dialysis nurse daily routine

AcuteHD · Oct 31, 2015

I am not the best resource to answer this as I'm no longer in a chronic facility nor ever been with the big F, but a couple things caught my eye. We did med reviews quarterly with care plans, but it was nearly impossible to have pts bring their meds in. Even now the med list we get from the opt clinic is considered iffy at best. Routine labs are usually drawn on the first Monday and Tuesday of each month, I think that's universal. Don't forget the post BUN! I was always bad about that. That's about all I can remeber that may be of any use to you. Good Luck! :up:

ixchel · Nov 1, 2015

I am not the best resource to answer this as I'm no longer in a chronic facility nor ever been with the big F, but a couple things caught my eye. We did med reviews quarterly with care plans, but it was nearly impossible to have pts bring their meds in. Even now the med list we get from the opt clinic is considered iffy at best. Routine labs are usually drawn on the first Monday and Tuesday of each month, I think that's universal. Don't forget the post BUN! I was always bad about that. That's about all I can remeber that may be of any use to you. Good Luck!

Acute! I want to send you a link to a thread but your PMs are turned off. Look at the thread I posted on before this one.

OP, please forgive this interruption in your thread. I'm unfortunately not at all knowledgeable on dialysis. I do hope you can find good answers!

trulyblessed2 · Nov 2, 2015

Thanks

Loveyourkidneys · Nov 5, 2015

We do weekly hgb and pt/inr (if on Coumadin)

Bimonthly hgb calcium and phosphorus

Monthly Cbc with diff, cmb,alt,ast, tsat, urr, glucose, hepb antigen

Quarterly tsh, hgba1c, Pth,ferritin hepb antibodies

Annual includes a few others I can't think of. Aluminum is annual and psa on men over 50

We draw our labs routinely on second tx of the week

Our new pt admit includes all routine annual lab with hepb core

Chart that you told patients to bring meds and they didn't. :)

We do access flow tests the tx after monthly labs. That way we don't forget them. And we can compare urr and access flow drops.

Our doc does foot checks on rounds. By that I mean I check them he documents. I am very spoiled to that!

Our dietician is the only one to open a care plan the. We fill in our parts and print it out for signatures.

Oops I just realized you said

Fresenius people. Lol. I work for us renal. But that's how I do it. :)

AcuteHD · Nov 5, 2015

.....Oops I just realized you said
Fresenius people. Lol. I work for us renal. But that's how I do it. :)

Hey, USRC here too.

Also, our dietitian would be quick to point out there is no 'c' in dietitian. Lol, she has a thing about that.

Twinmom06, ASN, APN · Nov 6, 2015

I just moved out of the clinic and into acutes and if I remember correctly it was

1st week of the month - monthly bloodwork

2nd week of the month Access Flows

3rd week of the month Med Review

4th week of the month - foot checks.

At any rate the way the clinic I trained in worked was one task per week - Every Monday/Tuesday was weekly CBC to see if Venofer/Aranesp needed to be adjusted - and yes I work for Fresenius

trulyblessed2 · Nov 19, 2015

Thanks everyone