shelbs3

Hi, I am beginning to look for a new job and I have about 2.5 years experience. When looking for a new grad job I mostly used Indeed.com. I have tried others like monster.com and simplyhired.com but almost everything that comes up is a travel assignment or a temp job and I am looking for a FT permanent position. Any tips to filter these types of jobs out? What are your favorite search engines for finding a new job? Thanks!

As long as we can get blood return from a PIV we will use it for all labs except for blood cultures. I realize this is not the case in adults however and I am not sure why. I am all about avoiding a poke for my patients and I'm sure adult patients feel the same way! I agree with anon456, if the patient is going to need access for a while a PICC is the way to go. So much easier then messing with a PIV. Most of the time the docs are willing to listen to us when we ask about getting a PICC for a patient but from what I have seen it is definitely nurse driven as far as bringing it up. I think they tend to forget that each new IV is generally a traumatic experience for our little guys so when we tell them we had to replace the IV 3 times in the last 2 days they don't always understand what drama that caused for everyone involved.

I would love to see the outcome of an EBP study for this but personally I prefer my PIVs to have something running. Partly for the reason that wooh mentioned-less anxiety but I also feel like keeping something running keeps the IV good for longer. I have also noticed that it is much easier to get a blood specimen from a PIV that has had something running vs a saline locked one. Personally I have not had a problem with my IVs getting yanked out but have had quite a few infiltrate or refuse to flush. We consider any IV causing any pain or discomfort to be infiltrated and we pull it so this is what causes the need for a new IV most of the time. Im not always convinced that an IV causing discomfort is infiltrated but this is our policy.

I'v only worked for about a year but this is a frequent topic of conversation on our unit. I work peds heme onc and one of the nurses who has been there for about 20 years said one of the biggest changes she has seen was the use of zofran. She said before they started using this drug they pretty much snowed the kids with benadryl and ativan during chemo to combat nausea and that they didnt even have a playroom on the heme onc floor because they really didn't need it because the kiddos just slept. Now most of them are busy busy! Also the nurses use to mix the chemo on the floor and it is now mixed in pharmacy. They also use to hang it without chemo gloves or gowns and without a phaseal system (protects chemo from dripping on us basically).

Last week I walk in to get report and I overhear one of the nurses say "she screams every time I walk in the room, it's going to be a nightmare trying to give her IVIG with all those vitals tonight" I tell her oh is that room ***? Because I have her. she goes "oh boy I didn't mean for you to hear that. " Ha ha and sure enough it was a crazy night.

I work in peds heme onc and we still use that exact refractometer. Our kiddos need to reach a very specific spec grav in order to start some chemos and they tell us our clinitech urinalysis strip reader just isn't accurate enough. It always grosses me out a little having pee so close to my face.

while my grandfather was in the hospital recently he had a doctor come in while myself, my mother (who is not a nurse) and my grandmother (who was a nurse) were there. He was explaining a procedure they would be performing on my grandfather and we were all listening. He stops mid sentence and says " are you two (pointing to me and my grandmother) nurses?" Busted without having even said a word! My mom though this was hilarious. Apparently we were looking like we were following what the doc had to say a little too easily. I was so surprised he picked up on it so easily!

As someone who works in peds heme onc I can completely relate to the reaction you get from other people. When I got my job it was at my dream childrens hospital in a unit that I was excited about. I was shocked how many people just went on and on about how horrible it must be for me!! On the other hand I have some people who gush and say things like " bless you for doing what you do and thats just so great that you cure the sick kids!". This reaction is also awkward for me as I have no idea what to say and can hardly take credit for "curing" them. In many ways this is just my job and although I care for my patients deeply in the end it is my job and I don't deserve or want credit or attention for it. I have taken just to say that I work at XXXXX hospital and leaving out my specialty. If they ask I will tell them "heme/onc" and sometimes they don't know what I mean by that. If they start talking about how sad it is I try to say something like "it's sad some days but most days I really enjoy it" and change the subject. Hopefully with time I will figure out how to deal with this situation with more tact.

I am a newer peds nurse who works on a peds heme onc unit and primarily deal with central lines and ports. I have recently been floated several times to different units which primarily have IV access. I am able to identify IV infiltrates on the older kiddos but have been having difficulty identifying infiltrates on the babies,especially if they are a little chubby. Obviously if it will not flush, the baby cries when flushing ect then I know its bad but other wise I have a hard time telling. I recently had a baby who didn't cry when flushing or touching around the side and the surrounding site was not cool to touch as it sometimes is with infiltrates however when we looked at the IV at change of shift the nurse thought it was slightly swollen. I didn't think it was however after removing the armboard and dressing it clearly was. I felt horrible that I didn't notice it but her arms were so chubby I really didn't see it. It was not a bad infiltrate however I do not want this to happen again. Any tips/tricks advice? thanks.

Hi all, I am a recent new grad. I graduated in May 2012 and landed a job at my dream hospital working in peds heme onc. I always knew I wanted to work in peds but never imagined I would be working in heme onc. I have been working since July and off orientation since mid October. When I am at work it is stressful at times but I am feeling more and more comfortable every day. I have had a few rough nights but I think that's true for everyone. The issue I am having is that since I have come off orientation I have anxiety the few hours before I go to work and the night before I start a string of shifts. I have trouble sleeping before my first shift and if I wake up I start obsessing about work, thinking about what patients I will have and if I will be able to handle them and I can't go back to sleep. I get butterflys in my stomach and I get grouchy. Its like I can't take my mind off of worrying about work and enjoy my last night off or relax for a few hours before that first shift. Once I am at work and settled it gets much better and I usually do not have much anxiety going back the next night but that feeling of anxiety has started happening earlier and earlier on the day/night before. It seems to be worse when I have had 4 or 5 nights off in a row than if it has just been a few days. I thinks part of the problem is the constant switching back and forth from days to nights has not been easy for me but unfortunately it will be at least another year before a daytime position will open up for me. It is not to the point where I feel I need medication or anything. Has anybody else dealt with this? Did it go away with time and experience? Any advice? Sorry for the long post I am just looking for advice on this issue. Thanks!