I am a CCU nurse who has worked with patients being dialysed at the bedside. I have some questions about outpatient dialysis.
1. Are the solutions pre-mixed or does the nurse have to adjust to the needs of the individual patient?
2. How much critical thinking and intervention is needed now? I was told that the equipment and practice of dialysis has become very routine. That is not what I see in acute care. My patients often become hypotensive, need colloids, electrolytes, and so on.
3. What assessments do you have to make before, during, and after administering medications?
4. What do you think is safe staffing? How should techs and/or LVN, LPN, and unlicensed assistants be utilized?
5. Is there always a doctor present?
THANK YOU to anyone who goes to the trouble to answer!