know my oncology experience, so they knew what charts I was competent to review. Unless you know they are looking for specific experience (liquid vs solid tumors or something), I would focus on how you have experience with a wide variety of diagnoses. Good luck!
  2. How are you reporting her? Just verbally to the manager? This is a safety issue. I would write an actual incident report using whatever your hospital's system is with every occurrence, as well as email the nurse manager. I would also get the nightshift house supervisor involved. She needs to be sent home if she cannot do her job, and if you do not have the authority to do that, your house sup should. Yes, that means there will be shifts where her patients will be given to other nurses until this is resolved. Be prepared to not be popular for that, but this is hurting everybody already.
  3. Swellz

    Is calling off for burnout a thing?

    I call off for my mental health more often than I call off for my physical health.
  4. Swellz

    How much do you owe in student loans?

    I respect this is your opinion, but I implore others, especially younger people, to consider another way. Literally any other way, if you can. My generation is crippled with debt and I hate to see it happen to anyone.
  5. We ran out of male urinals. I didn't even know we had female urinals until we had nothing else to use. It was a pretty innocuous shortage though LOL.
  6. Swellz

    How much do you owe in student loans?

    Yogi, I gotta ask - why are you trying to get your DNP? You make such a great argument not to
  7. Swellz

    How much do you owe in student loans?

    I paid about 68k in total in school loans. I owed about 15k from my first degree, 5k was interest accrued before payoff, and the difference was from my second-degree BSN program. I don't think I'll ever get a graduate degree if I have to take loans out to obtain it, but I also don't have career aspirations that require it. Maybe someday after the mortgage is paid off I'll feel differently, but I doubt it.
  8. Swellz

    Blood draws vs. phlebotomists?

    My first job we only had phlebotomy overnight for daily labs, which were drawn at 0200. Any other peripheral labs were done by techs or nurses, and central line pulls were nurses only. Everywhere I have worked since has had 24/7 phlebotomy for all peripheral sticks. Where I work now, the floors don't stock the supplies to draw labs peripherally, so I don't pursue it unless it's stat or I have the time to make phone calls and wait for the supplies to be sent to me.
  9. When I was a baby nurse, I got written up for not having a PICC line dressing change done on my 8 hour dayshift. Policy was it had to be done on dayshift - which we considered over at 7pm (we worked 8's and 12's), but we were flexible. So, I didn't think much of handing it off to the evening shift nurse. Apparently she didn't think much of my time management skills.
  10. Swellz

    Travel Nursing with Spouse

    My husband traveled with me the entire two years I traveled. It was great! It helps to have that built in support. We got to explore random places we lived in and during road trips to and from contracts. He would find the housing for us and negotiate that while I negotiated the contract, so it was very much a team effort. He found jobs pretty easily, using Craigslist most of the time. It was great to take off whenever we wanted and not worry about schedules. We did well enough financially, but we had very controlled costs at our tax home, no kids/pets, and chose contracts with money in mind. Couple considerations for you: How many vehicles are you bringing? Can you accommodate both of your work schedules with one vehicle? On one contract, we only brought one truck, but my husband's job let him keep the delivery van while we were there. On another he bought a cheap work truck with the intention of selling it later. Will you be on the same schedule? Keep that in mind when you are picking your housing out as well. Our worst housing set up we had was an apartment where you could only get to the bathroom via the bedroom, and we were on opposing sleep schedules. Not ideal. Our biggest challenge was my husband adjusting to me being the breadwinner - he just wasn't used to making as little as he made at the temp jobs. We did well as a pair, because we chose contracts/locations that allowed me to make good money, but he had trouble wrapping his head around it, on top of pressure from our family who just didn't understand our situation. I'm still bitter that other people put that pressure on him, because I was raised by a single mom, as was he. But a female breadwinner within a couple? The horror! Anyway, we talked about this ahead of time, and he was fine with it in theory, but in practice, he struggled. Food for thought. He also had more trouble getting a job when we settled back down. It could have been for any number of reasons, but we think the scattered resume was a factor. He addressed it in his cover letter, but once he got a job, he made sure to stay there a year to make himself look more stable on paper. All that being said, we really enjoyed it and expect to go back out there in the future!
  11. Swellz

    Interested in travel nursing, but is it for me?

    I want to echo Ned's advice about agency or at least being a pool nurse before traveling. I only had one nursing job before traveling, and I had no idea how small my world was. Your concern is that your hospital is too small to give you a wide variety of experiences - my hospital was a large, teaching facility, with lots of resources, and I saw a lot of stuff, but when I went to small community hospitals where so much more is done by nurses, I was totally out of my element. The more you see beforehand the better off you will be! I would not worry about your skill set per se - just be honest about what you have experience with and work with a recruiter to find a job that fits. From a chemo perspective, there were a couple hospitals I worked at that were super impressed that I had a chemo card, but wouldn't sign me off to give chemo because of liability or staffing reasons. Again, just be honest; it is enough to say you have worked in an oncology environment and are familiar with chemo, but do not administer it and wouldn't be comfortable administering it without proper training on that facility's protocols. They will probably have travelers or applicants who have no oncology experience anyway, so don't undersell yourself just because you don't give chemo.
  12. Swellz

    Switching Careers from Nursing because I hate it so much

    I don't think it's crazy to switch professions, but I do think it's crazy to leave nursing without trying a different kind of nursing. I know, you've had two positions, but they sound pretty similar. You put a lot of work into becoming a nurse, and I think you do yourself a disservice by not trying out other options before leaving the field completely. Go peak at the specialties threads here and see if anything sparks your interest. And maybe nursing really isn't for you and you won't find a job that makes you happy, but maybe you find a job that doesn't drive you insane and pays the bills while you find a field that will make you happy. Good luck!
  13. Swellz

    New protocol - No report from ER to floor...

    I wish we still got report. If the ED calls and the receiving nurse is busy, the charge nurse should take report. If the charge nurse is busy then send up the patient. Get names and put that in a quick note to hold people accountable. I'd like to think that would work. My first job we had to receive report before the patient could leave the ED, and it caused a backup in the ED because we'd be too busy (or say we were), so I understand why these changes were made in many hospitals. At my current health system, we occasionally get a call with a baseline neuro status if someone comes in with a neuro complaint, but for the most part we get nothing. It's not my favorite thing.
  14. Swellz

    Saline Flushes - My Old As Dirt Question

    Same where I work. There is an order for flushes q12 that would require scanning, but it is rarely put in.
  15. Swellz

    PTO

    It is worth checking with them what are paid holidays. I was shocked when I discovered Christmas Day, Thanksgiving Day, and New Year's Day are the only holidays my current health system pays for.
  16. Swellz

    ER experience - can I do med surg travel jobs?

    But you haven't done med-surg. It's very different than what you do in the ED and in psych, although obviously you will have a lot of skills that overlap. Travelers need to be independent the minute they walk in the door, which is why experience in whatever specialty is desired/required. With your psych and ER experience, I'm sure you will be able to find plenty of travel positions. Just because it's still in psych and ER doesn't mean it won't be a different experience. Different kinds of hospitals (teaching vs non-teaching, for profit vs not, large vs critical access) in different environments (urban vs suburban vs rural) will all provide you with a wide variety of experiences.