greenerpastures

greenerpastures

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All Content by greenerpastures

  1. Need Help Memorizing Heart Sounds?

    I learned it as "right" = RAT right atrium tricuspid, and "left"=LAMB left atrium mitral/bicuspid. "right" goes to respiratory, and "left" goes to
  2. New Grad Oncology Nurse

    Be proficient on dexamethasone, prednisone, solu-medrol, Zofran, Reglan, Compazine, Phenergan meds/uses/side effects. My biggest advice, listen to your patients. Many times, they know way more about...
  3. Constipation in a cancer patient

    Lactulose helps keep things moist to slide through. Just another idea next
  4. When you apply for a FL license, they tell you to list your business address in the fine print. It tells you that all information is public record due to section blah blah blah of the FL code. It's...
  5. Realistic explanation of CPR

    I always found the info on this website helpful with the discussions about CPR/AND. http://www.compassionandsupport.org/pdfs/professionals/training/111205MythsTruthsCPR.pdf Compassion and Support -...
  6. I Pads for patient education

    Reading on an ipad is ridiculous. We don't teach children in school by giving them an ipad and telling them to check a box. We have them read and interact through lessons, we review, we check for...
  7. Calling off on two week notice?

    My hospital does this too. They don't pay out PTO when you leave at all. They slide it into the employee handbook, then say "you signed the paperwork you read the
  8. My first thought when I saw that "always have a female present" info was - WHY? I don't have a male present when I, a female, do anything with a male's
  9. I just looked something up last night for compatibility to Y site vancomycin in NS and Zosyn in NS. Everyone on my floor things vanco shouldn't be y'd with anything, but it came up as compatible at...
  10. As a early teenager, I preferred a female MD and nurse, but that was because I wanted to talk to women about women problems. However, as an adult female, this notion of rejecting a man who is your...
  11. New Grad Job Interview only knowledge-based??

    I've found those are pretty standard occurrences in an interview. The interview itself might be other questions, but at the end, I've usually had to identify EKG strips and take a medication test....
  12. Panic attacks following never event.

    I'd see the therapist so you can discuss and forgive yourself. When you are able, I'd also talk to my coworkers about it. Ask about doing a debrief with everyone involved if it needs to be done....
  13. Moving to Ft. Bragg area as NEW GRAD BSN- HELP ME? >.<

    If you want ER, Cape Fear's residency program is what you make of it - it can be top notch if you want it to be. It's a 70+ bed ER at the main hospital on Owen Drive. You learn LOTS of stuff there...
  14. Rooming chemo pt with non-oncology pt

    Depends on why they are getting the velcade, if they are immunocompromised, they should be in a private room. Also depends on whether they are using the same bathroom;our facility does not allow...
  15. We've all been venting

    What about a quick search to see where he came from? Maybe the last district was sued? It would be interesting to know more about him to find out why he's acting like that. As for the door being...
  16. 3-way Foley for Hemorrhagic Cystitis

    Where I work, it is PREFERRED that a patient have a 3 way foley placed by an MD/DO/ARNP/PA as we only use them for CBI, and they are 24Fr (OUCH). The reasoning behind it is that if someone needs a 3...
  17. Should I have volunteered to stay overnight?

    Nursing is my job, not my life. Therefore, staffing problems are not my problem. If I want to stay, or pick up overtime, I do. If I don't, I won't. I am not going to abandon my patients, but...
  18. Time for hospice referral?

    Casias 12 - first of all, please accept my apologies if you thought I was contradicting your thoughts. I was agreeing that palliative care MIGHT be an option, but definitely NOT hospice. I've met so...
  19. Time for hospice referral?

    Can we back up a bit please. Palliative Care consults and Hospice care consults are two different things entirely. This man would meet criteria for palliative care because of the Afib with multiple...
  20. I messed up today.

    Take a deep breath and forgive yourself. Always remember, review the numbers, but READ your patient's signs and symptoms. The patient may be 63 in between meals frequently. If he/she was not...
  21. When did you last see a nurse wearing the old school garb?

    Last week at
  22. OCN versus ONS chemo biotherapy certified

    We've been having a debate at work. Several of the OCNs think that they shouldn't have to take the ONS chemo/bio cert every 2 years because "I have my OCN that I renew every 4 years, that's WAY more...
  23. OCN versus ONS chemo biotherapy certified

    Thanks everyone for the answers. Apparently, were I'm working now, they are working out the policy on this. If you took the hospital cert years ago, it's "grandfathered" and you never have to take...
  24. The "How was your day" question

    I disagree with several PPs. If I ask someone how their day was, I expect a genuine answer. So if someone asks me how my day was, I'll tell them how it was without specifics/HIPAA issues. I can't...
  25. OCN versus ONS chemo biotherapy certified

    We were really trying to settle whether someone had to have the ONS Chemotherapy Biotherapy course to be considered "competent" to give chemotherapy, OR if having OCN showed you were