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Search Results Type: Posts; User: Chisca

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  1. The Elephant In The Room and Evidenced Based Practice
    It's really all about priorities. My employer just finished re doing the hospital lobby and announced construction is about to begin on a new parking garage for the doctors. Meanwhile my department...
    1:41 pm
    Forum: General Nursing Discussion
  2. The Elephant In The Room and Evidenced Based Practice
    What is there to address? CDC links staffing ratios to nosocomial infections, management ignores evidence, patients continue to be placed at risk because profit margin is more important than evidence...
    10:04 am
    Forum: General Nursing Discussion
  3. Acute renal failure alert?
    Acute kidney injury: highlights from the ERA-EDTA Congress in London , 28–31 May 2015AUTOMATED ELECTRONIC ALERTS (E-ALERTS) FOR AKIAt the London Congress, there were two oral presentations and two...
    Feb 5
    Forum: Dialysis / Renal / Urology
  4. How to cannulate without pain?
    Venous needle is removed first, then the arterial needle. The blood in the access is a mixture of arterial and venous blood because it is an artery (high pressure) connected to a vein (low pressure)....
    Feb 4
    Forum: Dialysis / Renal / Urology
  5. 45x dialysate composition
    http://www.fmcna-concentrates.com/concentrate_new_content/best_practices/BestPracticesinDialysateComposition.pdf
    Feb 4
    Forum: Dialysis / Renal / Urology
  6. Telemetry-how do I prepare!! :/
    Rapid Interpretation of EKG's, Sixth Edition: Dale Dubin: 9780912912066: Amazon.com: Books
    Jan 13
    Forum: Critical Care Nursing
  7. lasix and kidney injury
    My anonymous and possibly erroneous answer is that it depends on what is the underlying cause of the acute injury. Since acute kidney injury is defined by either a rise in serum creatinine or...
    Jan 11
    Forum: Critical Care Nursing
  8. Over it.
    A system drained of all compassion except that which you, as a nurse, can provide. Yeah, it's pretty depressing but I try to put myself in the patients place and let that guide my conduct. But even a...
    Jan 10
    Forum: Dialysis / Renal / Urology
  9. pregnant and hepatitis B
    The isolation for hepatitis B in the dialysis unit concerns more the treatment of the machine. For the caregiver it is universal precautions with PPE based on what exposure to the patients bodily...
    Jan 4
    Forum: Dialysis / Renal / Urology
  10. Joint Commission was NOT amused :-(
    The water alarm is supposed to be attached to the ankle of the dialysis nurse.
    Jan 1
    Forum: Dialysis / Renal / Urology
  11. UFR and adequacy
    The dreaded "backflow" demon. With high flux filters there is a concern that if a minimum UF rate is not set there will be some flow of dialysate into the blood circuit. Fresenius machines even have...
    Dec 28, '15
    Forum: Dialysis / Renal / Urology
  12. Questions about hemodialysis rinseback and post-rinseback hypertension
    The rinseback provides a slight increase in fluid volume in the circulatory system. Increases in volume without a decrease in vascular resistance causes a rise in pressure. This is very temporary as...
    Dec 21, '15
    Forum: Dialysis / Renal / Urology
  13. Questions about hemodialysis rinseback and post-rinseback hypertension
    Renal Fellow Network: Hypertensive emergency during dialysis Renal Fellow Network: Intradialytic hypertension
    Dec 21, '15
    Forum: Dialysis / Renal / Urology
  14. Acute renal failure alert?
    6 hours after the dialysis treatment the patient coded and died. Their first and last dialysis treatment.
    Dec 20, '15
    Forum: Dialysis / Renal / Urology
  15. Acute renal failure alert?
    HD. K+7.3. HCO3 13. No fluid removal but the nephrologist wanted to address the acidosis as rapidly as possible. CRRT wasn't even an option as this hospital hasn't trained any of the ICU nurses to...
    Dec 16, '15
    Forum: Dialysis / Renal / Urology
  16. Acute renal failure alert?
    Showed my post to one of the nephrologists and his response? The serum creatinine IS the renal failure alert. Then why do so many doctors and nurses miss this?
    Dec 14, '15
    Forum: Dialysis / Renal / Urology
  17. Acute renal failure alert?
    I was on call this weekend and was paged at midnight for a patient who needed emergent dialysis. Septic, acidotic and on 90 mcgs of levophed. The patient had been in the hospital for 5 days and on...
    Dec 14, '15
    Forum: Dialysis / Renal / Urology
  18. Hypertension during dialysis
    Interesting post over on the renal fellow blog about a pt whose HTN became worse during dialysis. 15% of all pts experience this during dialysis. Multiple causes but adjusting the current...
    Nov 27, '15
    Forum: Dialysis / Renal / Urology
  19. How can I get experience in Dialysis Nursing?
    Certification also requires experience. Most clinics and hospital don't want to invest in training new dialysis nurses because it can take 3-6 months to get you to the point of independence. My boss...
    Nov 26, '15
    Forum: Dialysis / Renal / Urology
  20. Membrane size and cardiovascular status?
    I think it has to do with the larger surface area of the high flux dialyzers. Patients wanted shorter treatment times so filters with larger surface areas were developed. If a patient can't tolerate...
    Nov 26, '15
    Forum: Dialysis / Renal / Urology
  21. Dealing with mean docs
    In Tennessee it is legal to record a conversation as long as one party agrees. If it is legal in your state take recorded conversation and visit a lawyer. Slander and defamation of character.
    Nov 20, '15
    Forum: Operating Room Nursing
  22. What is the easiest CRRT machine to use
    You mean being a dialysis nurse isn't the easiest job in the world? :)
    Nov 20, '15
    Forum: Critical Care Nursing
  23. Union HD nurses
    Are there any dialysis nurses that belong to a labor union? What does your contract specify that is particular to the working conditions dialysis nurses face? I have belonged to three different...
    Nov 18, '15
    Forum: Dialysis / Renal / Urology
  24. Codes in outpt HDU's???
    There never seems to be time for it but post code reviews help clarify what could have been done differently. Clearly defined roles, who is recorder, who is pushing meds, who is managing the airway,...
    Nov 17, '15
    Forum: Dialysis / Renal / Urology
  25. What is the standard orientation time for HD?
    This is called the sink or swim method of orientation. I predict 1 of the 4 nurses will survive this. Your manager will blame you for the other three failing and you will be accused of not being a...
    Nov 14, '15
    Forum: Dialysis / Renal / Urology


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