land27

land27 specializes in SICU,BURNS,ACUTE DIALYSIS.

Latest Activity

1. So what's going to happen to health care now?

   land27 replied to Rocknurse's topic in General Nursing

   My concern is more related to future employment; I am graduating from NP school in December and concerned most employers will slow hiring for the first part of 2017.

2. New grad FNP: "Where else are you interviewing?"

   land27 replied to NurseLauraM's topic in Advanced

   I think you answered your own questions. Yes I am interviewing at a lot of other locations because "I am a new grad in a highly saturated area... and since I'm single and love to travel I have no problem relocating". Then explain what about the jo...

3. What MSN Career Path to Choose

   land27 replied to land27's topic in Career Support

   I actually am a charge nurse, I additionally fill in for our dialysis coordinator when she is on vacation or sick. So I have had some experience in that regard. We are in the process of switching to a new computerized charting system for dialysis as ...

4. Ideas to help my pt

   land27 replied to Joni's Mom's topic in Urology

   Do you have access to a Critline. I think it would be helpful to actually see if the patient is shifting fluids or not. Additionally, put the patient on some oxygen. Just 2 liters can make a big difference. I agree with another post to evaluate blood...

5. First Year Almost Over, No Magical "Ah ha" Moment Yet

   land27 replied to babysteps25's topic in New Nurse

   Give it a little more time. I started in a high acuity SICU at a University Hospital. Was terrifying the first year. Then one day in the elevator before my shift I realized, I wasn't even thinking about all the things which could go wrong over the ne...

6. What MSN Career Path to Choose

   land27 posted a topic in Career Support

   I have been an RN for about 10 years. Finishing up my BSN now and wanting to move onto a Masters Program. However I'm having a difficult time deciding what career path.I have always worked in an Acute Care setting (SICU and Acute Dialysis). Our NP's ...

7. Nurses: Educated Professionals or Puppets?

   land27 replied to Truth66's topic in General Nursing

   I've felt more like a factory worker sometimes than a puppet.

8. need help re removal of temp. dialysis cath.

   land27 replied to snuggles49's topic in Urology

   I would check out facilities policy first, however, a temporary hemodialysis cath. (femoral,IJ, or Subclavien) should be able to be pulled by an RN. The procedure is the same as for any other central line: HOB down, have patient take breath in and ho...

9. Acute Dialysis - CRRT : Role of Critical Care Nurses or Renal Nurses?

   land27 replied to bluefabian's topic in MICU

   I couldn't agree more......Well said.

10. PPE for dialysis nurses

    land27 replied to oklhmrn's topic in Urology

    I couldn't agree more......I I get so hot in those lab jackets...it's unbearable....plus puts the staff in a bad temperment.

11. Did a dumb thing r/t dialysis port

    land27 replied to SoundofMusic's topic in Urology

    Excuse me, I work for a hospital dialysis unit that is actually contracted to FMC. We use FMC Policy and Procedure....and we use heparin 5000 units/cc as our catheter fills. So I am a bit taken back by your comments regarding hospital based dialysis ...

12. Did a dumb thing r/t dialysis port

    land27 replied to SoundofMusic's topic in Urology

    A dialysis patients access is there life line. Without it they could die in in a few days to a week or so. Hemodialysis also requires that access to be able to handle blood flow rates up to 350-400ml/min and sustain that rate for hours at a time. So ...

13. Need direction and encouragement

    land27 replied to RN/RDH's topic in Urology

    I suspect you work in a md owned/operated dialysis unit. State and Federal regulators may be interested in checking the place out.....I would recommend reporting any unsafe practices....

14. potassium/dialysate bath

    land27 replied to LPN2RNBSN's topic in Urology

    We still use 0 k baths for patients with high (7+ potassium levels) but only for an hour and then finish the treatment with 1k. some of our physicians will do zero k the first hour, 1k the 2nd hr, and 2k the third hr.

15. potassium/dialysate bath

    land27 replied to LPN2RNBSN's topic in Urology

    I work in the acute setting and my experiance has been that physicians may use a 3k bath instead of the 2k bath in patients who experiance more ectopy at lower K+ levels and viceversa, It is important to remember that each person is different and jus...