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Search Results Type: Posts; User: Chisca

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  1. 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
    Forum: General Nursing Discussion
  2. Union Intent on Improving the Lot of Nurses Nationwide
    I can see you have never worked in Tennessee.
    Nov 21
    Forum: Collective Bargaining / Nursing Union
  3. 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
    Forum: Collective Bargaining / Nursing Union
  4. 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
    Forum: Dialysis / Renal / Urology
  5. 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
    Forum: Dialysis / Renal / Urology
  6. Patho question
    Article describing the complexity of the glomerulus. Properties of the Glomerular Barrier and Mechanisms of Proteinuria | Physiological Reviews
    Nov 14
    Forum: Dialysis / Renal / Urology
  7. 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
    Forum: Dialysis / Renal / Urology
  8. 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
    Forum: Dialysis / Renal / Urology
  9. 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
    Forum: Dialysis / Renal / Urology
  10. 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
    Forum: Dialysis / Renal / Urology
  11. 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
    Forum: Dialysis / Renal / Urology
  12. dialysis nursing...i want to run fast and far away
    You are being oriented by a tech? There's your problem. A tech cannot teach you how to assess a dialysis patient.
    Oct 31
    Forum: Dialysis / Renal / Urology
  13. Organ Transplant Unit advice
    It's a surgical unit with all that implies. Some of the medications may be unfamiliar but the nursing process to healing post op surgical patients is similiar. Mobilization. Pulmonary toilet....
    Oct 31
    Forum: PACU Nursing
  14. Fearbola: Irrational Fear Now Sweeping U.S.
    .....
    Oct 21
    Forum: Disasters: Preparing & Responding
  15. Can a nurse legally refuse to treat an Ebola patient?
    Fools rush in where angels fear to tread. Nurses are not being allowed the protective gear they need by management and that has to be addressed.
    Oct 21
    Forum: Disasters: Preparing & Responding
  16. Can a nurse legally refuse to treat an Ebola patient?
    Does your hospital unit look like this? If not, you would be prudent to refuse.
    Oct 21
    Forum: Disasters: Preparing & Responding
  17. Fearbola: Irrational Fear Now Sweeping U.S.
    Who knew the CDC was so irrational treating Ebola as a level 4 pathogen? "Almost all of these viruses are classified as a Biosafety Level 4 (BSL-4) pathogens and as such must be handled in special...
    Oct 20
    Forum: Disasters: Preparing & Responding
  18. Ebola patient is on dialysis
    I think back in my nursing career when I have spoken out about safety concerns to management and it has always been the patient that paid the price. When they asked us to take three patients in ICU,...
    Oct 19
    Forum: Dialysis / Renal / Urology
  19. Ebola patient is on dialysis
    We had a staff meeting this week asking for "volunteers" if we need to dialize a patient with ebola. The hospital has space in an older part of the building that they are trying to convert into a ICU...
    Oct 18
    Forum: Dialysis / Renal / Urology
  20. URGENT: Are CDC Ebola Guidelines 'Good Enough'?
    Doctors without borders, who have the most experience in dealing with ebola, have had 16 of their staff infected with 9 dying. Even with all the precautions this is risky business but the CDC's...
    Oct 16
    Forum: Disasters: Preparing & Responding
  21. Ebola patient is on dialysis
    Not only is the circuit filled with blood it is under pressure caused by the dialysis machine pump. On the circuits we use there are no less than 7 connections or ports where blood can escape. On the...
    Oct 15
    Forum: Dialysis / Renal / Urology
  22. Ebola patient is on dialysis
    I think we are going to have to rethink how we disinfect dialysis machines. Current practice is the nurse or tech manualy wiping down the machine with bleach or hydrogen peroxide. Internal cleaning...
    Oct 14
    Forum: Dialysis / Renal / Urology
  23. Ebola patient is on dialysis
    Now they're blaming the Dallas nurse for a "breach of protocol" for contracting the virus after caring for patient zero. This make me mad as hell because I frequently encounter gloves that tear,...
    Oct 13
    Forum: Dialysis / Renal / Urology
  24. Ebola patient is on dialysis
    Do we need a level 4 biohazard suit or not? There doesn't seem to be a reliable source of information on what is needed to protect yourself. The nurse in Spain did everything right and still became...
    Oct 8
    Forum: Dialysis / Renal / Urology
  25. What should EVERY nurse know about Dialysis
    Wealth of information on transplant centers in the U.S. SRTR -- Scientific Registry of Transplant Recipients
    Oct 2
    Forum: Dialysis / Renal / Urology


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