blackdiamond407

Latest Activity

1. Oncology Nurse Administering Chemo - What affects can this have on our health?

   blackdiamond407 posted a topic in General Nursing

   I have been working on an oncology unit for 2 years and I love it. I really love my patients. I do administer chemo but it's maybe once a week or so. I am contemplating a slight change in career - I...

2. What to Do When the Doctor Throws the Nurse Under the Bus by Lying

   blackdiamond407 posted a topic in Patient, Colleague Relations

   I received a pt with an order to transfuse if hemoglobin drops below 8. When the blood was drawn for the pt, the hemoglobin was 7.3 so I was preparing to start a blood transfusion when I noted there...

3. Holding medications - When to call doctor?

   blackdiamond407 replied to blackdiamond407's topic in Patient Medications

   Thank you all for your insightful responses. They are all truly appreciated and have given me a lot to think about. Regarding LTC and acute care, I believe that the rules regarding care are the same...

4. Holding medications - When to call doctor?

   blackdiamond407 posted a topic in Patient Medications

   I worked in sub-acute for 7 months and I have now been in acute care for 2 months. A friend of mine told me I should be more careful when I hold medications and I am a little confused about when to...

5. Anxious Patient, Possible Biliary Drain Dislodgement, and Nervous Nurse-HELP!

   blackdiamond407 replied to blackdiamond407's topic in First Year After Licensure

   Thanks! I think you are right. Sometimes an anxious patient can make you anxious, especially if you are still in the learning process. I am quite sure that her tubes were not dislodged as the patient...

6. Anxious Patient, Possible Biliary Drain Dislodgement, and Nervous Nurse-HELP!

   blackdiamond407 posted a topic in First Year After Licensure

   Hello All! Advice desperately needed. I am a nurse of 5 months working in sub-acute care and I still have a lot to learn. I was changing the dressing on a pt's biliary drain the other day. The tubing...

7. New Grad in LTC - Should I Stay or Should I Go Now?

   blackdiamond407 replied to blackdiamond407's topic in First Year After Licensure

   Violetsmom, I agree with you. In the beginning, I felt that the comment had bad intentions. I thought about it a great deal, though, and figured that if the supervisor really wanted to get me in...

8. New Grad in LTC - Should I Stay or Should I Go Now?

   blackdiamond407 replied to blackdiamond407's topic in First Year After Licensure

   Ruby, I think this is great input. Walking away from my conversation with my supervisor I felt as if I were being spied on but I agree that it must be normal for new grads to be watched and now that I...

9. New Grad in LTC - Should I Stay or Should I Go Now?

   blackdiamond407 replied to blackdiamond407's topic in First Year After Licensure

   Thanks. He said that even though the MD was notified, there needed to be a nurse's note stating that the MD was notified. That is the reason as to why I am being watched apparently. I realize the...

10. New Grad in LTC - Should I Stay or Should I Go Now?

    blackdiamond407 posted a topic in First Year After Licensure

    Hello All. Seeking advice regarding my job. I have been working over 5 months as a new grad in LTC/sub-acute facility. I work on a cart that has a mix of sub-acute patients, LTC patients, and hospice...

11. Insulin Administration: Standing and Sliding Scales

    blackdiamond407 replied to blackdiamond407's topic in Patient Medications

    Thank you all for responding. If the BS is close to 60, I would personally call the doctor. Usually on our sliding scale orders it says call MD if sugar is 400. This particular patient has had a poor...

12. Insulin Administration: Standing and Sliding Scales

    blackdiamond407 posted a topic in Patient Medications

    Just a quick question regarding insulin administration. I work in a LTC facility. Most patients have two orders for insulin administration: a standing order and a sliding scale order. The standing...

13. New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    blackdiamond407 replied to blackdiamond407's topic in Geriatric, LTC

    These are all very good points. Here I Stand, you have some very strong points. My major concern is that I do not want to be a "yes" woman and endanger my patients. The staffing issue at my facility...

14. New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    blackdiamond407 replied to blackdiamond407's topic in Geriatric, LTC

    Thank you all for the feedback! Mhy, I'm not sure if working a shift and a half is an option but I will definitely ask so that I will know in the future. I think a 13 hour shift would be much more...

15. New Grad & First Job in LTC - Lots of Overtime/Doubles - How Much Is Too Much?

    blackdiamond407 posted a topic in Geriatric, LTC

    Hello, New grad with my first job in LTC. I was offered very generous salary and a full time position. I am to get every other weekend off and full time hours. On weeks that I do not have weekends...