Buckeye.nurse

Buckeye.nurse

Hematology-oncology

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All Content by Buckeye.nurse

  1. License by Endorsement Ohio

    I was originally licensed in North Carolina, and then moved to Ohio about 6 years ago. I don't remember the exact time-frame, but I was offered a position in December, and moved to Ohio in January....
  2. Biological Monitoring of Onc Nurses

    We don't mix our own chemo. It comes up from the pharmacy with tubing attached and pre-primed. All we have to do is connect it to the patient's IV access device. To further protect ourselves we...
  3. When patients ask you about prognosis

    I usually reflect the question back on them. I say things like "How was your treatment plan explained to you?" or "What are your goals for care?" If it's their first round of chemo (I work on a...
  4. Evidence Base Research Shows...

    Evidence based research shows that 99.5% of nurses doing searches for evidenced based research are in school. Evidence based research shows that managers are 580% more likely to be out on the floor...
  5. Rapid Response

    I don't--I work on a hem-onc floor. Our patients are sick, but aren't considered progressive care. Our STAT nurses are a godsend though when I'm worried about a patient. From the conversations...
  6. Crackles

    Don't forget to check your patient's intake/output trends when you are concerned that fluid overload is causing crackles. Is your patient several liters positive over the last day or so? Do they...
  7. Rapid Response

    Do you mean that you are interested in becoming a STAT or resource nurse? That is who responds to rapid response (or ERT--emergency response team) call at my facility. These nurses are expected to...
  8. Potassium Level

    I think cleback nailed the reason the doctor wanted to be notified. The medical team missed the fact that a patient with a borderline high K level was still getting potassium replacement. Nurses are...
  9. Keeping experienced staff!!!

    I read it as "I feel ill". As in, this medical elevator music is making me nauseous
  10. Keeping experienced staff!!!

    I'll echo what mmc51264 said. I've been at my current employer for 6 years. There's not much happening above me on the seniority list. Every now and then someone retires, or decides to go to the...
  11. If you could redo it....would you choose nursing?

    The poll isn't working for me Anyway, just wanted to comment that YES, I would choose nursing again. Anytime I ponder what I'm doing in 20 years, it doesn't always include my specific bedside...
  12. Pressure Ulcers and Sterile Technique??

    Check your facility's policy/procedure. With that being said, both major hospital systems that I've worked for use clean technique for routine dressing
  13. Did you contract anything from a patient?

    I'm pretty sure you are talking about meningitis scuba nurse. We've had a few patients test positive before isolation was initiated, and anyone who had contact had to report to employee health....
  14. Did you contract anything from a patient?

    Nurses may or may not have gotten flu or other respiratory bugs from patients. That kind of thing is hard to tell on (since there are so many people in stores, restaurants, etc. who are also sick)....
  15. Charting Bloopers

    Thank you so much for making my day!!! The visual image is too much
  16. removal central line

    Any patient's risk of infection is generally higher while the CVC is *still in*, not during the act of removal. Hand-washing, cleansing the site prior to removal, and covering with a sterile dressing...
  17. I agree with other posters who suggested observing a more experienced nurse. Is there a charge RN who could assist you the first time or two? Don't discount respiratory therapy as a resource in this...
  18. night jobs for potential nurse student

    Working as a patient care tech (or an equivalent type position...there's more than a few names for nursing assistants) is a GREAT job while you are in nursing school. You have the chance to build...
  19. Should nurses be able to listen to music at work?

    I've worked on several units in my nursing career that play music in the med room/supply room--usually top 40 hits or adult contemporary type stuff. It's a nice break for a few minutes from the chaos...
  20. Suicide screening for all is not needed

    JKL33, I understand your point of view better after the last post. Thank you for taking the time to explain things from an ER nurse perspective. I've always worked as a floor nurse. We get at most...
  21. 1 LPN to 75 Residents

    I agree with everything Davey Do said. My only added piece of advice is to quickly check your state regulations. My only experience with LPN nursing (before finishing my RN) was at an LTC in South...
  22. bedside CPR alerts

    I suspect that this topic is state specific. In Ohio, we have two different categories of DNR--DNR comfort care, and DNR arrest. There's an interesting PDF on our state's laws concerning DNR here....
  23. Was I wrong?

    I'm going to echo everything that was already said. YOU were the one clocked in, and it was YOUR license taking care of those patients. 6.5 hours is more than just "watching" or "covering" patients...
  24. This sounds like a very interesting study KatieMI. I have cared for patients that matched that description when I worked on a general med-surg floor...particularly with diagnosis of COPD, Crohn's,...
  25. Suicide screening for all is not needed

    I agree that the nursing admission database can feel cumbersome at times. This is one question that I never skip over though. I've been surprised before at people who have answered yes to a...