Buckeye.nurse

Buckeye.nurse

Hematology-oncology

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All Content by Buckeye.nurse

  1. How to handle the tough questions from patients.

    I work on a hematology-oncology floor. Sometimes patients need a safe place to vent. One of my friends recently went through her own battle with cancer, and she shared a quote that I absolutely...
  2. Charge Nurses Who Micromanage

    Maybe respond with something like "Thanks for checking in on me. "X" interventions have already been done, I'm working on "Y", it would be a big help if you could do "Z". Is there anything else I...
  3. Policy help

    I agree with having input from risk management prior to implementing a waver. From what I've seen, wavers generally include something about the dangers of oxygen tanks when getting "fresh air". I've...
  4. Early sign of UTI in the elderly, urgency or confusion?

    I agree with SourLemon. Daily weights are useful for monitoring fluid overload, and the therapeutic effects of diuretics (or the lack thereof)...but I agree that patient assessment (including skin...
  5. "Sharing Humour"

    My husband and I had issues with infertility. On our first consultation meeting with the specialist, he pulled up my pelvic ultrasound. There was a big arrow the radiologist had used to point to an...
  6. "Fighting" Cancer

    I just wanted to add that from my experience in hematology, our patients fighting Leukemia, Lymphoma, and Multiple Myloma all fight for various reasons. Some are fighting to get into remission so...
  7. I'm assertive pretty much every day I work. Some days the communication is with a doctor (often for a patient who is declining and needs interventions such as the situation KelRN described). Some...
  8. "Sharing Humour"

    Humor, when used correctly (know the context and your audience), can be very beneficial. I generally don't use humor until I know my patient well (think 6+ hours into the shift), and know whether...
  9. The pain scale has been harmful

    My employer recently introduced the Defense and Veterans pain scale. There's a link to the graphic embedded in our flowsheet that we can show patients. I like the additional questions on the back,...
  10. Wearing gloves with HIV positive patients

    Thanks for the suggestion. I will add that documentary to my mental "to read" list as
  11. Going into nursing with a bad memory?

    Have you mentioned this concern to your primary care provider? I'd suggest starting there. I wish you well as you sort this out and start your nursing
  12. Relocating to Columbus after ADN - Opinions??

    I'd also like to offer a word of encouragement. When I moved to Ohio 6 years ago, it was tough to get into hospitals without a BSN, unless a nurse was experienced with great references. Now the...
  13. Insulin/glucose checks

    You're not wrong. Waiting until morning hoping the blood sugar would go down could lead to a bad outcome for the patient. You acted prudently by re-checking, and calling the provider again. Sour...
  14. Dealing with Stress at Work

    Funny you asked Davey
  15. Wearing gloves with HIV positive patients

    Like Penelope, I graduated from nursing school in 2004, so caring for HIV/Aids patients has been part of my entire nursing career. I agree with the *many* previous posters who have commented that...
  16. Condom snorting

    This is usually just preceded or followed by the phrase "Hold my beer!". Oftentimes also followed by a trip to the
  17. Advice for the young.

    I think all of us on here talking about errors we made prove it is not the end of your career. My advice still stands--as long as you learn from it, and apply that knowledge going forward, then you...
  18. Advice for the young.

    I just want to point out that an error of omission can be just as serious as an error of commission. Like not.done.yet, my first error was an omission. I was a newly minted nurse, in my first few...
  19. Best choice for emergent desaturation in COPD

    I agree with Offlabel after reading your post a second time. If a patient is not just hypoxic, but also *unresponsive*, it's time to call a code before they decompensate further into cardiac
  20. What do you do with your wedding ring?

    Davey Do, I should know by now not to drink anything while reading your posts. :) On a somewhat related note, during my 7 year pediatric gig, we sometimes got floated to the NICU. Policy there was...
  21. Advice for the young.

    As long as you learned from it, and are applying that knowledge to your practice moving forward you should be just fine
  22. Will marijuana ever be okay in nursing?

    There isn't really any clinical trial level evidence for marijuana currently. Just tons of anecdotal evidence--which a BON shouldn't and isn't going to use. That's why one of the points of the...
  23. Will marijuana ever be okay in nursing?

    Just a few other thoughts :) Here's the American Nursing Association's official position statement on marijuana: "Professional nursing organizations need to advocate for all nurses and to advance...
  24. Will marijuana ever be okay in nursing?

    This topic has come up on Allnurses what seems like 420 times At this point, I personally think that choosing to use marijuana is a risk to one's licence. Whatever your personal views are on the...
  25. How much PTO does everyone get?

    I'm not sure the exact formula, but something like 4 hours of vacation time every 2 week pay period (I've been there 6 years). The time off scales with senority. Our cap is 240 hours of vacation....