Anyone taken the CDN or CNN exam??? - page 2

I've asked this question months ago, but since we have more visitors posting to the site, I am going to ask it again. Has anyone that works in Dialysis taken the CDN exam offered by the NNCC?? I am... Read More

  1. by   RNSha
    HDCN is a cool site.Learn all kinds of things that noone either knows or forgets to tell you.

    I really like the PD info on there.Since I am acutes we dont do much PD .The floor nurses usually handle all that along with the patients and I have always had an interest in it since I was in tech school.

    They didnt really teach us a lot about it there either(in a whole year)just briefly touched on it.
  2. by   jnette
    Yeah... I refer to that site a LOT... can take my time at home refreshing and upgrading my knowledgebase.

    I've always wanted to learn more about PD as well, but we only have one outpatient PD patient.

    Perhaps some day I'll be able to incorporate some of that as well.
  3. by   RNSha
    We have quite a few in our wilson clinic.They have an opening for a f/t PD nurse.I put in for a transfer cause acutes are sooooo stressful sometimes.

    I have often said if I ever have to fo dialysis-PD is what I am doing.
  4. by   CCU NRS
    I am really intersted in TELEpathicRN why is this your name and are you really telepathic? Curious
  5. by   jnette
    Originally posted by RNSha
    We have quite a few in our wilson clinic.They have an opening for a f/t PD nurse.I put in for a transfer cause acutes are sooooo stressful sometimes.

    I have often said if I ever have to fo dialysis-PD is what I am doing.
    Great !!! Go for it ! I've never done acutes, but do freestanding
    outpt. hemodialysis... small clinic.. 30 pts. total. But PD is far less demanding physically, plus the added benefit of being able to do a lot more teaching.. something I love, yet have little time to do.

    I'd like to be able to do something like Helllllo Nurse is doing now... couple days hemo at the clinic, and couple days PD. Nice variety.

    Wish you well... keep us posted !
  6. by   RNSha
    Did out patient for a long time.Our clinic is huge about 160 patients total.
  7. by   jnette
    Originally posted by RNSha
    Did out patient for a long time.Our clinic is huge about 160 patients total.

    no way. Would never work in a large clinic. Hear too many horror stories.. too much turnover, too much "assembly line" patient care... too little patient contact...too much everything and too little compensation/appreciation for your efforts.

    Nope... love our small clinic. Wouldn't ever go to a bigger one.
  8. by   RNSha
    I actually have an advantage because I know each and every patient and since I do acutes I have started 99% of them on the program.

    The clinic wasnt that big when I started -maybe 80 at the most.A lot has happened in the last few years.Seeing older and sicker patients being started and then I have this soapbox I get on about it.

    I seem to have serious moral issues about starting some of them.Sometimes I wonder if it is right to put somebody on who cannot make that decision for themselves.I know about the right ot life issues,but to me there are worse things than death sometimes.

    Oh here I go up on it now huh?
  9. by   jnette
    Oh boy, do I ever hear you !

    I, too, have a real problem with some of the patients that are started on dialysis... it really breaks my heart. Many of them are so frail, so fragile, with sooooo many other comorbidities, that it just boggles the mind as to WHY these patients are ever initiated.. other than the usual ...$$$$$$$$$$ ...

    It's like "oh, we can get 6 months out of them..."

    We. too, are getting more and more REALLY elderly with so many other things going on, that it's simply ridiculous to put them through this on top of everything else.. and they don't understand it all, just take whoever's word for it, be it the doc, the family who won't let go... whatever.

    Really sad. But if medicare pays, then what the heck... start as many as you can, right? Grrrrrrrrrrrrrrrrrr.... !!!!
  10. by   RNSha
    We do actually have some very truthful docs who tell the families straight up that all we would do is prolong the inevitable and to just make them comfortable.I enjoy those docs,Then we have the 2 who want to save the world.

    I wonder if it would be better just to go back to the days of committees who do the deciding and relieve the families of the decision.

    And Medicare is getting harder and harder to satisfy."You must do this and you must do that and for God's sake dont forget to document that you saw a new gray hair in the patients head today." LOL

    My real email is shacraft@netzero.net if you would like to email me direct.
  11. by   jnette
    Thanx, Sha. Might do that from time to time, or we could pm each other now and then, so as not to tie up the forum... heh heh.
  12. by   RNSha
    yes i know they love all these messages back and forth but at least we are talking business.

    Might want to take a vacation plans sometimes though who knows.
  13. by   HemoRN
    Where do you find info on taking the CDN exam????

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