oncivrn

I disagree. Being a nurse entails doing a lot of what CNAs do but there is a whole lot more critical thinking involved. I did not enjoy being a tech, but do love nursing profession.

I just sit down on the wheelchair myself and it opens up. I was woefully unprepared for my first nursing job, skill-wise. But after about a year I realized that I had a decent knowledge base. Nursing school can only really introduce basic skills. You don't leave knowing how to do it all. You learn most things on the job.

I think it is still fresh and you are upset about it understandably. Get another day under your belt and you will feel better. The more successes you have the more you will be able to get past the occasional missteps. Seriously tho.if this is the worst mistake you ever make then be happy!

Needs to be reported to administration. Definitely promotes an unsafe environment for the patient to call nurses stupid

You have gone above and beyond. I agree with the previous poster, time to move on.

Well, that's ridiculous for anyone to tell you that you will never work again. Get that out of your head. And I agree with the previous poster, 7 patients is a lot. Actually, 5 is a lot. 4 is ideal on a general unit. Try for a fellowship somewhere. In my area there are sign on bonuses galore. Definitely work on the anxiety thing. It might make you self-conscious in the beginning, but it would help you in the long run. I have had the same problem as your fellow nurses, anxious people in turn make me anxious. Save the adrenaline for when you really need it. Good luck :)

It's not sensitive or specific and also, eliciting the homans sign could potentially cause a clot to be dislodged.

Sounds appropriate to me. As long as you documented. I thought we weren't supposed to check homan's sign?

Do you use pumps? Personally I do not wake patients to assess piv sites and none of the nurses I work with do either. Ivig infiltrate is no big deal, since it can be given sq anyway. Chemo is another matter. I have had a few infilatrates since working in infusion. Normally the pump beeps distal line occlusion or else the patient will complain of burning. We have a policy not to give chemo in AC. If it is chemo I would be more worried than an antibiotic or remicade or even rituxan.

I've never done ICU so hat's off to you. However I do infusions in an outpatient center where we are the unit that does more drugs that pose risks for anaphylaxis. When I have an infusion reaction I may be at my best professionally but when I go home my whole body hurts. It's like I'm fine during the emergency but afterwards....so I can imagine ICU is like that every day. There is a lot of stimulation and you have to be on heightened alert at all times.

She needs to be reported to the board. Her behavior towards patients is abusive, at the very least.

would a radiation oncology nurse OCN be proficient to admin chemo? Probably not.

Never heard of such a thing for RNs. But each institution has their policies. We used to have a certification for phlebotomy but did away with that. I don't know how a class can really teach IV skills. Unless you are talking about just operating the infusion pumps.

Totally agree with vanilla bean. Soups reheat well and are very nourishing. Or leftover protein and a fresh salad. If I cook after a twelve hour shift it's just eggs. I'm usually exhausted and too tired to even eat.

Sounds like a great deal if that's what you really want to do. I am am an old school nurse who thinks everyone should work in the hospital for two years but if case management is what you want to do forever and you're sure, then take it. But if you don't do bedside now it will be very hard to EVER do it without a refresher course. Good luck :)

Yes I have read the studies and believe the chemo is everywhere. But swabbing your buccal mucosa would only show changes there. I'm not saying there isn't exposure or that it is funny. Only that we need to know what to measure.

Well I don't think a blood test to assess for DNA changes would be useful. What would a negative test show you? That your blood DNA has not changed. It would be impossible to test all your cells for gene changes a better idea would be for someone to do a long term study about the incidence and prevelance of malignancies or other diseases in nurses who hang chemo. And then maybe there would be a starting point on how to assess for DNA changes. I have not read any studies about this but agree it would be interesting. My colleagues and I "joke" that a little chemo exposure is prophylactic measure for us not to get cancer. I say joke but we do take towing and gloving very seriously.

I am more worried about your colleagues' behavior than the fact you forgot to give a toradol injection. Sheesh. I can't count the number of times I got report from night shift and the 0600 meds weren't given. Happened all the damn time and I never once thought of writing someone up for it. Just gave it when I walked in the room. And I sure would never notice if something was or was not pulled from the omnicell. I guess if he patient was in pain and the oncoming nurse decided to investigate I can see why she called you. Otherwise, move on. Do your job and you'll be fine. Really.

At our institution, everyone gets the biotherapy cert from ons initially,but we are not required to maintain it. Some have ocn, some are preparing, and some don't care about it at all. Ocn is definitely way harder. But it does not seem to incorporate the whole biothetherapy scope. If your institution Will pay for it, both is definitely best!

Never heard of such a thing except for radiation badges. What exactly would you measure?

I've never seen anyone censured for one med error on one day. It's a pattern of sloppy work they look at. I once mixed up two chemo rates on a patient. I felt horrible and the doctor was mad of course. But the patient was fine and went on to go into a long durable remission.

What setting is this?

Theoretically a nice idea but you have to make sure it's not just something that has to be completed and takes the nurse away from the bedside Imo, too much time filling out meaningless care plans and over documentation takes nurses away from their patients and puts patients at risk

Call the doctor! Unless it is an NG I believe this is out.of your scope.

No. Never. That kind of behavior is detrimental and can lead to unsafe environment because the cna may be afraid of you and not report things. Same way a doctor cannot yell and/or cuss at you when mistakes are made. just read your other post. Doesn't sound that bad tbh. I can understand your frustration. Not like you called her a name or said something threatening.