mmurphy

Latest Activity

1. Scope of RN license

   mmurphy replied to starbin's topic in Urology

   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...

2. Is there REALLY a nursing shortage?

   mmurphy replied to ShimmaShimma0304's topic in General Nursing

   I agree. I agree. I agree. It is not a matter of racism or bigotry, it is a matter of exploiting us, the American Citizen Nurse.

3. Clamping Needles Sites

   mmurphy replied to Robbilin's topic in Urology

   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...

4. Did a dumb thing r/t dialysis port

   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...

5. Incident Report-yes/no?

   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. ...

6. My family can't believe nurses don't get breaks

   mmurphy replied to newtress's topic in General Nursing

   It is up to you to insist to management that you have regular scheduled breaks, not doing so makes you a fool.

7. Application of Lidocaine cream before dialysis

   mmurphy replied to night owl's topic in Urology

   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....

8. My family can't believe nurses don't get breaks

   mmurphy replied to newtress's topic in General Nursing

   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...

9. UF Profiling & Sodium Modelling

   mmurphy replied to nu2dialysis's topic in Urology

   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...

10. Anyone here feeling bored with their Job?

    mmurphy replied to bluefabian's topic in Urology

    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...

11. Davita is doing what?!?

    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...

12. Dialysis Staffing

    mmurphy replied to CocoaGirl's topic in Urology

    In New Jersey i nurse ot 3 patients is the standard. It is defined as the standard by the New Jersey Department of Health.

13. Davita is doing what?!?

    mmurphy replied to GeauxNursing's topic in Urology

    You must be a fairly new nurse. This has been common practice for many years.

14. A nurse for 9 months and already offered a supervisor postion....scary!

    mmurphy replied to lizzieB05's topic in General Nursing

    I totally agree with you 1989.

15. A horrible Day

    mmurphy replied to litbitblack's topic in General Nursing

    As long as you guys continue to put up with this the moneymakesrs (Administration and Docs) will keep you going at this pace and work you like dogs