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daniellenursing

daniellenursing

BMT, Oncology, LTC/SNF
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daniellenursing has 3 years experience and specializes in BMT, Oncology, LTC/SNF.

19 months LTC-SNF 18 months Med Surg Oncology Dec. 2016 starting BMT!!! Interested in BMT and Peds onc.

daniellenursing's Latest Activity

  1. daniellenursing

    What's In A Name Badge?

    Ive seen it go both ways. Funny enough, no one has told me I'm wrong for my badge saying RN, BSN, OCN (also what I do in emails and official documents). I am proud of my BSN. It means I made it and can rest easy From trying to get bare minimum in the nursing field (cause lets face it, acute care hospitals expect a BSN). And I am super proud of my OCN. I proved to myself I know I am in the right field and specialty as an oncology nurse. It gives my patients a good talking point and allows them to know that while I may not know everything, I have excellent resources to find the right and most evidence based answers. Next up: BMTCN! Now that I'm on a BMT unit :)
  2. daniellenursing

    Did You Know the Specialty You Wanted to Work In Before Clinicals?

    I knew I wanted to be in pediatric oncology. It's what got me into nursing school in the first place. I had five pediatric patients in nursing school clinicals and it was the best thing ever. However, once I graduated, I just couldn't get into Peds Onc or even Oncology. My first job was a nursing home. Not my cup of tea. I am just now finishing up 18 months on a Med Surg Oncology unit and I know I LOVE my oncology patients. It was a good place to start my oncology experience, but I have been constantly told I am not a good enough nurse to work with the high acuity oncology patients on our floor: leukemia, lymphoma, multiple myeloma. So, I went in search of another position. Both a broad range of only oncology positions, pediatric oncology, and blood and Marrow transplant. I am fascinated by BMT. as of today, I am moving to Denver to be a BMT nurse and I am psyched! Maybe one day I'll be a Peds onc nurse, but being a BMT nurse is going to be so exciting!!!! I knew I wanted oncology and I am sticking with it forever!
  3. daniellenursing

    ADN-BSN Programs

    I got my BSN through WGU. Very challenging, but worth it. However, while WGU does have a MSN, there are no grades attached to courses. It is competencies. So it may hurt your GPA and chances of getting into a competitive FNP program. You can always ask for program information from both places and find the best fit. I don't know anything about Gonzaga, but I know WGU is about learning new content and going at your own pace (within reason). Lots of supportive people, but it's all over the phone or emails, which was challenging for me. No matter which you choose, a BSN program is still challenging, and you do learn some valuable things. :) good luck!
  4. daniellenursing

    What is your dream unit?

    I currently work in half of my dream job, lol. Adult oncology. But my complete dream job is Peds Onco at St. Jude's Children's research hospital. However, I would dig any major children's hospital around the country for a Peds Hem/Onco position. slowly working towards it! I'm in Onco, gonna get my OCN once my year is passed, look into Peds at either my current hospital or move back home or be bold and apply to St Judes.
  5. daniellenursing

    Why don't you just read the chart?

    I ask where the IV is if it's a new patient to me because A: how many times have I seen an IV pulled out??! B: the chart is about 50% incorrect when it comes to IV site, gauge, and orientation. Sorry, but I want accuracy. It's not that hard to tell me they have a port, a central line, a PICC, or a peripheral in the left wrist that is infusing with NS at 50mls/hr, cause man when I get my first look on that patient I'm gonna assess per the chart, per report, per orders, and take into consideration the patients baseline and then changes in that baseline. How is asking about where an IV is and infusions associated with that such a big deal? How is my critical thinking and processing an issue when asking? I can ask any question I want. And ugh, don't get me started on the OP. While I can look at the ER chart before the patient comes up, I may not have time to. I need that report via phone at the least. The chart can be very inaccurate, when I'm sure in emergencies most medications aren't scanned via barcode, and even our rapid response team forgets to document a medication pulled emergently (so I come on five hours later to find it not documented via the MAR, but I do know it was given via the bedside report). I try to use the chart with report. It's what my preceptor taught me and guided me on. Because sometimes the chart is confusing. Like blood transfusion parameters, what's been treated (was potassium/magnesium/phosphorus replaced?). So much faster asking the actual person than looking in the chart. And mind you, I am a wiz on the computer. I am lightning fast on the computer, but retaining a ton of information is sometimes difficult for this clinically depressed brain!
  6. daniellenursing

    Now THAT'S a lab result

    BP 287/154. Alive. Diagnosis: stroke pt. And no BP meds in over a year... Pt still trending 180's/110's during NOC shift. Lowest was 160's/100's. Doc didn't want the BP to come down too fast.
  7. daniellenursing

    Now THAT'S a lab result

    WBC over 221. AML. Leukopheresis the next day, came down to 60. Then D-Dimer went to over 11, and the doctor was like "this is ok. Very sick pt. Continue current tx and chemo." I gave three units of FFP to them too! Incalculable INR - dying breast cancer pt. don't really believe the lab though (reasons. INR came back 3 next morning 0.o) However highest I've seen prior to that was 16. And they were very much alive. And not bleeding out. Always low Magnesium. Everyone and everything lol. I am new to the oncology world, and it just amazes me when ANC is 0 and WBC 0.3. Pt looked great too.
  8. daniellenursing

    Oncology Nursing Vent

    As someone who desperately wants to work as a Ped Onc Nurse - it's literally my dream. Oncology and children have been my passion since my sister's BFF died from a rare cancer - I understand how you feel in so many ways. I was disheartened when I did not get my focused practicum in oncology. I hate telling people I want to go into Peds Oncology because they just give me the look that says "You won't handle it" and then they say "That's going to be tough." I mean, it's like they have already written me off about my DREAMS. I usually just say "pediatrics" to avoid the conversation all together. My parents want me to be an ICU nurse because my mom is one. My dad doesn't think I'll even get into pediatrics. It's frustrating. They are happy I'm a nurse, but my dreams? Nope. When I do tell people I desire Peds Onc, and I get that look, I just say "Nursing is challenging, but very rewarding. I know what I want, but thank you for your concern." The people who tell me I can't do it or that it'll be tough - they don't need to tell me that. I - you - WE - as a human race KNOW that fact. Reality is reality. But that doesn't make the job any less desirable. That makes it more AMAZING. Oncology itself is fantastic. Oh, there will be and are bad days around the world - but every unit, every specialty, every NURSE has a bad day. It's up to us, up to everyone as an individual, to decide if they want to bring a smile to the world. Not to mention, sometimes I think the most exciting place to be will be once I am on a pediatric oncology unit. Kids have a childlike faith and play adults have forgotten. It's not sad. Handing you loads of kudos, bonnielilgirl :)
  9. daniellenursing

    Normal nursing grades..

    When I see a post on facebook from a classmate, or on tumblr, about "I got a B on the test :(" or what not - I kind of raise an eyebrow. People who freak out over a B make me weary, honestly. 4.0 are kind of hard to keep up. And one of my one classmates called me Brilliant just yesterday... lol. I have gotten C's before. My first C in my ENTIRE life was in Fundamentals of Nursing Practicum. Why? Because I got sick and missed one day of clinical - by ONE point I got a C+ and not a B-. I've been getting better in both theory and practicum, so I'm not worried about my grades. Getting anything above a C- is passing in my school, and I desire to pass. The GPA - it probably would look nice having a 4.0, of which I didn't have even BEFORE nursing school, go figure A&P and Micro, but I believe I can still get where I want to go with my grades. It'll only be seen probably by my first job anyway, and as long as I show myself true, I should be okay. And staying above passing is the point, not to get a 4.0 :) Best of luck!
  10. daniellenursing

    What Nursing school are you in? Show your pride!

    Walla Walla CC 2nd year nursing student - ADN program. Just gained my LPN this summer, next up: RN!
  11. I'm going into my 2nd year of a fantastic ADN program, just went through summer school for my LPN. My school uses angel, which is basically an online classroom, which helps supplement and communicate out of school - our lectures and lab and clinicals and the like. Before school started, I had my calendar for the quarter *for you it may be semester, but nursing school is basically the same - the first day is orientation, though you may start content. We just got adjusted to angel and the lab and got lab bags and told what was expected of us* The calendar was CRAZY detailed. It told of clinicals, when and where, lab times, groups, class times, the lecture for that class, tests, the class ID - everything. I got out five-six different highlighters *THEY WILL BE YOUR NEW BEST FRIEND! lol* and assigned a highlighter color to each thing: lecture, test, lab for my group, clinical for my group, book day *which wasn't all that useful. This is all I remember from my first quarter, lol.*, and important days - which were basically tests, days off, days on my calendar that were important, and skills test. Your first semester will probably be fundamentals. You gotta start somewhere. You might be terrified. I was so excited and mixed up I entered the wrong classroom, lol. Oops. But I got there in time. Surrounded by 72 other new nursing students, who are now some of my amazing classmates as we head toward the NCLEX-RN together. We have lost some, gained some. All experience. ORGANIZE YOURSELF. Period. Figure out what works for you and stick to it. Edit if you have to. I have edited over time how I organize myself, to better fit myself, but stick to something. Know what you need to read for the next day, and skim it. After a topic, find what studying helps you. I LOVED to answer questions. I used google. (this site is amazing: LearningNurse.com - Learning Nurse Tests and Quizzes ) Questions. Sometimes flash cards or your books or apps on a phone help. Find your hole. If you get the chance, make friends, have fun. Introduce yourself. Be awesome. lol. Be prepared for clinical and take EVERY opportunity in clinical. You may start out in a hospital, or a nursing home - skilled nursing facility. My school did. It was amazing, even after nursing assistant clinicals that summer before. Have a study group, unless working alone works for you. I work alone because I do best that way - sometimes. Identify what you need early for the best success. Ask questions. All the time. No question is stupid. Ask your teachers anything and everything - when it is appropriate. Your books are there for a reason. Use them. I have a TON of nursing books. But they are there for your use. You bought them - use them. They will become your second best friend after highlighters lol. I wish you BEST of luck! Always have a snack with you. Stay hydrated all the time. Dumb calculator *one that can add, subtract, multiple, and divide*, black pens, a notebook/paper of some kind, highlighters, and a smile. Take your learning in school seriously. You got there, make the best of it. And be proud of yourself. You got in. :) Don't forget to treat yourself. You will work hard. I live a mile off campus, because of going to a community college. No dorms. I try to exercise, but I'm lazy... especially after a 12 hour clinical shift, where I was on my feet the whole time. BTW: be open to ALL areas. My mom is an ICU/open-heart surgery nurse. I don't want to do either - peri-op is not for me *I missed that rotation because of snow and ice. Clinical was cancelled lol*. But be open to even the stuff you DON'T want to do. OB, peds, oncology, surgery, ICU, med-surg *you really learn a lot there*, ER, same-day surgery... mental health, community... everything. Have fun!!!
  12. daniellenursing

    IV Infusion Time!! Please please help!!!!

    The only difference between figuring out ml/hr and gtt/min is one uses hours and one uses minutes *plus the drop factor* The formula for ml/hr is: Total volume to be infused (say 2000 ml) / total time to be infused in hours (say 8 hours) = 250mls/hr. You have that one nailed you say. Okay, gtt/min. The one difference with these questions will be that you will have to use one more component: the drop factor. If you use this equation, you use the drop factor. You may get the drop factor for ml/hr questions, but that's just pointless info. You learn to discern necessary info from questions. :) So, this formula: Total volume to be infused (2000 ml) / total time to be infused in minutes (8 x 60min = 480min) = 4.1667 (don't round though. When using the calculator, just leave it and follow through the equation ) You have your 4.166666 for this equation. Say the drop factor is 20 (gtt). Times (x) that drop factor by your division answer (4.16666666). Round to the nearest whole number, and you have your gtt/min. gtt means drop. :) So your answer is 83.333333, but you are doing drops. Drops have to be whole numbers. It would be 83 gtt/min. Granted, you probably wouldn't have that drop factor, but it was just an example out of my head. Also, google is your best friend. Questions and help are out there. I hope you do well. Good luck :) *if you need further explanation, just ask. I'll check back up on this topic*
  13. daniellenursing

    passing NCLEX-PN

    Congrats, ksmith9! I too took my PN test just recently and found out two days later I passed. I also felt I had failed epically. 85 questions and I was sure I was answering most of them wrong. But they were hard - which is a good thing. I must have been answering right at one point, right? I hope and wish you the best of luck in your future education and career endeavors :)