Specialties Urology
Published Oct 28, 2011
foxyroxyrn
11 Posts
I have almost one year under my belt on med-surg. I have been hoping to get a job as a dyalisis nurse in the clinic in my home town as soon as my contract is up. Any tips as to what I could be studying to prepare myself? I think I will get plenty of training but worry about being way out of my league. Thanks for any tips!
DaniRN1
12 Posts
You probably know enough about the urinary system to get started. You should brush up on hypotension and diabetes signs/symptoms. Anemia knowledge is huge. The meds Epogen and Heparin are good to know as well. Be prepared to be busy and be a good prioratizer. I have been in dialysis 14 years, and I love it. Good luck, and keep us posted.
ladieleak
This info was very helpful for me as well.. Thanxs!!!
just keep swimming
172 Posts
Cardiac knowledge is very important as well.
You also may want to see if you can spend some time in the vascular access department at your hospital. Learning about hemodialysis accesses can be a great tool and who better to learn from than those who place them...maybe they will even let you observe a surgery.
Hypotension was mentioned, but don't forget about HTN. You will probably see some BPs that will make you want to ask the patient "how are you alive?".
Brush up on diffusion, osmosis and ultrafiltration.
Probably one of the most important thing is fluid and electrolyte balance...you will deal with this everyday! PP mentioned anemia, specifically iron deficiency anemia.
One thing you will see a lot in dialysis that you may not be familiar with is secondary hyperparathyroidism. I would love to help if you want more to study...let me know and good luck!
FransBevy
74 Posts
I'm still new at HD so every time a lab value gets reported to us with a K+ of 7.0 (or even 7.7 in one case!) or a pt comes in with a BP of 215/100 I feel like I'm the one who needs rescusitation!
Ha! It will get better as you get to know what the "normals" you are dealing with are, especially for each individual patient. A K of 7.7 should be alarming though!
MandaRN94
185 Posts
First learn how to spell dialysis -sorry couldn't help myself!
Ruby Vee, BSN
17 Articles; 14,031 Posts
first learn how to spell dialysis -sorry couldn't help myself!
glad i wasn't the first. honestly, when you go to apply for the position, it helps if your spelling and punctuation are professional and correct. especially for the position you're interested in. i know, i know, you're not applying for a job here on this board. but honestly, writing thankyou notes and cover letters are stressful. if you get so correct spelling is automatic, it's just one less thing for you to worry about when the time comes.
zorabanks
103 Posts
Comments like that are mean. Nursing is hard. We should support each other. That miss spell could have just been a typing error, a slip of the finger. Really...at least you could have put "LOL" or :-) next to your comment!
Your comment is mean and uncalled for. That miss spell could have been a typing error. This fourm should be a place where nurses can ask questions and help each other without rude comments like yours. I hope you are a better co-worker. Yes, correct spelling is important, but here...really??? Let's try help and supporting each other.
Guttercat, ASN, RN
1,353 Posts
Lighten up Francis. It was good-natured ribbing between colleagues.
Get to know the difference before casting stones.