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Do you use 2 Bags of NS or 1?



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No. 10
from TGIMN
Old Dec 11, 2005, 07:45 PM

Default Re: Do you use 2 Bags of NS or 1?
We use 2 bags of NS.
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No. 11
Old Nov 08, 2009, 01:57 AM

Default Re: Do you use 2 Bags of NS or 1?
We prime and recirc with one bag and change bags before treatment is started. Unless a problem comes up we only use 2 bags.
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No. 12
Old Nov 08, 2009, 03:31 AM

Default Re: Do you use 2 Bags of NS or 1?
Originally Posted by DialysisTech76 View Post
We prime and recirc with one bag and change bags before treatment is started. Unless a problem comes up we only use 2 bags.
We use 1 bag. Also do not do re-use. NASTY. And with the new Fresenius polysulfone dialyzers 1st use syndrome is a thing of the past. Poly dialyzers are innert and should not cause problems. They are not sterilized with any chemicals. We do have a few people who insist they are allergic to them and they do seem to be as we do use the Ashio Bio 100. "I" flush a full bag through that dialyzer and then hang a new one.

We prime with 300 cc's. Then dump 50 from the arterial line and 250 from the venous before hookup. We don't do a timed recirc anymore.

Get rid of re-use. You'll save money in the long run.
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No. 13
Old Nov 08, 2009, 09:24 AM

Default Re: Do you use 2 Bags of NS or 1?
I think with DaVita, reuse is here to stay. Dry packs are so much better....I think.
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No. 14
from Lacie
Old Nov 08, 2009, 10:35 AM

Default Re: Do you use 2 Bags of NS or 1?
We were cut down to limit total use per tx to only 1.1L per pt. Uf was turned off during recirc and to dump the prime only till the blood hit the venous chamber. Bags not changed out unless run dry. Flushes drawn from same bag and even told to reuse the needle from the heparin draws to do (our syringes didnt come with needles). If no heparin then we broke the line to draw. EEK! Kind of difficult to do with the old cobes. We used dry packs (thank goodness). Seen too many renalin reactions due to improper priming and people in too big of a hurry to get pts on in reuse. Cost cutting has become dangerous. Maybe one day medical facilities will be non profit lol (prays) so maybe pts will come first in lieu of those ceo bonuses or 3 day academy drunk fest.
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No. 15
Old Nov 08, 2009, 12:05 PM

Default Re: Do you use 2 Bags of NS or 1?
Originally Posted by Lacie View Post
We were cut down to limit total use per tx to only 1.1L per pt. Uf was turned off during recirc and to dump the prime only till the blood hit the venous chamber. Bags not changed out unless run dry. Flushes drawn from same bag and even told to reuse the needle from the heparin draws to do (our syringes didnt come with needles). If no heparin then we broke the line to draw. EEK! Kind of difficult to do with the old cobes. We used dry packs (thank goodness). Seen too many renalin reactions due to improper priming and people in too big of a hurry to get pts on in reuse. Cost cutting has become dangerous. Maybe one day medical facilities will be non profit lol (prays) so maybe pts will come first in lieu of those ceo bonuses or 3 day academy drunk fest.
We DO NOT bleed on. Very dangerous. I saw a patient almost exsangiated (sp) in Cali. Not only sterilant reactions but wrong dialyzer for the patient.

Please don't be disillusioned by non-profit. Many N-P's make lots of money and so do their CEO's. They claim they need the added $$$$ for building improvement. Remember if the higher ups don't get an increase you surely won't either.

We don't recirc as there is nothing in the poly dialyzers to recirc. We do keep our system running to prevent stagnation.
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No. 16
from TraceyLPN
Old Nov 12, 2009, 05:24 PM

Default Re: Do you use 2 Bags of NS or 1?
you know I have an issue with this also. We used to do the 2 ns bag thing, and are now down to one bag. This is how it is supposed to be done....we prime with 300cc (yes, that's it, I've not seen any first use symptoms yet.) then dump 100 from the arterial line and 200 from the venous line when we put the patient on, then run 50 through prior to giving meds. I have had to start bleeding my patients off "backwards" in order to have enough saline TO bleed them back. I barely have enough. I work for a Fresenius unit, is anyone else having this issue?
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No. 17
Old Nov 16, 2009, 04:07 PM

Default Re: Do you use 2 Bags of NS or 1?
Originally Posted by DialysisTech76 View Post
We prime and recirc with one bag and change bags before treatment is started. Unless a problem comes up we only use 2 bags.

Yep, that's what we do.
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