Buckeye.nurse

Buckeye.nurse

Hematology-oncology

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All Content by Buckeye.nurse

  1. Switching from nights to days

    Hopefully your manager gave you at least a few days off between the shift changes. I do think the switch to days is easier on our bodies than trying to switch to nights. With that being said, it...
  2. Taboo: 10 Things Nurses Should NEVER Say!

    I make it a point to request to be off work on every Friday the 13th :) I do think that confirmation bias plays a significant role in superstitions...but I'm not taking any
  3. Magnet status...yay?

    I'll add my voice to the posters that say they love working at a Magnet hospital. We became magnet certified in 2013, and are in the process of being re-certified. Focus on NDQI (nurse driven...
  4. Nurse preceptor - incentive pay?

    Prior to my current position, I worked at a large teaching hospital in North Carolina where we got $1/hr to precept. Here, we don't get paid to precept. However, we are union, and have very...
  5. Commute Time

    I live 35 miles from work. My radius limit when my husband and I decided to buy outside the big city was 40 miles. It's not bad, and I greatly prefer my drive to either A) paying for housing close...
  6. Sometimes the five rights make us look dumb

    Maybe confirm with the patient that their name and date of birth on the wrist band is correct at the start of your shift, and then visually match their wrist band to the medication before you hang it?...
  7. Unit Clerk/Secretary entering Vital Signs in EMR

    Yep, what MunoRN said. The unit clerk entering vital signs is fine as long as they are charting who took the vital signs. About 7 years ago our EMR wasn't fully implemented. Doctors still wrote...
  8. I would assume that you are mixing each dose separately, as each dose is going into a separate 50 ml mini-bag. So just focus on the 1 mg for the dose you are giving. Hope that
  9. I can't speak as to the tourniquet question, but I can answer your question on chest compressions. Just a touch of background--I am a BLS instructor with the American Heart Association, and teach the...
  10. Safe injection sites - Philly

    I don't know...that's a tough one. Drug use is a fact of life, and quite frankly, the "war on drugs" isn't working. I am for needle exchange programs, especially when the programs link users with...
  11. Care of Heme/Onc patients on General Pediatric floor

    I would start with focusing on neutropenic precautions. There are some great guidelines on ONS, as well as the Leukemia and Lymphoma Society. The latter has great educational materials for...
  12. When is it appropriate to wear scrubs?

    My only thought is to stay away from solid navy blue scrubs. This is the mandated scrub color for RNs in several states (including mine). Scrubs in black or tan are definitely safe. Hospitals in my...
  13. Nurse-patient relationship

    I agree with Triddin. I teach my patients all day, every day. Sometimes it is a formal sit-down session (new line, new drain, first round of chemo, etc.) Much more often it is done informally as I...
  14. childcare 3rd shift

    Try calling your local chapter of United Way. Sometimes, (at least when I was living in South Carolina), they have a list of certified/licensed home day cares that offer evening and night shift...
  15. Nurses smoking weed?

    Right, and there are plenty of people who drive after taking oxycodone, Clonazapam, flexeril, compazine, etc. (all meds which medical marijuana can replace). They *hopefully* have found which levels...
  16. Success with going back to old career?

    And here I thought I was the only one!!! Candy striper at age 14, then CNA from 18-24, and then RN since then. I think nursing is in my blood
  17. When to give Narcan??

    This is a hard situation when you have a critical care nurse and your charge nurse telling you to do something. Did you also page the doctor? That's usually a good action to take, even if you have...
  18. Fall prevention

    Over half of the falls on our unit have been assisted (patient is walking to the bathroom and knee buckles, or they become weak). We use gait belts and bedside commodes as appropriate to help with...
  19. Correct way to draw blood?

    We use PIVs to draw labs if possible to avoid additional sticks on our patients. I work on a hematology oncology floor, so our patient population generally have poor veins, and are thrombocytopenic....
  20. BSN or Associates Degree

    Some online programs are diploma mills to be sure. Many accredited universities (like mine--Ohio State), have online versions of their programs though. The OP should make sure *any* school they...
  21. Is it a medication error if...?

    I can see several instances where what you are describing could occur if a patient refuses the medication. On my floor this happens most often with heparin, colace, and senna. If the package is...
  22. 2018 Nurse Salary

    Location--Central Ohio Experience--13 years. I'm certified in my specialty. Specialty--hematology oncology Facility--regional teaching hospital Base pay--$34.09 (includes 3.5% certification pay)...
  23. First Code blue

    First of all, great job noticing your patient needed help and calling an ERT! Second, first codes are never easy. I'll never forget the first time I had a patient who coded. Emotional distress is...
  24. BSN or Associates Degree

    Having your BSN makes it much easier to get in the door for interviews, especially in competitive areas. My employer has yes/no questions on the application, one of which is whether or not you have...