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Search Results Type: Posts; User: Chisca

From Date
  1. Pirate busted.
    I guess we now know why Kent Thiry loves dressing up as a pirate. He really is one! DaVita to pay $389 million to settle federal allegations - Denver Business Journal 5 states to get $22...
    Jan 9
    Forum: Dialysis / Renal / Urology
  2. Critical pay at Fresenius Medical Care
    Consider it a lesson not to trust management.
    Jan 1
    Forum: Dialysis / Renal / Urology
  3. AVF
    AVF
    My post should read maximum 6mm from the surface. Some fistulas require a second surgery to bring them up to this depth. Any deeper and the needles will be sticking straight up.
    Dec 30, '14
    Forum: Dialysis / Renal / Urology
  4. AVF
    AVF
    You are correct, a thrill and bruit should be present although if the BP is low it may be difficult to assess. The gold standard would be an ultrasound that would determine the minimum flow...
    Dec 29, '14
    Forum: Dialysis / Renal / Urology
  5. San Francisco general RNs testifying about appalling staffing in their level 1 trauma
    Is this hospital exempt from the staffing laws that are on the books? If the nurses are documenting the violations why isn't the California Department of Health citing them for the violations?
    Dec 21, '14
    Forum: Nursing Activism / Healthcare Politics
  6. What is the politically correct term for "nurse"?
    For a period of time my hospital insisted on calling everyone "associates". It got to the point patients couldn't tell who their nurse was. Now we have to wear color coded scrubs and each room has a...
    Dec 21, '14
    Forum: Nursing Activism / Healthcare Politics
  7. California Nurses Say They'll Strike, Without Talking Wages
    These numbers are public so how can they negotiate in good faith when they are crying they are poor. They must think the nurses are stupid. ...
    Dec 19, '14
    Forum: Collective Bargaining / Nursing Union
  8. California Nurses Say They'll Strike, Without Talking Wages
    Cost neutral? Their 1st quarter profits were up 44%. Does anyone know what they are talking about? Kaiser Permanente's Q1 profits soar 44 percent, to $1.1 billion - San Francisco Business Times
    Dec 19, '14
    Forum: Collective Bargaining / Nursing Union
  9. Frustrated
    Are any of the other nurses more efficent than you? Or are they quicker because they are taking shortcuts? If your clinic is one that the director is going to tolerate cutting corners to achieve...
    Dec 19, '14
    Forum: Dialysis / Renal / Urology
  10. Acute First time alone!
    Like I was back home. Despite my ICU experience or because of it my orientation was primarily in the 15 bed acute unit. I discovered that my charge nurse delegated bedsides to those nurses who...
    Dec 17, '14
    Forum: Dialysis / Renal / Urology
  11. Acute First time alone!
    I like to keep a couple of faucet washers in my backpack. They're cheap but if you don't have one very hard to keep a connection from leaking. Plumbers tape is nice too but you can get by without it....
    Dec 16, '14
    Forum: Dialysis / Renal / Urology
  12. Michigan Religious Freedom Restoration Act
    I've been to a really good Rolling Stones concert.
    Dec 12, '14
    Forum: Nursing and Spirituality
  13. Solutions for Acutes?
    Honeymoon period. A timespan during which problems known to exist are either not manifest or ignored, much like the newlywed period during which spouses are most cordial and passionate with each...
    Dec 12, '14
    Forum: Dialysis / Renal / Urology
  14. Shortened TXs, elevated HRs and Hypertension - what to do?
    And after having the patient sign AMA his neighbor says "I want one of those too".
    Nov 29, '14
    Forum: Dialysis / Renal / Urology
  15. Civil War Nursing
    Nursing in the civil war was largely done by men. Out of neccessity. There were simply too many wounded and sick without any organized system in place to care for them. One of the best was Chimborazo...
    Nov 22, '14
    Forum: General Nursing Discussion
  16. Union Intent on Improving the Lot of Nurses Nationwide
    I can see you have never worked in Tennessee.
    Nov 21, '14
    Forum: Collective Bargaining / Nursing Union
  17. Union Intent on Improving the Lot of Nurses Nationwide
    I am listed at 3 12's a week but I report to work at 06:45, don't get paid for a lunch break I can't take due to understaffing, can't leave before 19:15, but it doesn't matter because I work beyond...
    Nov 19, '14
    Forum: Collective Bargaining / Nursing Union
  18. Shortened TXs, elevated HRs and Hypertension - what to do?
    The patient doesn't have an immediate negative consequence from shortening their treatment but in the long term they are shortening their life. You're the bad guy if you try to explain this. The...
    Nov 18, '14
    Forum: Dialysis / Renal / Urology
  19. Hemopurifier- have you heard of it?
    I think the technology is the same that is being used to develop a wearable kidney using adsorbtion into the filter to remove solutes. In this case the viruses are stuck to the filter and thrown away...
    Nov 18, '14
    Forum: Dialysis / Renal / Urology
  20. Patho question
    Article describing the complexity of the glomerulus. Properties of the Glomerular Barrier and Mechanisms of Proteinuria | Physiological Reviews
    Nov 14, '14
    Forum: Dialysis / Renal / Urology
  21. Patho question
    The glomerulus does its filtering by using the ionic charge that albumin and creatinine carry to either hang on to them or secrete them. Once it is damaged it loses that ability. If it were only...
    Nov 14, '14
    Forum: Dialysis / Renal / Urology
  22. dialysis nursing...i want to run fast and far away
    One of the things I hate about a tech driven dialysis model is the lack of education patients receive when they are in the dialysis unit. They do absolutely no education when they are with the...
    Nov 7, '14
    Forum: Dialysis / Renal / Urology
  23. dialysis nursing...i want to run fast and far away
    Kent Thiry succeeds in an environment where productivity trumps quality. As long as his model dominates the practice of dialysis in the United States we can expect high mortality as the cost of...
    Nov 5, '14
    Forum: Dialysis / Renal / Urology
  24. dialysis nursing...i want to run fast and far away
    Let's not kid ourselves as to why there are any techs in a dialysis clinic. It is not to improve the quality and it's not because they possess skills that a nurse doesn't have. It is so Kent Thiry...
    Nov 5, '14
    Forum: Dialysis / Renal / Urology
  25. dialysis nursing...i want to run fast and far away
    The OP describes a clinic where techs are making clinical judgements as to whether or not patients are stable enough to tolerate a dialysis treatment and whether or not they are stable enough to...
    Nov 3, '14
    Forum: Dialysis / Renal / Urology


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