blackdiamond407

blackdiamond407

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All Content by blackdiamond407

  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 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...

  4. 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...

  5. 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...

  6. 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...

  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 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  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

    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...

  15. 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...

  16. How long did it take you to get your ATT in NJ?

    blackdiamond407 replied to ArmyTwin's topic in New Jersey Nursing

    Hello, I was just wondering if you happen to remember if it took a long time for items to be checked off on your checklist from the board of nursing that did not apply to you. For example, I applied...

  17. How long did it take you to get your ATT in NJ?

    blackdiamond407 replied to ArmyTwin's topic in New Jersey Nursing

    Thank you so much for your opinion! I think I am going to try Kaplan as I have heard a lot of positive things about the program. I also now feel like I have a ballpark as to how long it should take me...

  18. How long did it take you to get your ATT in NJ?

    blackdiamond407 replied to ArmyTwin's topic in New Jersey Nursing

    Hello! I am going to be graduating November 26th and my letter from my school will be sent December 18th. I was just wondering, from what I gathered from your post, it took you about 10 days to get...

  19. New grad RN in NJ ....please help!

    blackdiamond407 replied to RNSallie's topic in Job Search, Interview, Resume

    O.K. Thank you so much! Have you found anything yet? Or are you still

  20. New grad RN in NJ ....please help!

    blackdiamond407 replied to RNSallie's topic in Job Search, Interview, Resume

    Helen, do you happen to know if these applicants applied before or after they received their licence? I ask because I will be a new grad in Novemeber. I was planning on applying to these hospitals as...