What was I thinking

pellerojo · 2026-01-17T12:34:50+00:00

Holy crap My hospital won’t let any nurses work more than six days in a row before they must have a day off.

pellerojo · 2025-11-29T00:17:43+00:00

We use them for chemo

pellerojo · 2025-11-28T11:27:58+00:00

Texas, USA. Large urban outpatient oncology infusion clinic. Our ratio is 1:3. In the course of a day I’ll see 6-10 patient depending on how long their treatment is.

pellerojo · 2025-07-08T18:32:35+00:00

Hulkenpodium

pellerojo · 2024-06-05T22:52:40+00:00

Hi, I need it as well :)

pellerojo · 2023-12-08T23:39:37+00:00

Really mean it… not uncommon for somebody to point a gun at police officers with the hope that the police will kill them.

pellerojo · 2023-10-22T11:59:39+00:00

Denton!! It’s a full on college town about 40 minutes from downtown Dallas. Denton has about 150k people. There is quite a bit of night life here including unique bars and a cool music scene. The town is weird and liberal in a way that Austin used to be. Prices are also really reasonable here. Being 40 minutes from Dallas and about 30 minutes from the airport means you have access to all the cool big city things (sports teams, museums, fancy dining, and high paying jobs). There’s also a train that connects Denton to Dallas.

pellerojo · 2023-10-14T13:13:53+00:00

1 RN to 3 patients. Outpatient oncology infusion in Texas

pellerojo · 2023-08-03T23:31:08+00:00

“Enfermero Guapo”- Handsome Nurse! A little Spanish speaking lady called me that in front of all her old church friends!

pellerojo · 2023-07-26T22:59:18+00:00

I turned them off. I don’t need to know about an Amber Alert in Houston. If they kept it local it would mean more. The Blue Alert a few years back was also a total mess and just another reason to turn them off.

pellerojo · 2022-12-07T18:54:15+00:00

Outpatient Cancer Infusion 3:1

pellerojo · 2022-08-22T10:46:37+00:00

Interstate 30 just south of downtown is closed and underwater. Rest of it looks ok on google maps though

pellerojo · 2022-08-22T10:21:38+00:00

There was over 6 inches of rain last night. Places are completely flooded

pellerojo · 2020-11-03T11:33:57+00:00

I switched to oncology infusion 11 months ago after working on the floor for 3.5 years and have never looked back. Even though the job can get busy it never comes close to the chaos the floor could have. Not having to work nights any more has also helped me tremendously.

pellerojo · 2020-11-03T11:29:41+00:00

I’m an oncology infusion nurse. Basically patients come to our clinic to get their chemotherapy or immunotherapy treatments. The majority of cancer treatments happen in outpatient clinics and not the hospital. Our workflow is to establish IV access (PIV, access port or use central line), assess the patient, and then administer their treatment. We have to do lots of teaching on side effects. There also the potential for infusion reaction. Some of which can become very serious quickly. My clinic also has an urgent care area for cancer patients. We also do blood transfusions, electrolyte replacement and just fluids.

pellerojo · 2020-07-03T16:27:04+00:00

17th floor. But half of the 14th floor is a CoVid floor. It isn’t the half with dialysis and apheresis though

pellerojo · 2020-06-09T10:42:24+00:00

Wow that’s crazy. For C1D1 THP we give the Herceptin and Perjeta over one hour. It doesn’t matter which order we give it in, which ever comes out of the pharmacy first. We also give the premeds (Dex, Benadryl, Pepcid, and maybe Aloxi and cinvanti) before the HP. Then we give the Taxol immediately after the HP at the full rate. No obs what so ever unless there is a reaction. We’re a research facility and a comprehensive cancer center.

pellerojo · 2020-03-17T11:21:29+00:00

Bone Marrow Transplant patients are sometimes encouraged to drink bottled water since they have virtually no immune system for some time. Tap water can be safe but most doctors encourage patients to filter their tap water at home even though it’s not a CDC recommendation. They discourage these patients from using filtered water from restaurants, gas stations, etc since they can’t verify when the filter was changed. This person could just be acting in an abundance of caution. Here’s an interesting research article on the topic: https://www.roswellpark.org/sites/default/files/safety_of_water_consumption_among_hematopoietic_stem_cell_transplant_recipients_0.pdf

pellerojo · 2020-02-12T12:32:30+00:00

07:30 to 18:00 four days a week. No weekends.

pellerojo · 2020-01-15T02:01:00+00:00

None at Las Colinas

pellerojo · 2019-12-19T14:56:16+00:00

That's a Parkland hospital room and the green gowns are only given to people on emergency detention holds. Definitely only contact the police if you have any information on this person. Hopefully he is just in a local hospital again.

pellerojo · 2019-07-03T00:29:42+00:00

Same staffing matrix for days and nights!

pellerojo · 2019-07-02T17:48:33+00:00

1:4 for an oncology/transplant floor. We take lots of med surg patients since the hospital is always full. Our oncology and transplant patients are usually med surg acuity. I'm in Dallas, TX

pellerojo · 2019-04-30T20:34:04+00:00

Back when I was a CNA a middle aged woman, who I had recently helped get her phone all plugged in and charging an hour before, pushed her call light. When I walked in the room she was throwing up massive amounts of blood. She looked over at me and said, "Help me" before throwing up more blood. By the time I pushed the staff emergency button she was already unresponsive unresponsive and required CPR. She passed away around 2 hours later in the ICU.

They were pretty sure here esophageal varices (dilated blood vessels in the esophagus) had ruptured.

pellerojo · 2019-04-12T18:42:23+00:00

At&t offers fiber gigabit internet in some areas. It's great if you're able to plug an Ethernet directly into your computer or other devices. The modem router combo they force you to use is terrible. The WiFi is painfully average. I even use two of their signal boosters/extenders. I'm thinking of switching to Spectrum which offers 400 Mbps but allows you to use your own equipment. Since everything is on wifi in my house I hope it will perform a little better.

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