jlautier

jlautier has 5 years experience and specializes in Dialysis Acute & Chronic.

Latest Activity

1. Rookie mistakes in dialysis

   jlautier replied to thelittlenurs's topic in Dialysis, Renal, Urology

   patients always have high bp's in HD.. i wait until it gets lowered as they UF to give it, and generally our docs don't care about the warning and feel the benefit (managed anemia) out ways the...

2. Ask A Hemodialysis Nurse (Questions about how to become one of us)

   jlautier replied to madwife2002's topic in Dialysis, Renal, Urology

   1: Needles remain in till the treatment is done; patients who get restless and bend their arm hand a chance at infiltrating. What happens is similar to a peripheral line except the instead of a rate...

3. Ask A Hemodialysis Nurse (Questions about how to become one of us)

   jlautier replied to madwife2002's topic in Dialysis, Renal, Urology

   I want to elaborate on the HD perm catheters-- You are correct, it is a CVC like any other CVC. heparin dwells at 1,000units per ml, so don't get freaked out. The reason why nephro docs and HD rn's...

4. Dialysis nursing, continuing ed for dialysis

   jlautier replied to HazyAutumnStar's topic in Dialysis, Renal, Urology

   its hard to do any nursing when sh*t is hitting the fan at your clinic. Nursing skills you speak of sound more like "tasks" urinary catheters, dressing changes, wounds, etc. Those are all tasks....

5. CDN worth going for?

   jlautier replied to TheSuperNurse's topic in Dialysis, Renal, Urology

   worth it only if you want to be an educator... no requirements at FMC to keep working, FMC doesn't assist w/ CEU cost... so screw it. it can help w/ the CAP advancement but if your charge nurse you...

6. when is the best time to do ECG for dialysis patient

   jlautier replied to uae808's topic in Dialysis, Renal, Urology

   Exactly my point--you would want to check the ECG before dialysis. Following treatment, a patients K, Ca, and Na will be that of the Acid used for tx. This could hide a patients underlying rhythm. So...

7. when is the best time to do ECG for dialysis patient

   jlautier replied to uae808's topic in Dialysis, Renal, Urology

   ECG measures electrical activity... a high K will have implications to the ECG.. widened QRS.. more K competing for bonding sites. So TBH it does make a difference because every patient post dialysis...

8. when is the best time to do ECG for dialysis patient

   jlautier replied to uae808's topic in Dialysis, Renal, Urology

   Similar to why if you forget labs you can't draw mid treatment. Prior to the blood hitting the dializer, the patients blood is untreated and a better indication of what a patients labs are like. 2...

9. Fizzy "Cherry Pop" Coming From Patient?

   jlautier replied to westieluv's topic in Dialysis, Renal, Urology

   If the patient has a CVC, recirculation will always occur because the tips of the catheter are only .1 mm appart from each other. Especially if the catheter is running reverse than a higher percentage...

10. High K question

    jlautier replied to floridaRN38's topic in Dialysis, Renal, Urology

    One time a patient had a cardiac arrest--not on treatment or at the unit--he was revived and his K was 8.5. He was dialyzed and his since returned to the outpatient setting...after a CABG x4. He told...

11. Shadowing in HD. New(ish) Grad.

    jlautier replied to EiEiO_55120's topic in Dialysis, Renal, Urology

    No matter where you start working, give it time. I've had doubts too. It gets better. Push

12. New Grad on Subacute floor at LTC... need advice :'(

    jlautier replied to new.grad.rn's topic in Geriatric, LTC

    Keep the job, broaden your search. I was there too. We all take a tour. Be a model employee. Patients first. Outpatient dialysis is the way I got out. I worked my way into acutes, and now work at a...

13. Shadowing in HD. New(ish) Grad.

    jlautier replied to EiEiO_55120's topic in Dialysis, Renal, Urology

    I too worked at a LTC facility immediately following graduation from school, even with my BSN i found it difficult to land a job in a hospital. I found the LTC place to be unorganized, unsafe, and not...

14. Staffing

    jlautier replied to VickiSunderland's topic in Dialysis, Renal, Urology

    CT: it's 10 pts to 1 RN w/ 2 CCHT or 9:1 w/ 1 CCHT and 1 PCT. Typically we turn over 4 machines a shift per staff member

15. What exactly means diuresis?

    jlautier replied to healthresearch's topic in Dialysis, Renal, Urology

    Diuresis: increased production urine d/t a medication to increase urine production. Polyuria: is a