thelittlenurs

thelittlenurs

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About thelittlenurs

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  1. Rookie mistakes in dialysis

    I read them now , but it is still not clear to me whether the patient should not be receiving EPO due to uncontrolled hypertension or just held if the patient has a high blood pressure episode. I have a patient who comes in with high bp consistently ...
  2. Rookie mistakes in dialysis

    Thanks for your reply! We have these flimsy crappy stethoscopes, one for each machine, I am able to hear bruits well and lung sounds, but for some of the more obese patients I can barely hear heart sounds. They don't want us to use our personal steth...
  3. Rookie mistakes in dialysis

    Hello all, I am a HD in an in-center dialysis center, I have been working in HD for 8 months now and feel that I'm doing well for a new HD nurse, still I know many challenges will present themselves. Anyway, what are some of the challenges you exper...
  4. Change in nursing role

    Thanks for the response! So a medication nurse /team leader is responsible for pre and post-assessments / prescription treatment verifications, giving all meds for patients (about 8-14) and putting on CVC patients. My techs are wonderful, they are e...
  5. Change in nursing role

    So , I requested a transfer to a different in center hemo clinic . I work for one of the the big two. I started as a bay nurse (4 patient pod) in Aug 2016. I was rushing, and I would leave home sweating and with a sore back. I even had 3 sessions w...
  6. Lowering legs during dialysis treatment

    I am an new HD nurse , just got off orientation this week :) During my training, I had a patient who was uncomfortable, her back was aching and she wanted to reposition herself, she asked me to put her legs down to do that and I thought I was helping...
  7. Patient ratio

    Thank you for your reply and the advice! I am nervous and excited at the same time. I have been told it is a very fast paced nursing job and I'm not scared of hard work , I just want to be safe and efficient. I'm in the Houston area, the demand for...
  8. Patient ratio

    Hello, I am interviewing for a HD nurse position with one of the big two. I don't have dialysis experience, my question for you dialysis nurses is how to get organized with having 12 patients? Any words of wisdom for a nurse starting HD nursing?
  9. Advice on working with CP patient

    I hope not, I am available mostly on weekends and this is a Saturdays-only case. The manager mentioned they don't have many nurses available for weekends.
  10. Advice on working with CP patient

    I am not a new nurse, sorry forgot to mention that , I graduated in 2008, have done telemetry,postpartum, and school nurse. I am working PDN PRN and during my breaks.
  11. Advice on working with CP patient

    I am new to private duty nursing, I have not been assigned my first case yet but I had a visit with the parent and patient. The pt is a 12 yr old with cerebral palsy, wheelchair bound, G-Tube fed , pretty much total care. I have no experience working...
  12. Taking a lunch break

    Hello , This year I want to leave my school nurse office to have lunch in the teacher's lounge or another room that is not the clinic. Any suggestions on how to make that actually workout? My principal supports me and agrees that I should be able to ...