klm49

klm49

Acute Dialysis

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About klm49

klm49 specializes in Acute Dialysis.


Latest Activity

  1. That depends on what state you work in. Here I have work a specific minimum number of hours in a position as an RN as well as complete the necessary CEU's to have my license remain active. If I don't have the required number of work hours, the CEU ...
  2. Call off guidelines

    I work in Acute Dialysis. We regularly go through periods of feast or famine. We also have to decide who has to stay after hours to finish off the day. We try to keep it simple. The sequence we use was agreed to by everyone. 1. PRN staff are cal...
  3. To Stop or Not

    One thing to keep in mind with all of this, is that anyone can sue for ANY reason. All it takes is an attorney to accpet the case. The act of being sued does not establish liability. To be held accountable and liable by the courts is another matte...
  4. ZZZZ's - Time to be honest!

    Much to my horror, yes. Not always on the night shift either. I do Acute dialysis and do many treatments at the bedside. Quiet, over hot isolation room, isolation gown and mask, sleeping patient, call the night before.... Whiplash from jerking awa...
  5. Forgot to renew my BLS!

    For the standard AHA BLS class, once your certification has expired you have to retake the complete class. Yes, it seems punitive and some instructors will admit it is punitive and meant to remind people to take the class before expiring, but a line...
  6. Blood Transfusion during Dialysis

    I have been reading the excellent post regarding blood administration and dialysis and thought I would add to it. Before becoming an Acute dialysis nurse I worked nights in ICU. Dialysis was something that happened occasionally during the day but w...
  7. The question keeps coming up in my hospital as to how fast we can give a unit of PRBC's during a dialysis tx. Traditionally we have infused 1 unit of PRBC's over 20-30 min into the Art chamber with continuous monitoring of temp and vs q 15 min. We al...
  8. Steve

    I spoke with my Acute program Medical Director and said he had read of doing Hemodiafiltration in chronic units in other countries but wasn't sure how it was done. His question was much the same as mine in How do they do it? How do you give that mu...
  9. Controlling Vascular Access Bleeding

    There is a trick to holding pressure. My employer still uses the SureSeal band aid type dressings. I know not everyone does because of cost. Without the band aid I remove all of the tape. I don't want the tape to hang up on something or prevent t...
  10. Steve

    I think we need a definition of terms. From the difference in the spelling of hemodialysis my guess is you are not practicing in the USA. How and when exactly are you doing HDF? The only time I have seen hemodiafiltration mentioned is with CRRT an...
  11. I am extremely frustrated right now and just need to blow off some steam with others that will understand. My daughter called me at work on Wednesday last week and told me my 69 yr old mother had fallen in the bathroom, hit the bathtub and possibly ...
  12. Has anyone worked at Dialysis at Sea Cruise Ship?

    I worked a Dialysis at Sea cruise this past fall. I did a 7 day cruise to Alaska. It was alot of fun but also hard work. The pay for working is that the cruise is free. On ship you are treated as any other paying customer and have access to all o...