AcuteHD

AcuteHD

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About AcuteHD

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  1. Consents for inpatient acute hd

    Our hospital requires a consent for every admission, even for chronic pts and the ones that use the hospital for their routine treatments (uninsured). How does your hospital do blood consents?
  2. Nitro patch on HD?

    The acute HD nurse that I trained with would routinely remove the nitro patches from pts prior to HD and said they are incompatible with dialysis. With everything else that I was trying to learn at the time I just put that into my knowledge box with...
  3. The future of hemodialysis?

    It looks like it went through a 'successful' trial 16 months ago, so where is it now? I can't find anything about it recently. What really caught my attention was that it recirculates the dialysate and only uses a pint of water. If they could build...
  4. Help. Acute dialysis nursing

    I don't get paid per treatment, just hourly, but expect feast or famine. In my personal experiance I've never had a problem getting enough hours and have plenty of PTO banked up if needed. I work 4 days a week and take call on Sunday, your schedule w...
  5. Tempered water for portable RO?

    Update: My biomed talked with her boss and we all agree the water temperature is fine, the logs are wrong.
  6. Tempered water for portable RO?

    What's in the carbon tanks now?
  7. Tempered water for portable RO?

    Okay, I looked at this some more and I think our checklist is wrong. 18C is a great temp for both the RO and the HD machine, and our upper limit is way too high. (too late to edit post)
  8. Tempered water for portable RO?

    Where do y'all get incoming water for portable treatments from? All my hookups are from the cold water side and the water is COLD! Usually around 18C this time of year which is okay per mfg specs, but below or checklist min of 21C. I don't see the h...
  9. When a patient signs out AMA...

    What about pts that sign out AMA but need EMS transport? Is the hospital supposed to arrange that?
  10. The Dark Side of Nursing...

    I've only been to our mourge once and it was definitely a low person on the totem pole job. Anyone that's never transferd a 250 lb body has no idea what dead weight really is.
  11. How can I get experience in Dialysis Nursing?

    That's easy. Find a brick wall and talk to it about Potassium, Phos or Fluid control. Then procede to bang head against said wall.
  12. Membrane size and cardiovascular status?

    Too late to edit, but I should have said I am using what I have on hand as an example. Don't know what size dialyzers you are using. Thanks for the question.
  13. Membrane size and cardiovascular status?

    The F200 has a prime volume of 112 mL, the F160 is 83mL. 29mL doesn't seem like enough to make a diff, but maybe. Also, unless you are wasting the prime, you're replacing blood with equal volume of saline at hookup. Can you challenge pt with a smal...
  14. Renal diet and label reading?

    Yes! If binders are ordered for meals they should be given with all food. There may be a meal dose and a smaller snack dose. Not all renal pts will have binders ordered, but it's kinda rare not to.
  15. Renal diet and label reading?

    Sorry, should be 0.8 G / kG / Day