Latest Comments by madwife2002

madwife2002, BSN, RN Guide 99,934 Views

Joined Jan 17, '05 - from 'Ohio'. madwife2002 is a Clinical Service Specialist. She has '26' year(s) of experience and specializes in 'RN, BSN, CHDN'. Posts: 10,274 (21% Liked) Likes: 6,068

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  • 0

    Quote from OCNRN63
    I wasn't going to comment, but this made me get a mental image of someone cracking a whip over a mule team.
    Sorry wasn't meant to say something so inappropriate-but I do see how it can be read that way

  • 0

    Great comments thank you for reading and taking the time to comment-I can't argue with any of the issues you have raised because what you say are very real issues.
    I am not part of the operations I am purely clinical leadership, so while I do agree with how hard we work our nurses, I know that I have to implement changes due to changes in health care, which are driven down from the government level

  • 4

    When I came into nursing, which was a long time ago now, I was part of the old cliché, which was to help people, I know a shocking concept in the ever changing world of healthcare.

    Never in my wildest dreams did I envision my self at the top of the ladder and that I became ‘they’

    I am sure you have all heard it said ‘they’ want us to do it, it came down from above and ‘they’ need us to behave in this way. Why are ‘they’ giving us more and more to do? With less time to do it.

    So my question who is ‘they’? In my company they are a variety of people all with the best intentions in the world. I work in dialysis and dialysis is one of the most heavily moderated specialties in this country. So lots of rules, regulations govern us and higher standards of care are expected from the dialysis community, what does this means to the direct care staff? Lots of new policies and procedures have to be initiated plus evaluated constantly.

    A definition of they-‘They’ are old, young, clinical, non-clinical, very experienced nurses and nurses with no floor experience, they can be male or female, any race, culture or religion. ‘They’ can be you if you want to be ‘they’.

    ‘They’ do have the best interest of the patients and staff when planning and implementing changes, new policies, new tools to assist changes and they are part of the company you have chosen to work at. This means they are you!! Confused yet?

    I was one of those nurses who wondered who they were and how did they know what it was like to work on a floor, how tiring it is, how hard we worked, no breaks and how do they know how it is to care for a sick or dying patients and their relatives? I spent over 15 years giving direct care to patients, I have the knowledge and experience to represent nurses-I wanted to be part of the team of ‘they’ as a RN.

    I worked hard to be a ‘they’ I took courses, I volunteer for projects, I was flexible and open to change-I love to be innovated to be part of new projects and pilots to see if it will improve the quality of care delivered to the patients. I love to audit to see how care is given, to educate where I see the need, and I am the advocate for Nurses, PCT’s and other direct care staff in dialysis units.

    Do I make a difference? I know I fight daily with a team of RN’s to stand up for nurses and pcts. I love the concepts of some of the ideas but I also know the reality for many direct patient care staff. I am skeptical and always open to be proven wrong to some ideas and really enthusiastic for many other ideas.

    I remember back in the day when changes would be implemented thinking to myself ‘if it is not broken why mend it’ of course today we have to have research to prove that something works, pilots with hundreds of steps carefully written for staff to follow.
    Why? Because we have to make sure that we do not harm a patient or a member of staff, we can only guarantee anything if we follow the steps laid out-and be prepared to change quickly if something is identified during the pilot that has the potential to harm.

    I love what I do, but I cant look back I am so far removed from the floor that I am dizzy. I often wondered how it happened and if I am as happy as I was when I was a RN working the floor in a busy bustling hospital.

    My answer to this question is no I am not as happy as I was when I was a RN on the floor, nothing in the world can compare to looking after patients, working with a team of nurses and laughing/crying so hard with patients, staff and family members. Feeling proud when I helped to support patients and families through good and bad news.

    However I do believe that I am up there, supporting the nurses by making sure I never forget my grass roots. I am 'They' and 'They' are us, whether we like it or not!!

  • 0

    I am considering relocating with my company from Ohio to South Florida

    What are the pro's and con's

    I hear traffic is horrendous and I would be doing a lot of traveling in my job

  • 8
    dream'n, Lev <3, TriciaJ, and 5 others like this.

    It happened to me once many years ago, I so totally understand the feeling-The patients wife gave me a folded bill I tried reasoning but they were so instant when I looked it was $100 and I never felt so awful and horrible in all my life
    I left the money in a drawer in my house for a long time and then I too donated it

    I will never ever allow anybody to give me money again

  • 1
    smartnurse1982 likes this.

    Moved to Private Duty Nursing forum at the request of the OP

  • 3
    idodialysis, AcuteHD, and tsm007 like this.

    First of all thank you for caring so much that you are asking for advice on the renal diet, two things you need to know are your patients on dialysis or are they on a renal diet to slow down their kidney deterioration? By this i mean are they stage 3 or 4 pre dialysis patients?

    The reason I ask this is because the Renal Diet is different for pre dialysis patients-my suggestion is call or send a note to the dietitian at the renal centre where they get their dialysis. Each patient has their own specific diet prescribed for them and the dietitian at the dialysis facility would be more than happy to send you information on each of your patients.

    Dietitian love it when nursing home staff contact them about this as they have a deep frustration when it appears NH patients eat just what ever they want, plus drink what ever they want and their lab results suffer as a consequence.
    Call the facility before you leave-staff in renal units start very early and leave a message on the dietitians voice mail or speak with an RN who can get you all the information you would ever need.

    If the pt is in end stage renal failure but not yet requiring dialysis then you need to speak with a dietitian at the doctors office or you can fax the dietitian and ask for them to provide you with a diet for that specific patient

    I hope this helps

  • 0

    Welcome to allnurses I have moved your thread to this forum as you will get more responses

  • 1
    SmilingBluEyes likes this.

    Quote from GRounded1
    Thank you so very much for being willing to answer any Dialysis related question. I am interested in PD nursing and just wondered what a typical day is like for a PD nurse and where will the position lead me. I eventually wanna be a manager?
    Do you have any Renal experience?

    A lot of dialysis centers are cross training their home nurses these days, the RN's will do the PD and HHD training.
    It takes about 3 months to train/orientate a RN to PD and the same for HHD.

    You can be expected to train 2 PD patients a day-their training and it should be individualized can take 8-10 days. Currently if you use baxter products patients are experiencing a delay in going to IPD using the NXstage peritoneal dialysis machine, so patients may go home on CAPD.
    They will need to return to the clinic to retrain onto Nxstage.
    You will be expected to be once for home patients, should there be an emergency overnight you would troubleshoot issues and problems via the phone.
    Monthly labs and follow up
    Nephrologists will see puts monthly, normally at the home therapy center.
    Home visits for new patients and home visits to assess conditions post peritonitis
    A lot of IDT work
    Education for family and patients

  • 0

    Moved to NCLEX forum

  • 0

    Closing for Staff Review

  • 0

    Please visit your GP for advice-unfortunately we cannot give medical advice on this site
    Good luck

  • 1
    chiandre likes this.

    Please refrain from insulting one and other, it serves no purpose apart from derailing a thread

    Stay on topic

  • 2
    joanna73 and icuRNmaggie like this.

    Did you get a sign on bonus? Or did they pay for relocation?
    You would have to return the money, if they requested it-sometimes they keep your last pay

    The first six months are the hardest, have you made friends?

  • 3

    My advice would be in the future because there will be a time in the future you will do something like this-drive back to the hospital and return anything you accidentally took home.
    I am all for covering my back and that would be my advice to anybody, yeah it sucks having to drive all the way back but it sucks more if you ever get into trouble for anything like that.