acutedialysis

acutedialysis

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About acutedialysis

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  1. Dialysis Staff Schedules

    If you want a set schedule and guaranteed 40 hours per week, do not do acutes. Acute schedules are variable, but for the person who love it (like me), it is the flexability of acutes that makes it all worth it. My staff almost alwys have the abilit...
  2. Patient census in acute setting.

    We no longer have our acute room, but when we did, it was 2 patients: 1 staff. Bedsides are always 1:1. I expect my staff to be able to do upto 3 runs per day (all 1:1) but they very often end up with 1-2 runs per day. Somehow, it balances out to ...
  3. Change in the rules

    Yes, they clock out for a 30 minute break, but they cannot leave the building unless someone else is the the building (which rarely happens). Since the unit is kinda off the beaten path (way in the country), there really would be no where to go in a...
  4. Change in the rules

    We have a small unit (8 chairs) that is run the same way, 1 RN +1 PCT. Both have to be in the building at all times, but they are given breaks. The state has been there to audit twice in 3 years (initial and renewal) and has never said a word about...
  5. Dialysis companies other than DaVita

    Tony 55! I agree, I work for a physician owned independant and LOVE it! They are still out there, just far and in between. I will never work for a big chain again.
  6. Dialysis bath help!

    Found it faster than I thought. From the CMS ESRD Program Interpretive Guideline V116 "Items taken into the dialysis station should either be disposed of, dedicated for use only on a single patient, or cleaned and disinfected before taken to a commo...
  7. Dialysis bath help!

    In our clinics we cannot mix the left over bath due to infection control. Once a supply has been utilized on one patient it cannot be utilized on another. So we dump the left over jugs. We centrally pump in 2K, so our only mixing is for maybe 10% ...
  8. Water supply?

    We use the showers quite often. The water supply is the same as what is provided to the sinks. A word of caution is the temperature. When using the shower, the dialysis staff must make sure that they RO system is being fed cold water not luke warm...
  9. PCT C.E for recertification (CCHT, NNCC, Bonent, etc.) Michigan

    i am attaching a link that we used for our techs. the ceu's only work for rn's in the state of fl, but kim at the nncc stated that they would be ok for technicians. i should add that the techs reported to me that the fl ceu's are very good, but not...
  10. catheter care

    We utilize Chloraprep, antibiotic cream and island dressings. Our infection rate is very low. In one of our acute hospitals we use the biopatch with great success, but it stays on for a week. I'm not sure if more mobile patient (versus a hospitali...
  11. My guess (and it's only a guess) is that they use "aucte" to mean hospital and "renal" for patients that have some form of renal imparment. That means that you will see all stages of renal failure, some on dialysis, some not. Good luck, but ask lot...
  12. How did you start in Dialysis?

    If you have an RN, do you have a year's experience in nursing? With the new CMS guidlines mandating charge RN's have at least 1 year nursing experience, this could be part of the problem. Many smaller units only have 1 RN on site, so they have to b...
  13. Clave not Cap on HD Catheter

    Maybe try asking the patient? Otherwise I would call the hospital and ask them. They will most likely deny using the catheter, but at least you can documnet the information and the conservation. That way, if , God forbid, the catheter ends up infec...
  14. If clinics are short-staffed,,,where to recruit from?

    We advertise in local papers and online when necessary. We have several dialysis tech schools in the area so we rarely have the need to do any ads (unless we want previous experience.) I will say, even though these techs have no clinical experience...
  15. Temporary Dialysis and PICC line together

    Does anyone have any experience with the new BARD catheter that combines a PICC line and a temporary dialysis catheter? It seems great in theory, but the rep says it can't be used while dialysis is running? If that is true, then what's the point? ...