Buckeye.nurse

Buckeye.nurse

Hematology-oncology

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All Content by Buckeye.nurse

  1. Use of Ultrasound Guidance for PIVs

    I work in hematology, so most of my patients who have an active treatment plan have some sort of central line. We have a 24/7 ultrasound team available for consult though (part of our float pool)....
  2. Chemo for hospitalized patients.

    I'll do my best to answer your question! I work on a hematology floor--leukemia, lymphoma, and multiple myeloma patients--so we give a TON of chemo. We attend a basic oncology, basic chemo, and...
  3. "That's a myth about nursing"

    There is a pretty severe shortage of *experienced* nurses in Ohio. Many hospitals now offer sign on bonuses to experienced nurses, and one hospital in southern Ohio just recently advertised a $5000...
  4. How long have you been a nurse

    I've been a nurse for 14 years. I don't remember anything nearly as interesting as some of the previous comments....but there was a smoking room for patients at one of the hospitals I had clinicals...
  5. Advice for new grad RN entering oncology med surg floor?

    I second everything that Ruby Vee said. As far as formal organizations, the Oncology Nurses Society is something to definitely look into. They have a lot of online resources, as well as monthly...
  6. We routinely wear double gloves when administering chemo, or handling body fluids during the chemo precautions time frame. I've never seen double gloving as part of routine PPE though. Here's a link...
  7. Refeeding syndrome

    Another real life example is an adolescent psych floor which specializes in Anorexia Nervosa. Patients are generally on telemetry, and require close monitoring due to the potential for severe...
  8. Patients & Pet Peeves

    My most memorable pet peeve is from my pediatric days. I couldn't believe the number of parents who thought it was appropriate to sleep in negligee....and even walk around outside the room in
  9. What are the top 5 medications YOU administer daily?

    It's hard to say for sure what the top 5 meds I give are, but the most likely winners are prednisone (part of the treatment plan for almost all our chemo), colace, acyclovir PO, protonix, and heparin...
  10. Charge nurses vs. Asst nurse managers

    There was a similar set up at my previous employer. It actually worked really well there. I worked on a 24 bed pediatric unit. We had 4 assistant managers (2 on day shift/2 on night shift). They...
  11. Every 3rd weekend

    Our union contract stipulates that all nurses must have 4 weekend days off per 4 week schedule (so basically the same as every other weekend, but it allows the nurses the flexibility to request off...
  12. When You Fail Your Arrhythmia Test

    Med-surg nurses at my employer are also required to take a yearly competency test. If we don't pass, then we are required to take an 8 hour telemetry class (offered by our education department) which...
  13. Should I be totally honest in my interview?

    Be somewhat honest, and say that you have researched the reputation/mission statement/reviews/etc. of the hospital you are applying for full time, and feel that their goals are a better fit for you...
  14. Ohio Bill Focuses on Protecting Nurses From Mandatory Overtime

    Pretty much everyone I know doesn't like mandatory overtime. It has the potential to create unsafe situations (ie. falling asleep at the wheel)--especially if the nurse is back for a 12 hour shift...
  15. How to relax after a bad shift

    I like to blare my favorite band on the stereo system on my way home. Working out helps too. I love the endorphin
  16. Hospitals that offer WIP

    I worked Baylor shifts/schedule at my previous employer while my daughter was younger as it helped my husband and I avoid childcare costs. My pay and vacation time was practically identical to what...
  17. Long hair at the bedside

    I have long hair, and almost always wear it up in a high ponytail or bun. I don't know that it's in the dress code though, and I've seen other nurses at my place of employment wear their hair down,...
  18. We seem to have the most problems with "air in line" alarms with our EPOCH infusions. As it is chemo, we do everything humanly possibly to avoid breaking the line. The alcohol trick that LaughingRN...
  19. Three 12s vs Five 8s

    Viva, I am working 4-8 hours of OT/week now while my body is young so that I can build my savings and go to 32 hours a week on my 50th birthday. I'm looking forward to 4 8's per week! And preferably...
  20. Give LTC a chance, or get out now?

    I worked as a CNA in a long term care facility during nursing school. We were able to sit for the LPN boards prior to the last semester of our nursing program. As it was a pay raise at the facility...
  21. new nurse advice. screwed up?

    What are your notification parameters? For our patient population, most providers want to be notified for a SBP Those are minimal guidelines though. I'm more concerned about trends, deviations from...
  22. Where to start ? ONC

    Medical-nursing knowledge is a great foundation for any specialty...including oncology. Ruby Vee's advice was sound. Focus on understanding the pharmacology, pathophysiology, and treatment of the...
  23. How did she/he get through nursing school?

    I wish there was a love button for this! Sometimes asking a provider, and talking through the rational brings the whole clinical picture together and helps us nurses understand the treatment plan....
  24. Dropping the "Nurse Card"?

    My story actually has nothing to do with driving or police/troopers. But I did pull the "nurse card"! One of the classes required to complete my RN to BSN was a literature elective. I (naively)...
  25. New Grad in Onco/Heme/BMT Unit.

    I'm glad you found it helpful. Welcome to the world of Hematology, and congrats on your residency position!