Chisca RN

Chisca has 40 years experience as a RN and specializes in Dialysis.

Latest Activity

1. 

   What is the significant sign for clotting dialyser?

   Chisca replied to uae808's topic in Urology

   Negative or positive not so important as stability. A fluctuating TMP that won't stay stable is your clue. Wet transducers, either from blood or saline are also going to give you unstable TMP.
2. 

   Is tape considered a restraint in this situation?

   Chisca replied to TheCatsMeow's topic in Urology

   In Tennessee it is as Muno describes. Procedurally necessary.
3. 

   IV Albumin administration.

   Chisca replied to Ayelesia's topic in Urology

   It would help for about 2 hours. You are dealing with a nutritional problem.
4. 

   Acute Dialysis Nurse Opportunity Dilemma

   Chisca replied to RD2731's topic in Urology

   If you have a pulse and are a warm body they will hire you. No problem.
5. 

   New RN over overtime

   Chisca replied to rnpediyuh's topic in Urology

   Might want to think about plan b.
6. 

   Acute Dialysis as a New Grad?

   Chisca replied to jannes's topic in Urology

   You have to be pretty independent to do acutes as you are called out to do ICU patients. The ICU nurse will still be responsible for patient care but it can be daunting to walk into the ICU setting with no critical care experience. The problem with d...
7. 

   Dialysis and Diabetics

   Chisca replied to cslagle1989's topic in Urology

   Dialysis solutions used to have 200 mg/dl sugar in the dialysate bath that would somewhat protect the patient but now it is 100 mg/dl. For some patients that is not enough to protect them during a treatment. Tell me you gave insulin before a treatme...
8. 

   Dialysis and Diabetics

   Chisca replied to cslagle1989's topic in Urology

   Glucose molecule slightly bigger than water molecule so sugar is easily removed during dialysis treatment. I would recommend NEVER give a patient insulin before a dialysis treatment.
9. 

   5th e-Cigarette Death Reported As Illnesses Double

   Chisca replied to J.Adderton's topic in Headlines

   Inhaling heated gases damages your lungs? No way!
10. 

    nurse interview questions in nephrology

    Chisca replied to Jasminewang's topic in Urology

    They won't ask you any anatomy/physio questions. More along the lines of how long can you work without any sleep? How many days of call in a row can you take? How do you feel about caring for 12 patients? If you are up for the abuse and can convince ...
11. 

    First Major Mistake, Pt didn't get blood, I'm so Afraid

    Chisca replied to ICURNVUS's topic in Urology

    And would they have blamed you if you fluid overloaded the patient by giving a volume expander with no way to remove the fluid? ALWAYS safer for blood to be administered during dialysis treatment to pull excess fluid. There was a delay in getting th...
12. 

    First Major Mistake, Pt didn't get blood, I'm so Afraid

    Chisca replied to ICURNVUS's topic in Urology

    It is a blessing you were fired because it sounds toxic where you were working. I am quite aware of my patients lab work and this dialysis knew the labs. I am also aware of any IV access or lack thereof. What happens where i work is the dialysis nur...
13. 

    productivity

    Chisca replied to railroadrn's topic in Urology

    How else can you run a factory if you don't measure productivity?
14. 

    First Major Mistake, Pt didn't get blood, I'm so Afraid

    Chisca replied to ICURNVUS's topic in Urology

    So in your facility only dialysis units can give blood? No IV access is a MD problem and should have been dealt with earlier in course of stay. Don't see how you are at fault.
15. 

    Tube Feeding And Hemodialysis

    Chisca replied to Chisca's topic in MICU

    https://www.jrnjournal.org/article/S1051-2276(12)00226-9/pdf