I am a dialysis nurse turned home care nurse...live in a rural area that recently has had a dialysis center open (I work there PRN). With this opening the local home care agency has seen an influx of dialysis patients...and due to conflicts of interest I can not be their primary home care nurse. I am planning an inservice focusing on basic need to know info on dialysis patients and care needs. So I ask you, the dialysis nurse....what to YOU wish EVERY nurse knew about the dialysis patient?
I have been a paramedic much lionger than I have been an acute HD nurse. But I apply the concept that we always had said. A wound is like a women, keep it dressed you never get in trouble. Leave the 2x2 gause in place and more than anything hold or have pt hold it. I ve always follwed this and have no prob with it. Its when, just like a women when you don t pay attention to it that you get in trouble. Dialysis pt s have a lot of co- morbidities, goes with the turf. The number 1 concern/ prob. is infection. Always a culprit.The other thing that I would ask of my fellow nurses with in hosp. to understand is DAILY WEIGHTS. I can never stress enough of the HD pts wt.
Last edit by redknight on Nov 10, '10