Juanay

Juanay specializes in Acute/Chronic hemodialysis.

Latest Activity

1. Question about leg cramps

   Juanay replied to nurscee's topic in Urology

   Our nephrologist is now encouraging our pt to use OTC Vitamin E 400u bid and OTC Carnitine as directed daily especially pre HD

2. HD access security

   Juanay replied to auntiedebe's topic in Urology

   The tape goes under the needle then criss cross over the top. I, then, always add a piece over the top of the criss cross.

3. potassium/dialysate bath

   Juanay replied to LPN2RNBSN's topic in Urology

   I am a travel dialysis nurse and have worked in units where 3K was standard and other units where 2K was standard. Most of the units standard have been 2K.

4. Shunt care policy?

   Juanay replied to moonlynx's topic in Urology

   You should also protect the arm (if it is in the arm). No tight sleeves, no watch, bracelet, nothing to hinder circulaiton. Pt should not sleep on that arm. Assess for bruising /infiltration. If infiltration had occured from tx, extremity should be e...

5. Patient hostility...HELP!

   Juanay replied to shannon8282's topic in Urology

   shannon8232 Sounds like this pt needs to be on a behavior contract. If he refuses to comply with the contract he should be discharged as a pt from your facility. Unfortunately in the times we live in we should take all verbal abuse as assault and not...

6. Anyone doing any travel dialysis nursing?

   Juanay replied to theresa_b's topic in Urology

   Here's the web address: http://foundationenterprises.com/ I've been traveling with them for 2 1/2 years. Juanay

7. 16.50 Starting Wage for a Grad Nurse???? Oh No! Say it Ain't So.....

   Juanay replied to chattypattyCRNA2B's topic in Mississippi

   I graduated from JCJC in 2001 and started out making 14/hr. I worked 18 months at that wage before I got a 4 dollar/hr raise. Worked another year while going to USM for my BSN then decided to travel. I'm making twice that now. Kinda hard to go back t...

8. muscle cramping/pain

   Juanay replied to student60's topic in Urology

   Yeah, Lots of colors, some have holes ( not for use in clinic ) Around $30.00 here and @ home. I have actually had a N ask me what I think I should do in a situation and they reply "Sounds good to me, lets do it." The N's here are all very approachab...

9. Sodium Profile

   Juanay replied to SugarHanie's topic in Urology

   What a difference the 2 of us could make in a unit!!! Too much for most places to handle I'm sure! I have been asked to extend here again. Since this is the closest thing to home I probably will unless this THING that WILL go down this week backfires...

10. Sodium Profile

    Juanay replied to SugarHanie's topic in Urology

    The toe's fine. Still aches occassionally when the weather changes or when I've been on it all day in tight shoes. Got some Crocks and absolutely LOVE them. Best shoe I've ever worked in is a garden shoe. Imagine that! As far as 14's... This is the ...

11. Sodium Profile

    Juanay replied to SugarHanie's topic in Urology

    We have had greater success in decreasing time with N's orders fro larger dialyzers and larger needles for well established accesses. 14 Gauge on several clients now. Labs are positively reflecting! The pts are sooo proud to have their times cut! Jua...

12. IV antibiotic infusions

    Juanay replied to kafo's topic in Urology

    We are 24.7 miles from the nearest hosp and have no courier service for labs or blood. We (the staff) have to physically go pick up the blood and take any labs ie...BC's for fever, culture swabs, 24 hour urines. If we have a code we have to run it wi...

13. muscle cramping/pain

    Juanay replied to student60's topic in Urology

    Sometimes you gotta wonder about these N's and what they are thinking!!! HHHHMMMMMMM!

14. IV antibiotic infusions

    Juanay replied to kafo's topic in Urology

    Being a traveler "When in Rome" Protocols are different in every unit. Every state. Vanc 2 G over 2 hours, burp bag through arterial. Same situation through venous with pump. I've seen Gent given with RB and shudder since it is ototoxic. I've seen A...

15. muscle cramping/pain

    Juanay replied to student60's topic in Urology

    When I started in dialysis our units used only NS or Min UF, Decreased UF goal for Cramps. (Pushing on the foot, allowing the STABLE pt to stand as well) The facilities I am in currently DO use hypertonic, Bicarb, D50 as well as Na modeling and UF p...