HemoDialysis vs. Preitoneal Advice

Nurses General Nursing

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hi everyone i am a recent rn grad, taking my nclex-rn next week. i have an interview for an outpatient dialysis position in a few days. any advice? i really want to prepare for this interview but have no clue where to start or what type of questions maybe asked. any dialysis nurses shed some light? what is a typical day like? what are the roles of the pcts? thank you!!!!!!!!!!!!! :)

is only hemodialysis used in an outpatient setting? what are the rn's role as a dialysis nurse? i've looked in the dialysis forum and got no replies. thank you!!!

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Specializes in pandemic, public health, disasters.

Try this publication for "a day in the life of"

http://kcercoalition.com/CPP/ESRDForPolicymakers.pdf

Hemo is done inpatient (for acute kidney failure and people who go to the ER for treatment because they can't afford chronic treatments), outpatient (for ESRD, chronic kidney failure), and at home (though uncommon at home). Peritoneal is usually only done for chronic ESRD at home (the patient is trained to do treatments on themselves). Though I do know PD was an option for crush syndrome victims in Haiti.

Feel free to send me a private message and I can always talk to you more about it.

GOOD LUCK! You'll do awesome!

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Specializes in Psychiatry.

you'll find TONS on dialysis-specific info about this specialty in the dialysis forum:

https://allnurses.com/dialysis-renal-urology/

Good luck with your interview:nurse:

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Specializes in PD,Nxstage,hemo.

Hi there! Hemo can be acute(hospital, renal floor) or cronic( like a Davita diaylsis clinic). Your day will begin early far as your hours. Hemo clinics usually start their first group of pts at 5am. PCT's will have to be at work before you will to set up the machines. As a RN you will be in charge I'm sure (assesments, give meds, and put on perm cath pts). I'm a PD nurse and have been for 4yrs now prior to that I worked in hemo for 6 yrs. PD is done at home, pt's daiylsis themselfs (no blood leaving the pts body) and hemo is typically done (in center at a clinic) where nurses and pct's put the pt on the machine and monitor the pt.

Any more questions let me know:)

Crystal

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Specializes in PD,Nxstage,hemo.

By the way, working on a Hemo floor is not a joke. It is hard, hard work. I have alot of respect for hemo nurses and pct's.

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Specializes in jack of all trades.

Ensure that the facility is planning on a thorough educational program/orientation. Your larger companies do generally, but some of the smaller companies really lack in this department. It's a love it or hate it type job. In the long run it will take at least 6 months to feel near comfortable and no less then a year to feel proficient although you will still be asking questions and learning by trail and error much of the time. It is a very stressful job and takes it's toll on the body. Particularly when it comes to staffing. Many gray areas in relation to responsiblities/delegation. PCT are not the same as what CNA or PCT is in the med/surg or other settings. They are much more specialized and responsible for cannulating, monitoring, dealing with hypotension, cramping, etc. Many times these lines get crossed. Most likely you start out being trained by a PCT then graduate to the RN/LPN doing your training towards end of the orientation. It may seem easy at first but when you finally find yourself on your own it can be a tough job to work. Short staffing is the norm also.

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Specializes in PD,Nxstage,hemo.

I agree 100% with Lacie.

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