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Oncology, Medicine

Second career Oncology RN, OCN

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INN_777 has 6 years experience as a BSN, RN and specializes in Oncology, Medicine.

Oncology RN with in-patient and out-patient experience.

INN_777's Latest Activity

  1. You have what it takes! With IVs, scary as it might be and frustrating, the more you do the better you get. I started my nursing and oncology career inpatient and barely had a chance to start IVs, most of our patients had central lines. I had huge anxiety about IVs when I transitioned to outpatient, but after a year or two became a "go to" to tough IVs. You are not born with it, it's all practice.:) Do not worry about knowing all about chemotherapy. You will have orientation and likely some classroom training. But mostly, you will learn about various chemo regimens in infusion by giving them. You learn practical details, related to safety, administration and typical regimens for various types of cancer, not necessarily mechanisms of action, rationale for a regimen. In a very busy infusion clinic you just don't have time to dig. Having now worked in both inpatient and outpatient, I recently took a role as a Nurse Navigator and NOW I am learning more of the big picture - how folks get diagnosed, how regimens are chosen, what patient's journey is like through treatment. Each type of oncology nursing contributes a piece of the "puzzle" of your growing body of knowledge and understanding. Enjoy the transition!
  2. INN_777

    What to charge for chart review/opinion?

    Thank you. Reviewing the case for now. Not sure if there will be any development thereafter.
  3. Hi all: I've never done legal work as an RN and have just been approached by a legal services company to review records on a brief case in my specialty (Oncology) and offer an opinion. I will need to get back to them on the hourly rate and possibly how many hours minimum. This is completely out of the blue and I wanted advice on reasonable rate/hour minimum. They said folks charge between $150 and $275 an hour. Would love to get your thoughts. Need to get back to them in a day or two. Thank you!
  4. INN_777

    OCN Exam Insight!

    Hi all, also studying for this exam. Are there select all the apply questions on it?
  5. INN_777

    Mission Health & other agencies in West NC

    We recently toured the area and visited Waynesville (great) and Weaversville (wonderful). Good to know you like it. Waynsville just seemed a little far but this all depends on where work is, I guess. Haven't been to Swannanoa but loved the name;) CNA ratios are definitely in the high side. But nurse ratios seem reasonable and similar to my employer here (a major teaching hospital). I am in Oncology here and we are max 4. Assume it will be similar over there, This all seems very positive! Thank you so much again!
  6. INN_777

    Mission Health & other agencies in West NC

    Hi Meowzers! Thank you for your very encouraging response! Not married to downtown and we have toured a few smaller cities like Weaversville and Swanannoa - liked it. If you don't mind me asking, in what town did you land? Also, what are the nurse to patient ratios @ Mission? Thank you so much again!
  7. INN_777

    Nursing in NC - considering moving

    Thank you for your response. I've never heard of intermediate ortho. What level of care is that? Is that an ortho stepdown (never heard of that either)? Want to clarify, because if this is a regular ortho floor then 4-5 is reasonable. If it is more like a stepdown, 4-5 is very high. Thanks, Y
  8. INN_777

    Nursing in NC - considering moving

    Thank you so much for sharing, guys! How are the staffing ratios?
  9. INN_777

    6 Resiliency Tips for Your Nursing Staff

    Exactly! Thank you! Employers, please stop talking to me about stress management and self care while understaffing me, underpaying me and working me to the ground! Just stop! (This comment is definitely not directed at the OP, but the post inevitably reminded me of all the talks and workshops about stress and self care at my places of employment, which feel very disingenuous in the setting of ever increasing nurse to patient ratios, benefit cuts and constant understaffing).
  10. Hi all. I just started my MSN-FNP program while working in acute care (Oncology/Medical). When I graduate, I want to work in primary care. I've been and RN for 1.5 years, all in acute care. Great experience, but I am considering staying in the hospital setting for another 0.5 - 1 years and then switching to a job that would give me more exposure and preparation for work in primary care. I wanted to ask for ideas for such jobs. Seems like RNs in doctors' offices take on almost a more administrative role with not too much clinical skills involved, at least in my observation. Are there any jobs where you can be clinically active and get good exposure and learning in primary care? Someone mentioned their work in a community center...Anything else? Thanks in advance.
  11. INN_777

    Leaving Bedside Nursing

    Seriously? All your patients are unappreciative? All your coworkers are backstabbing? And all the docs disregard concerns? I've been at bedside for almost 1.5 years (2nd career) and, yes, it is a tough job, but I find it also very rewarding? Maybe you were just in a bad workplace.
  12. INN_777

    NP interview questions?

    They basically want to know A) that you will be able to successfully complete the program and B ) that you are picking the right track. As such expect questions about your preparedness for the program, your strengths/weaknesses, how you handle feedback, your support system, etc to address A. And questions on your motivations for further study and your short term and long term career goals to address B. And, of course, be knowledgeable about the schools you are applying to. Hope this helps.
  13. INN_777

    FNP vs AGPNP

    Hi there. I recently went through the same dilemma. Most, if not all, APRNs that work as hospitalists on our floor (oncology) are FNP grads. That said I had interviews with grad schools recently and learned that students are prepared differently in the two tracks. In the FNP track clinicals take place almost exclusively on outpatient settings and focus on primary care. In Acute track most clinicals are in hospital settings and focus on getting patients from acute to baseline. So if you want to start in a hospital, you will be better prepared with an Acute Care track. You might still be hired with an FNP but you will be better prepared with Acute. The key here is not the setting but the focys on primary & preventive (FNP) vs. acute (adult acute track). That is my understanding.
  14. INN_777

    Help! Nursing 2nd Career

    I switched from (a long ) business (career) to nursing. Took me one year to get prerequisites done (while working pretty much full time) and one year of accelerated BSN. Total of 2 years. You just have to be prepared to not have a life for 2 years, but they flew by. Also, there are some schools that offer programs that go straight to MSN. However, it is a bigger commitment in time and money. And you have to be sure that you want to be specifically a CNM - many of them have you commit to that track right in the beginning. So, if you then start clinicals and decide another area of Nursing is more appealing, it might be difficult to switch. We had classmates from all walks of life in my accelerated BSN, including teachers. They all did well. You can do it, if you want it! Good luck with your decision! I am very happy I made mine:)
  15. INN_777

    Something Positive: Your 5-Year Plan

    Oh yes, yes, yes. Forgot to mention this important detail in my plan. Certainly a dream of mine:)
  16. INN_777

    Something Positive: Your 5-Year Plan

    My long term plan recently changed and, who knows, may change again, but here is where it is right now (I am a second career nurse with ~1.5 years of acute care experience, just accepted into an FNP program to start this Fall): Year 1-2: continue to gain clinical experience in acute care. Start FNP program. Start volunteering at least once or twice/month in a free clinic. Pick up some per diem work in a different area of Nursing (e.g. psych or home care) to explore and see what that is like. Year 3 - focus on finishing/graduating/boards for FNP (while working at least part-time) Year 4-6 get a job as FNP, learn the ropes of primary care Year 7- 19 continue in primary care, helping people live healthier lives. Focus on under-served populations. Travel with medical missions, such as DWB. Incorporate evidence based integrative therapies into my work (such as mindfulness, movement, aromatherapy etc). Year 20+ (I will be just past 65 then) - teach? Become a "wise woman" of the community ("What, that hurts? Go eat that plant!" kind of thing:)). Be a mentor. Write smth? Beyond year 7 is just a rough draft vision, a dream. Details TBD:)