errosmith

errosmith

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About errosmith

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  1. My God, these family members!!

    We have a spot in the chart for psych/soc aspects of the patient with dropdown boxes such as "demanding", "combative", "hostile", "withdrawn". As a patient and a health care worker, such documentation covers everyones bottom. However, this documenta...
  2. Behavioral Problems:Patients in Outpatient Clinics

    Yes, I am. I have done most of the required meetings and doctor visits but am now trying to get my thyroid in order. They will not accept you with a thyroid problem. I just started synthroid , lab work done again and have an appointment next week for...
  3. Behavioral Problems:Patients in Outpatient Clinics

    I researched PD and is just is not a good idea. It takes so much room for supplies plus I have animals at home. Also it has such a high Insident for infection. Home HD would not work for the same reasons above. Plus my family all work and I just woul...
  4. Behavioral Problems:Patients in Outpatient Clinics

    quote: However, as in society in general, there is a subset of folks or pts that feel life owes them. In life they can't live by the rules of society and in dialysis that feeling carries over You are so right! People by nature are egotistic. Me first...
  5. Behavioral Problems:Patients in Outpatient Clinics

    I have two insurance policies and also medicare. I am billed $34,000 a month for 12 tx and the insurance pays $30,000 as payment in full. I did not mean to say that I personally pay this but this is what is billed. Dialysis is a big business with the...
  6. new to dialysis

    Quote We as nurses understand the hardship of going through temporary catheter while the AVF matures and working, the cost incurred for a new formation. That's why we are so very careful in doing so. I do believe that you have an idea of the hardshi...
  7. Behavioral Problems:Patients in Outpatient Clinics

    Blue, it is unforunate that you are not paid overtime for your work. In the US it is the law to pay for overtime. It is also unforunate that there is no control over start times for pts at your unit. It would make your job easier if pts came when sch...
  8. HIV Needlestick

    I had a direct mucus membrane exposure at dialysis. Pt was not a known HIV+ but who knows?? I did not go on medication but was tested at exposure, 6 wks and at 3 months. All were neg. My exposure was from a dropped syringe filled with blood. Syringe ...
  9. Behavioral Problems:Patients in Outpatient Clinics

    Jorlus: I am a dialysis pt and I also am an apheresis technicain with transfusion medicine. I am well aware of the fact that "chronic dialysis is not all sunshine and flowers". I have seen first hand both sides of the coin and it is not pretty. I am...
  10. new to dialysis

    A pts access IS their lifeline. I would always let a newbee draw venipuncture but never, never let a newbee practice on my lifeline. Thats just not pudent. Some pts indure many surgeries to get an access to work in the first place. A wrong stick coul...
  11. Behavioral Problems:Patients in Outpatient Clinics

    One has to wonder why a dialysis pt acts aggressive in the first place. It could be that they are aware that whatever tx they receive, good or bad, they must put up with poor attitudes from aggressive staff. More than likely they know that without di...