Dialysis is chronic care, not rocket science. Any unit should have basic protocols. Taking initiatives to draw CBC's clood cultures, basic metabolic panels etc., are within the skill of an experience competent dialysis nurse. Administering meds, w...
I think that this clamp issues cnme from the "fistula first " program. The suggestion was to no use clamps on newly underdeveloped fistula for fear of clotting. Comparing a developed fistula with a graft the obvious risk for clotting using clamps wo...
mmurphy replied to SoundofMusic's topic in Urology
Many units use heparin 1000units/ per ml , and draw up the amount needed to fill the volume of the catheter. 2ml or under is the average amount needed for each port. some current evidence suggest that just filling the lumens/ports of the dialysis c...
mmurphy replied to ~'JesusRocks'~'s topic in General Nursing
No, so not file an incident report. Report the error to the physician. Be honest. If no harm is done to the patient do not buy the "this is a learning experience, or this is a "process analysis to aid the hospital in determining how errors occur. ...
This "pulse" is called a thrill. It is basic nursing 101. A patent graft or fistula will have a strong "thrill" when palpated. The thrill is from the anastomosed artery and vein, if you do not feel this thrill likely the graft/fistula is clotted....
I have worked a a RN for 25 years. I have been a manager, a Charge Nurse and a staff nurse. Nurses are more productive when they take breaks. You are not serving your patients well, or doing yourself any favors when you don't take a break to rekin...
Your role as a dialysis nurse is not to be a Nazi Guard. Try to understand sitting in a chair for 4 hours without food or drink. Try to understand that this treatment time is like "a job" for the patients Let alone the time traveling to and from t...
It sounds like you only know some of the technical aspects of dialysis. that would be boring Learing the psych behnind chronic illness, the regulations for dialysis etc., I find the nurses that are bored in dialysis are the ones that are not motivat...
mmurphy replied to GeauxNursing's topic in Urology
I have been a nurse for 25 years. I have worked in Florida, PA, and NJ. Recruiters have been calling Hospitals and Outpatient clinics in these states for a very very long time, I would say since the late 1980's. When I was an Administrator for a D...