sueinga

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1. Skin condition

   sueinga replied to sueinga's topic in Urology

   Do you apply and let dry prior to cannulation? Or have them wash their arm before they sit down? Either way I wil try it- thanks for the input!

2. Skin condition

   sueinga posted a topic in Urology

   Hi, I have a patient who develops extremely irritated, scally skin around her access- it has happened around a catheter dite and also over an AV access in both arms. The CVC area responded to a bactroban on gauze debridement ( of the scales) and vas...

3. Licenses for different states?

   sueinga posted a topic in Travel

   Hello, I'm interested in travel nursing- but do I need to obtain a license in each state I'm interested in? How does that work? Thanks anyone Susan

4. Drawing P.T./INR on Catheter patients

   sueinga posted a topic in Urology

   Hello, We draw our monthly and midmonthly labs from the arterial lumen of CVC patients and normally first withdraw the indwelling heparin of course- at least 3ml- 5ml There has been a debate as to whether the P.T./INR would be accurate anyway if draw...

5. Excelsior Anyone?!?

   sueinga replied to A1Nursn's topic in Georgia

   Georgia lets you license by endorsement. I applied to the state of Virginia to take state boards and then took them in Atlanta. Its all computerized so you do not have to physically go to another state to test. After I got my Virginia license - I...

6. Can someone help me out?

   sueinga replied to gigi69's topic in Urology

   Focal segmental glomerulosclerosis is scar tissue that forms in areas of the kidney that filter certain things out of the body. These areas are called glomeruli. The help the body get rid of harmful or unnecessary substances. Each kidney has thousand...

7. Excelsior Anyone?!?

   sueinga replied to A1Nursn's topic in Georgia

   Hello, I worked as an LPN for almost 30 years and used Excelsior to get my ASN. I've been an RN for a year now working in Dialysis. In my opinion it was far less stressful and expensive to use Excelsior for this- you just need more motivation and d...

8. Rule of thumb for new access needle size

   sueinga posted a topic in Urology

   Hi, Everyone pretty much agrees that when accessing a new fistula to use 17g x 2 weeks then 16g x 2 weeks and ultimately 15g unless otherwise ordered..........but I've heard conflicting views on what size needle to use when accessing a new graft, ...

9. protocol for achieving hemostasis

   sueinga replied to urrRN's topic in Urology

   What are tipstops? We used sureseal bandaids for awhile but they were cost prohibitive- now we use superstoppers and most pts and staff love them- and they're cost effective

10. GA Nursing Roll Call

    sueinga replied to jb2u's topic in Georgia

    Hello, I live in NW Georgia area and just finished my first year as an RN in dialysis. I was an LPN for 25 years and then got my RN thru Excelsior. Look forward to hearing about other areas of care as I'm not sure this is my forte. Sue

11. Question about leg cramps

    sueinga replied to nurscee's topic in Urology

    When a patient c/o cramps anywhere ( legs, hands, abdomen, back) I turn the UF off , give 100 to 250 of saline and see how they respond- then its a judgement call as to if and when to turn the UF back on. I know its a sin to send a pt out with fluid...

12. patient to staff ratio- laws

    sueinga posted a topic in Urology

    Hi, In Georgia it is supposedly mandated that 1 RN to 10 dialyis patients is the limit. We run 16 patients on first shift and 15 on second shift. There is supposed to be 2 RNs but one comes late chronically (agency). I have been the only nurse a few...

13. patient to staff ratio- laws

    sueinga posted a topic in Urology

    Hi, In Georgia it is supposedly mandated that 1 RN to 10 dialyis patients is the limit. We run 16 patients on first shift and 15 on second shift. There is supposed to be 2 RNs but one comes late chronically (agency). I have been the only nurse a few...

14. HD access security

    sueinga replied to auntiedebe's topic in Urology

    Curious- what is "chevron tape" ?? I've not heard that term before

15. pickles or boullion?

    sueinga posted a topic in Urology

    We all have pts who are hypotensive post treatment and we don't want to give back too much fluid. Of course sodium variation, profiling and adjusting EDW as first options but after that? One nurse has suggested that by experience- giving either s...