Robbilin

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1. Response time when on call?

   Robbilin posted a topic in Urology

   Right now our required response time is within 45 minutes when on call. What is the response time in your facilities? I am trying to hire new nurses, but everyone lives an hour away, limiting my choices. I want to change the policy but need some idea...

2. Dressing Change Supplies/How Often

   Robbilin replied to Robbilin's topic in Urology

   Do you use antibiotic in single dose packets? I am trying to do this cost effectively, but still best for the patient. I know the KDOQI recommendations are not to use an occlusive dressing, which is why we are switching to paper tape also. Thanks

3. Dressing Change Supplies/How Often

   Robbilin posted a topic in Urology

   Our current policy for drsg changes is to change them weekly, cleanse with betadine and then H2O2, apply a Bio-patch, and then a Tegaderm dressing. We will possibly be changing to using just a dry guaze and a piece of tape and doing that at each HD t...

4. Different strength baths in unit - safety issue

   Robbilin replied to Robbilin's topic in Urology

   How did your error occur? Someone apparently unloaded one carton of the 0 Ca++ baths and mixed them with the 2.5 C baths accidently. Then when they got the stations ready, grabbed the wrong baths without reading the label, assuming they were stocked ...

5. Different strength baths in unit - safety issue

   Robbilin posted a topic in Urology

   We had an incident where the wrong Ca++ bath was put on some of the patients machines - 0 instead of 2.5. The patients all were very symptomatic before we figured out the problem. My question is, do any of you keep 0 Ca+ or 0 K+ baths on your unit an...

6. medicare payment for hospital based chronic/acute dialysis

   Robbilin replied to Gibbie's topic in Urology

   We are a hospital based center in Wisconsin. Our patients don't get discharged first if they are inpatient, to come down to our unit. It is charged under their inpatient hospital number. Our normal outpatient chronics have one number, but if they get...

7. medicare payment for hospital based chronic/acute dialysis

   Robbilin replied to Gibbie's topic in Urology

   I also work at a hospital based facility. We run the unstable acutes in their ICU rooms, but we do any stable ones in our regular unit. I don't understand the billing nightmare; though I am not a medicare billing guru! We have one acute charge and o...

8. LPN functions in your dialysis unit

   Robbilin replied to lisalh's topic in Urology

   Our LPN's do everything RN's do except acute hemo's, give IV iron, blood or take orders from the docs. We are a hospital based facility. Our LPN's are awesome!

9. Acute program call pay

   Robbilin replied to 1dernurse's topic in Urology

   I work in a hospital based hemo unit and am on call 10 shifts per month. We only have 3 nurses who take call. We are open M-W-F from 6 am til 6 pm, so are on call all the hours in between. We get called in maybe 25 % of the time, but it goes much hig...

10. Clamping Needles Sites

    Robbilin replied to Robbilin's topic in Urology

    Thanks for all these ideas and suggestions. We are kind of dependent on the clamps too. As far as the bleach soaking, does anyone know how long they have to sit in it? (For the state to be happy!) Robbilin

11. Clamping Needles Sites

    Robbilin posted a topic in Urology

    Tell me, what do you all think of using clamps on graft and fistula needle sites? What is your technique - like use one clamp and hold the other needle site, no clamps ever, use them all the times?? And if you do use clamps, what is your policy for c...

12. Gambro Corp.

    Robbilin replied to mrdoc2005's topic in Urology

    And where I work, they came into town and offered the experienced nurses big bucks to come over to their facility. They were actually intending to shut down our facility! They are all about money, not about patients.

13. Pt with post HD nausea

    Robbilin posted a topic in Urology

    We have a male patient who seems to get very nauseated about 3 hours after dialysis. He says it only happens on dialysis days, but on the machine he is fine. He does get Zofran 4 mg po for the nausea during his treatment, but it doesn't always seem t...

14. Do RNs declot temporary hemodialysis catheters?

    Robbilin replied to frankie's topic in Urology

    We often times will use the 2mg of Activase and put it in whatever port is either clotted off or very sluggish, leave it in until the next treatment, then withdraw it. If the port is completely clotted, we will put it in and then wait 20-30 minutes, ...