idodialysis replied to angelmp228's topic in Urology
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...
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 .
idodialysis replied to RNator's topic in Management
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...
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...
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...
idodialysis replied to ParrotHead_RN's topic in Urology
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.
idodialysis replied to Stepherslynn's topic in Urology
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.
idodialysis replied to DisneyNurseGal's topic in Relations
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!
idodialysis replied to GeologistRN's topic in MICU
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.
idodialysis replied to Johnnydr's topic in Technicians
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 ...
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 ...
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.