blood pump stopping

Specialties Urology

Published

Would like to hear from FMC nurses - What is your procedure for 2008K after medication administration.

One of our machines blood pump stopped, after RN gave medication. The patient received almost 800cc infused saline during this time. (while blood pump was not working).Please explain. The charge RN (different RN) added time and increased UFR rate to adjust that fluid infused .. Thank you.

Also, how does the Phoenix machine differ in this respect. Thank you.

What about the patient who has lab done for K+ on Saturday and the result is not in in time for his/her treatment on Monday? What is wrong with this picture? I truly get disgusted at the corporate mindset with many aspect of this life supporting treatment

If it's a routine K+ level, as in monthly labs, it's no different from the other delayed lab results and really shouldn't affect the pt's next dialysis. But if it's because of a missed tx due to clotted or nonfunctional access, a stat K+ level should be done; we used to send the tube to the local hospital and call the nephrologist and/or vascular surgeon with results.

DeLana

You are so right!!! That is why I getting out of outpatient dialysis!!!!!!!

Try inpatient/acute dialysis, it's a whole different world. We have only licensed staff (most are RNs), a 1:1 ratio (or better at times, if the pt is very sick), rarely do we need to rush.

Of course, there is no dialysis utopia: inpatient requires some night and/or weekend call; however, many outpt dialysis providers have started to do that so well, so it's no longer such a drawback.

DeLana

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