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Search Results Type: Posts; User: Chisca

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  1. Dialysate question
    I think the danger to the patient comes from the volume of fluid rather than the compostion of the dialysate. The dialysate solution is diluted with large amounts of water from the r/o system and...
    Mar 22
    Forum: Dialysis / Renal / Urology
  2. Code during dialysis
    All your efforts were to buy time for a liver transplant. Unless he received a transplant he was not going to survive.
    Mar 19
    Forum: CCU Nursing / Coronary / Cardiac
  3. Code during dialysis
    Most likely could not tolerate the decrease in volume caused by dialysis. Any idea what the CVP was? Everyone is pushing for agressive fluid removal in these situations but the heart can not take...
    Mar 18
    Forum: CCU Nursing / Coronary / Cardiac
  4. Nurses as Costs for Hospitals
    I have been repeatedly told through my career that nurses services are covered under the room charge. I am surprised how few nurses even know what the unit they work in charges per day for a room....
    Mar 17
    Forum: Nursing Activism / Healthcare Politics
  5. when is enough, enough??
    Largest growth in dialysis patients is in the > 70 age group.
    Mar 6
    Forum: Dialysis / Renal / Urology
  6. Dialysis I want OUT
    I will only address this point as it is something I learned before working as a nurse in various dead end factory jobs. Talk sports. Even if you know only a little bit about the game or a team your...
    Mar 5
    Forum: Dialysis / Renal / Urology
  7. newbie, need input
    If you haven't already I would recommend joining ANNA as this would give you access to their magazine Nephrology Nursing Journal. The Jan/Feb issue had articles that would directly relate to some of...
    Mar 1
    Forum: Dialysis / Renal / Urology
  8. newbie, need input
    How many chairs does your clinic have? Correct me if I'm wrong but don't you see the same patients over and over? I would try to learn as much as I could about each patients medical condition so I...
    Feb 27
    Forum: Dialysis / Renal / Urology
  9. Union Representative (humor)
    Laura Gasparis Vonfrolio
    Feb 22
    Forum: Collective Bargaining / Nursing Union
  10. Fresenius 4K signon bonus inpatient
    4K bonus equals desperation. You will have to be one tough cookie to survive in that environment.
    Feb 19
    Forum: Dialysis / Renal / Urology
  11. One hospital or all hospitals?
    Thank you for the quick replies. Not a single hospital in this city is organized so I was curious how large a battle I was facing.
    Feb 16
    Forum: Collective Bargaining / Nursing Union
  12. K wars
    Dr Joel Topf has posted a video of a lecture he prepared on the latest therapies for hyperkalemia. It is an hour and 17 minutes long but reviews the dangers of kayexalate and how little it was...
    Feb 15
    Forum: Dialysis / Renal / Urology
  13. One hospital or all hospitals?
    I work for an company that owns 6 hospitals in the metropolitan area that I live. Must a majority of nurses in the entire network agree to collective bargaining or does the NLRB allow individual...
    Feb 14
    Forum: Collective Bargaining / Nursing Union
  14. Emergency meds through IJ
    I would use it in an emergency which is what your patient was experiencing. Hate to have to testify that the pt died because hospital protocol only allowed dialysis nurses to access. It is a central...
    Feb 14
    Forum: Dialysis / Renal / Urology
  15. 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
  16. Critical pay at Fresenius Medical Care
    Consider it a lesson not to trust management.
    Jan 1
    Forum: Dialysis / Renal / Urology
  17. 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
  18. 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
  19. 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
  20. 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
  21. 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
  22. 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
  23. 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
  24. 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
  25. 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


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