Swellz

oncology, MS/tele/stepdown

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All Content by Swellz

  1. Swellz

    giving D50 for hyperkalemia

    I've only ever pushed it, then given the
  2. Swellz

    New grad 6 weeks orientation?

    I got 10 weeks, although I was told I'd get 12. Maybe you'll be ok with 6 but I personally don't think I'd have felt comfortable after 6
  3. Swellz

    Vacation scheduling

    Our hospital doesn't let us manually use ETO in the summer, so the only way to get time off is to go through your unit's schedule. On my unit, at the beginning of the year, the planner comes out and...
  4. Swellz

    Do you talk to yourself?

    Yes, but mostly I talk to my pumps. Why are you still beeping? Why don't you want to work? SHUT UP
  5. Swellz

    IVP pain med safety

    There's an ongoing to push or to hang piggyback issue on our floor. We're telemetry/oncology, but not necessarily all of our patients are on tele. I was told when hired almost two years ago that we...
  6. Swellz

    IVP pain med safety

    I appreciate everyone's input! I'm pretty baffled by how many of my coworkers were like me and simply didn't question it. Fortunately, my CNS already contacted her supervisor regarding a change in...
  7. Swellz

    admission/transfers during shift change

    This happens with ED patients all the time coming to us. It's infuriating. I do as much as I can do. I don't think a policy is fair because sometimes I can get someone with an hour left in my shift...
  8. Swellz

    Sepsis Screening?

    You call an RRT with every SIRS alert? Or do you just have to notify them so the patient is on their radar? We have a dedicated RRT nurse, and they keep track of everyone on the SIRS watch
  9. Swellz

    IVP pain med safety

    I don't think our doses are crazy. It's normally 1 or 2mg q4, although of course some people need more. How much do you
  10. Swellz

    IVP pain med safety

    And thank you to everyone who brought up the security aspect. I genuinely never thought about that when hanging a narc. Naivete I guess. Now we're going to have a battle between those who want to push...
  11. Swellz

    IVP pain med safety

    Thanks for all the replies. As it turns out, ACLS was added to the story somewhere along the grapevine, and completely unrelated to our being allowed to do it or not. Silly me for thinking something...
  12. Swellz

    Nurses with ear piercings

    Nobody is going to care about the earrings as long as they are small. Visible tattoos are a different story. It will depend on your facility's policy and how much it is actually enforced, which you...
  13. Having to work 6 months to cover the cost sounds like something you'd have in writing. Make sure you didn't sign something in the event that you have a financial penalty for leaving early. If I were...
  14. I was a retail pharmacy tech, an office assistant in my PCP's office, and worked the floor as an extern before nursing. I think all jobs/life experience can teach us qualities we need as nurses, but I...
  15. Swellz

    Legally how many doses can a nurse hold?

    I always text the doc if I'm holding a med, unless it is insulin. Or the bowel regimen they never d/c'd on my patient with diarrhea
  16. Swellz

    FLAME ON!

    I spent a great deal of time reading every post on this thread and I think I am a better person for
  17. Swellz

    Recognizing Excellent Performance

    I agree with caliotter; if you really value me, show me with a raise! It would be nice for my income to rise with the cost of living. We have the Daisy and other awards you can nominate nurses for....
  18. Swellz

    Stuck in a rut..

    If I were in your position, I wouldn't mention it. If you should be fortunate enough to get a job offer from the hospital, make sure you have it in writing before you leave the
  19. Swellz

    Wound care at your facility

    Staff nurses do wound care, including wound vacs, unless we have specific instructions that surgery will come change the dressing. We consult the wound care nurse to get orders or recommendations, but...
  20. Swellz

    Weighing 2 very different job offers

    I would think the LTC is more in line with building your skill set and knowledge base. If your concern is future employment in a hospital, I'd think a manager would rather hire someone with the peds...
  21. Swellz

    Mean Nursing Instructor

    Please tell me there are more stories like
  22. let the best nurse
  23. We just started clocking in, and any deviations from our normal schedule are documented in a book. I get a lot of dirty looks from management when I write that I didn't get a break but I document it...
  24. My orientation was two weeks shorter than it was supposed to be. It just got to the point where the set up of orientation wasn't going to help me more than diving in. It really depends on your comfort...
  25. Swellz

    Want advice from experienced oncology RNs

    I agree with Asystole that there's a lot of medsurg in oncology. As long as you have appropriate support and training there's no reason you can't excel there as a new