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Discussion

cvvhd

How does your hospital handle cvhd? If the cvvhd nurse goes on break and another non-cvvhd nurse doesnt have a patient, but there are other cvvhd nurses on the unit. Recently this occured when the non-cvvhd rn was running the machine and clearing access pressure alarms and changing bags (replacement, dialysate) and when I arrived into the room and checked the machine to see what error was alarming, she cleared it. This startles me since access pressure alarms can mean so many things. I reported it to the unit director, who did not seem alarmed. When I asked this rn if she was going to take the class, she said no. I was wondering if I am only person who considers this unsafe for the patient?

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Bear in mind I work in the Uk but I have had a variety of expereinces.

One unit, we were taught to do everything, this was within 6 months of being off preceptership. It was a huge unit which meant that there was always someone around who could manage the machine. We also only nursed these pateint 1:1 so the nurse in the bedspace next door took your pateints when you went to break.

The next unitt no ICU nurse was allowed to touch the CVVHD, we had a renal unit on site and the nurses there came and set up, managed and D/C the machines. I was very frustrated with this as the unit I had come from we were able to do everything ourselves.

Different expereinces, and I think the first was by far the safest

How does your hospital handle cvhd? If the cvvhd nurse goes on break and another non-cvvhd nurse doesnt have a patient, but there are other cvvhd nurses on the unit. Recently this occured when the non-cvvhd rn was running the machine and clearing access pressure alarms and changing bags (replacement, dialysate) and when I arrived into the room and checked the machine to see what error was alarming, she cleared it. This startles me since access pressure alarms can mean so many things. I reported it to the unit director, who did not seem alarmed. When I asked this rn if she was going to take the class, she said no. I was wondering if I am only person who considers this unsafe for the patient?

hmmm, frankly, if you have not been taught how to use something, shouldn't they just keep their hands off of it?

Seems unsafe to me.

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