parolang

Latest Activity

1. Clinical Manager offer

   parolang replied to Duncan6's topic in Urology

   Wow, I don't blame you. It always seemed to me that they have an SOL approach to FA's, and they will cut you on budget and staff, and then kind of silo with any internal problems you might be having.

2. Are dialysis RNs responsible to PCTs actions? Can RNs be penalized for PCT negligence?

   parolang replied to keftirific's topic in Urology

   Are you responsible for what PCTs do under your charge? Yes, just like any other unlicensed assistive personnel. Can RN's be penalized for PCT negligence? Depends on your FA and the command chain above them. That said, it would be unusual for yo...

3. Help - “New” grad working in dialysis with crazy hours

   parolang replied to CN101's topic in Urology

   It sounds like the bigger problem is that you don't like dialysis. Would it really be better if you just worked 36 hours if you hate the job? I'm not trying to minimize your complaint, I think 14 hours is too much for anyone really. But it's not...

4. Waiting until patient has vacated station by before disinfecting and setup for next patient

   parolang replied to parolang's topic in Urology

   FWIW, I left in October. Best thing I ever did. In the end, it doesn't matter what other people say they can do, or what you are being told that other people do, but what you know what you can do, and what your standard is. And it is stupid...

5. Speed for Rinsing Blood Back

   parolang replied to integrativenurse's topic in Urology

   It's kind of an interesting question. One thing that is different is the rate of blood volume increase. During treatment, ideally, there is no change in total blood volume. But blood volume increase a small amount during blood return. But that's...

6. Waiting until patient has vacated station by before disinfecting and setup for next patient

   parolang replied to parolang's topic in Urology

   The issue isn't the difficulty of the job. It is whether I can reasonably do the job on a consistent basis while meeting all of the requirements. It's a matter of whether am I doing all that I signed up for. I'm having the same difficulty speaking wi...

7. Waiting until patient has vacated station by before disinfecting and setup for next patient

   parolang replied to parolang's topic in Urology

   Fair enough. It was arrogant for me to make assumptions. I apologise.

8. Waiting until patient has vacated station by before disinfecting and setup for next patient

   parolang replied to parolang's topic in Urology

   My guess is that they just don't. They are just really good at letting you think that they do. I follow policy more than anyone at our clinic. But I can't blame them...I run behind a lot. Nonetheless, I could just be too slow for this job. I'm 38. I'...

9. Waiting until patient has vacated station by before disinfecting and setup for next patient

   parolang replied to parolang's topic in Urology

   Okay... I'm running into the same problems. So I broke it down on a spreadsheet even. If I give myself a minimum amount of time of 5min to take a patient off, 5min to wipe down a station, and 5min to setup a station, I'm getting that it takes 75min b...

10. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Urology

    I'm actually going to write that down and maybe share it with others. The whole idea of air drying makes sense, and is generally recommended for infection control, yet it isn't in our P&P to my knowledge. But it makes sense to break that time up....

11. Ethical Issues

    parolang replied to RN2020scm's topic in General Nursing

    I'm not a nurse, but I think the ethical question is more about whether you guys consider nursing a profession, and kind of profession you believe it to be. Generally, for non-professionals and paraprofessionals, or basically anyone who has "just a j...

12. Co worker

    parolang replied to RNewbieMA's topic in General Nursing

    Sounds like untreated or poorly treated ADHD. Doesn't matter, I wouldn't say anything about it.

13. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Urology

    I'm actually going to write that down and maybe share it with others. The whole idea of air drying makes sense, and is generally recommended for infection control, yet it isn't in our P&P to my knowledge. But it makes sense to break that time up....

14. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Urology

    DaVita. I have heard from people in management something like an hour between patients at each station, but I never really understood what exactly they are talking about. It seems they mean I can take a patient off, run around and take the other pati...

15. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang posted a topic in Urology

    I'm a PCT at a dialysis clinic, and there had been a policy for a couple of years now that the patient has to completely vacate the station before disinfecting and setting up for the next patient. Basically, I always do it, and everything else that w...