Do all dialysis centers do this? I get that patients aren't just kidneys, I am just trying to figure out why it is the dialysis center and not, say, the primary care provider that manages it.The money part makes sense. But they don't staff for it.
Yesterday this guy waited half an hour for us to call his doctor for him and ask a question. He was perfectly capable of calling the doctor and asking the question himself.
I guess they see the dialysis staff more often and so we are the default! I spent twenty minutes yesterday with a guy whose foot occasionally itches. Not diabetic, no redness, no heat, no swelling. no dry skin. I asked him if he had thought of putting lotion on it. He also had a pimple on his head. He did say he was going to the doctor and would tell him. I wish I had twenty minutes. Or a woman who had felt sick to her stomach since the night before. Why didn't she take pepto bismol the night before? She said she was sick because of the laxative she took the night before. It does that to her. Ok, so what am I supposed to do about it? I don't have antinausea medicine to give her.
Overall, I like it so far. My frustrations are primarily standard nursing frustrations - waaay too much paperwork, short staffed (although not nearly as short staffed as other places I have been, that's for sure.)
You aren't kidding about the care plans
. I am doing my first one now. My charge nurse informs me that they take a lot of time and no one really looks at them, but the government requires them - to be filled out by hand. We're not talking the computerized stuff, orders, etc what I am actually doing. I am sure I will see plenty more!