zimm4er

Latest Activity

1. Question about Potassium/Dialysate Baths

   zimm4er replied to ChineseNurse's topic in Urology

   you were right to not want to do this. Dialysis is a speciality just like Surgical nursing. I would not feel comfortable in your world. The jug a liquid is acid, it can have different potassium. Then you add the packets to change the bath to what...

2. Terrified of the stick :(

   zimm4er replied to kellyrainRN's topic in Urology

   If you are used to sticking that is the main point. Your preceptor should have you sticking "easy" people to get you confidence up. Don't think about the needle size, you are not the onw getting stuck. Pt's that have been stuck a lot don't reall...

3. Can ER doctors give dialysis orders?

   zimm4er replied to nursingisok's topic in Urology

   Ditto to tish. I do not come in unless I am called by my nephrologist. If I did they would give me hell.

4. Frustration with Dialysis Technicians

   zimm4er replied to stardogdaisy's topic in Urology

   I agree with the respect. Often it is the old nonlicesed vs licensed butting heads. In nursing often the nonlicensed person has been there so long they really do know a lot, and often tey teach you the ropes. Of course they usually are not able to...

5. outpatient dialysis RN...a good starting job for new grad?

   zimm4er replied to mwcrsn's topic in Urology

   Dialysis is a real specialty. I worked renal transplant-urology-gi for 10 years before I went to dialysis. It made my assessment skills stellar. Also, helped me learn to formulate plan of cares and what to call a doctor for. I am a firm believer ...

6. Acute HD by ICU staff

   zimm4er replied to prwd2bRN's topic in Urology

   I totally agree with the above post. Hemodialysis is much more than it looks. To truely be good takes lots of "practice." AN ICU patient is not where they should ne practicing. The one thing you brought up is the ICU staff at my hospital would no...

7. Going RAI--was davita

   zimm4er posted a topic in Urology

   The hospital based acute unit I work at has been Davita. RAI got the contract for the next year. What can I expect. Mainl;y I just want my same staff ratios, same pay, Pto , and then I would like a retirement plan with matching. Thanks for all yo...

8. call back schedule

   zimm4er replied to queen bee radar's topic in Urology

   our call back is determined by the md. We do get the cvvhd calls, but we always know who has to be reset up if they clot off before 1000 pom or who can wait to the next day. This can vary from md to md. We have two different services, and they fun...

9. CRRT: Who does it??

   zimm4er replied to NephRN's topic in Urology

   we use the fresinus K machine with a micro chip. We turn the blood flow to 200, and the dialysate flow to 200 also. We run replacemnt fluids of Ns at 200 ml /hour into the art/venous chambers. Nothing to weigh, measure or calibrate. We just use ou...

10. Common Practice For Acutes Call Back Pay

    zimm4er replied to Blueskydeepwater's topic in Urology

    I also work for davita, but I was "bought out" from a private pay hospital system. So I am not sure what is old policy vs. true davita policy. We get $3.00 per hour just to carry the beeper. Then every time you get called in--wheter it be for some...

11. Davita Acute job

    zimm4er replied to NoMoreStudying's topic in Urology

    I work in davita acutes--I like my job. Lots of variety. and autonomy. If I have questions regarding my patient or want to change my orders, I talk to my nephrologist within minutes. The hours are long, when you include call and call back. This...

12. What do you lack dialysis catheters with?

    zimm4er replied to chatty-rn's topic in Urology

    we lock all our dialysis lines with 5000units/ml heparin--whatever the loading volume is

13. Davita/Gambro

    zimm4er replied to BSNgrad2004's topic in Urology

    :angryfire My unit was sold to Davita about 18 months ago, it has not been a happy transition, to say the least. Now the davita buying gambro comes up--I am okay with that. Now the Fed Trade Comm. says in my city Davita needs to sell two units--eit...