idodialysis

idodialysis

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About idodialysis

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  1. DIALYSIS! I am new in the field and feeling very discouraged

    Sounds like you are a tech working a 4 patient pod? I am an RN but worked as a tech first. You need a system. Here is mine. 1) Check your 4 patient's orders. If you need a special bath or dialyzer place it at that machine now. 2) Get the needed suppl...
  2. Looking for the nudge out of the nest

    I hired a nurse on restrictions when I managed a dialysis clinic. No problems, we don't keep any narcotics on site.
  3. I just heard a discussion re: this on NPR. The jist was that research has found that note taking is far and away the most effective way of learning class material .
  4. What do I do with my hands??

    I agree with your preceptor. I try to "manage by walking around". Talk to patients, physicians, family the housekeeping staff, everyone. Get their points of view, see what changes, they are interested in, observe what is working and what is not. This...
  5. Not what I expected

    I agree with Nutella. From what you have said, you do not have the right personality for dialysis. It is busy, busy, busy and you are NOT a manager but will be supervising techs who push back at you especially when you are new to the job . And the pa...
  6. Nursing speciality for someone that hates people

    Consider Acute Dialysis . Once you are trained and competent, you work independently. The nurses caring for the patient are responsible for all other care, so except for helping to reposition or get a patient on or off bedpan your hands on care is li...
  7. Norovirus - Help me calm my fears!!

    Change your shoes upon entering and exiting your facility.
  8. Over it.

    FYI it's not your company (Fresenius?) mandating pain assessments , it is CMS=government beaurocrats. They are also rolling out mandatory depression screenings. But , yes, the staffing ratios are not satisfactory for good patient care.
  9. For Dialysis Nurses

    Well IV iron generally has to be given over 2-5 minutes so I would not give it during rinse back; it would be permissible to give epogen or zemplar. If given per procedure you wouldn't have any air present in your syringe.
  10. Negative Post on Facebook About New Nurses - I'm Fired Up!

    In my area of expertise (dialysis) it is an infection control violation to use anything carried in your pocket for patient care ie., tape, bandages, gauze, alcohol preps. Cross contamination and all!
  11. Are we doing good for our patients?

    I saw this frequently when I did acute dialysis...get that line in the patient, hook up to crrt only to die 12 hours later. No sense on a 90 something year old.
  12. Hospital CNA vs. Dialysis Tech

    I would consider the dialysis tech route. Dialysis patients have many Comorbid conditions and you would get exposure to many disease processes. You will likely get better pay and benefits as well as tuition assistance. Fresenius is a good company. I ...
  13. Maximum Hours Worked

    I just read about this on Ohio Board of Nursing site. It said that if the nurse is not able to function safely they should not be working. So I guess when you reach that point you must start moving up the chain of command at your place of employment ...
  14. Renal diet and label reading?

    In the clinics I've worked in few patients have albumins 4 or over.
  15. Renal diet and label reading?

    Dialysis patients actually need protein to keep their immune systems intact and aid in wound healing. In fact most chronic dialysis clinics give out protein supplements to patients to consume during their treatment.