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Search Results Type: Posts; User: Chisca

From Date
  1. Ask a Hemodialysis nurse (Questions about how to become one of us)
    If you page me at 2am to change a dressing I'll talk you through it. It is EXACTLY the same as any other central line dressing.
    Oct 7
    Forum: Dialysis / Renal / Urology
  2. patient has history is of HIT , what kind of the anticoagulant can be used for dialysis
    It's about 250 dollars to prime a circuit with a 250cc 5% albumin solution. As to whether or not it is too expensive it could save you from a clotting circuit and the loss of blood.
    Oct 4
    Forum: Dialysis / Renal / Urology
  3. patient has history is of HIT , what kind of the anticoagulant can be used for dialysis
    You could also try priming the circuit with albumin. Albumin is a highly negative charged protein and will adhere to the surface of the tubing in the dialysis circuit helping to reduce contact of...
    Oct 3
    Forum: Dialysis / Renal / Urology
  4. Davita dialysis nurse
    The beatings will continue until morale improves.
    Sep 14
    Forum: Dialysis / Renal / Urology
  5. New to Dialysis-Please enlighten me
    I blame Kent Thiry. And KT/V.
    Sep 11
    Forum: Dialysis / Renal / Urology
  6. Acute Dialysis Nurse:Patient Ratios
    NurseRies could give you an informed answer. I have only worked acute dialysis in one city in Tennessee and as you know this is a big country. 1:1 in the ICU, 2:1 in the acute unit, 15 bed unit with...
    Sep 4
    Forum: Dialysis / Renal / Urology
  7. Funny Ad
    But it's new and improved.
    Aug 27
    Forum: Dialysis / Renal / Urology
  8. Wide open fistulas that don't work
    Just the numbers, please. If you can't tell me, in millimeters, what the size of the vessel is then you have no business telling me to attempt to place a 15g needle in it. 2D ultrasound can easily...
    Aug 27
    Forum: Dialysis / Renal / Urology
  9. Wide open fistulas that don't work
    Ask for flow numbers. What is the actual flow, in ml/ minute, that you documented that you measured? Injecting dye and seeing it whiz by under fluoroscopy doesn't work for me. Also, what is the...
    Aug 26
    Forum: Dialysis / Renal / Urology
  10. "Why are you here?"
    Price, quality or speed. Pick any two.
    Aug 24
    Forum: Dialysis / Renal / Urology
  11. "Why are you here?"
    Perhaps the low opinion dialysis patients have for the whole experience is, in the US, hemodialysis is delivered by low paid barely trained techs. You don't think you could tell the difference...
    Aug 23
    Forum: Dialysis / Renal / Urology
  12. Chronic HD in the Acute Clinic?
    The ER screens them and they have to wait until we have a spot. Lab values determine priority. Medicare covers dialysis therapy but you have to have a social security number. Illegal aliens do not...
    Aug 19
    Forum: Dialysis / Renal / Urology
  13. What would you do if this was your patient?
    You could give him a brochure on headstones and ask him if he's selected one yet.
    Aug 16
    Forum: Dialysis / Renal / Urology
  14. Drawing labs from CVC locked with heparin
    All of this discussion begs the question of why more point of care testing, using a drop of blood, isn't used instead of filling a tube and sending it to a different department. If the lab department...
    Aug 13
    Forum: Dialysis / Renal / Urology
  15. Water Chlorine Check
    Had a chance to talk with our biomed guy and Minncare, a disinfectant, is placed in the water loop downstream of the two carbon tanks. A positive chlorine at either S1 or S2 reflects the functioning...
    Aug 11
    Forum: Dialysis / Renal / Urology
  16. Water Chlorine Check
    My biomed person isn't here today but I'll ask them. I do know that once a month a chemical called mincare is instilled and recirculated through the portable r/o's we use. Our tech is of the opinion...
    Aug 10
    Forum: Dialysis / Renal / Urology
  17. Water Chlorine Check
    Yes, 0.1 is the standard. The disinfectant was used on a portable r/o and tested positive at S1 after 6 hours of rinsing. I would think your pre r/o water would be positive too depending on how much...
    Aug 10
    Forum: Dialysis / Renal / Urology
  18. Water Chlorine Check
    If the strip shows greater than 0.01 for chloramine then it's positive and a risk to run a treatment. As to whether you obtain that result 2 minutes or twenty minutes into rinsing, the patient still...
    Aug 9
    Forum: Dialysis / Renal / Urology
  19. Water Chlorine Check
    It would be a real positive as the carbon tanks wouldn't have had enough time to remove the chloramines from the city water. The carbon removes chloramines by adsorption and each tank requires at...
    Aug 8
    Forum: Dialysis / Renal / Urology
  20. Heparin pump
    Acutealan is right, don't administer heparin through the machine without knowing your unit's policy. On a Fresenius 2008K our biomed has set the machine up for use with 10cc syringes. Our supplied...
    Aug 6
    Forum: Dialysis / Renal / Urology
  21. What should EVERY nurse know about Dialysis
    The biggest limitation to transplantation in the US isn't financial. It is lack of donor organs. People die on waiting lists due to lack of donors. The answer is to move toward a presumed consent for...
    Jul 26
    Forum: Dialysis / Renal / Urology
  22. Nurses Fight Back! Why Some Hospitals are Despicable
    “If you want a picture of the future of nursing, imagine a boot stamping on a human face—for ever.” George Orwell -1984
    Jul 14
    Forum: General Nursing Discussion
  23. New Grad RN job offer !
    Make a committment to stay a year for the increase in salary. Always remember there is a reason that experienced nurses are leaving the particular clinic you are interested in. I would want to know...
    Jul 11
    Forum: Dialysis / Renal / Urology
  24. Can't get into my RN Program because of Obamacare
    All the states that set up exchanges read the law as it was written. We are a nation comprised of 50 states, not that hard to understand. The word state is not hard to understand. Maybe the NYT can...
    Jul 1
    Forum: New York Nursing
  25. Can't get into my RN Program because of Obamacare
    The supreme court has decided that words don't really mean what they say.
    Jul 1
    Forum: New York Nursing