barb o

barb o

Dialysis

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About barb o

barb o has 30+ years experience and specializes in Dialysis.


Latest Activity

  1. Good dialysis travel companies

    Check out AHSRenalstat. They usually have positions opening up in most states. Have worked for them for several contracts, and they never messed up my paycheck!
  2. New travel RN - Tax home / housing question!

    If you take the housing stipend in lieu of having the agency find a place for you, what you pay for your living arrangement is your business. For all anyone cares, you could live in a mobile home. Some travelers do. That is how many travel nurses mak...
  3. Local Travel

    You have to work over 50 miles from home to get tax free benefits. Less than that, base hourly pay on what you make now. If you already have 2 jobs, hard to imagine you would find anything but prn. You're taking on too much.
  4. Dialysis nursing

    The hours and call usually kill the nurses doing it. More and more patients are needing HD. Production line mentality in out-patient clinics, and docs who are paternalistic instead of collaborative. Working with people who don't play nice (rivalry be...
  5. Labs after dialysis

    Our nephrologists always stated to wait at least 4 hours after a treatment, and that was only if it was truly necessary.
  6. Salary

    I have been working travel contracts, so the pay is different due to tax free pay being part of the package. As a "local", however, I have made or have been offered from $42.50 to $52 per hour in a major urban area. Have 10 years of experience in the...
  7. Low Diastolic Pressure - I mean REALLy Low

    Low diastolics are seen in patients who don't have long to live because, like this one, they have crappy hearts. You mentioned the MAP but didn't say what it was. It may be the best parameter to use and should be 60. Maybe you could augment with albu...
  8. Need Advice - Losing my job!!

    ceecee, depending on the state you live in, your employer can fire you for any reason they choose, including significant things like how old you are, how big you are, what kind of clothes you wear. They are, of course, not going to tell you that the...
  9. wages in Florida

    A friend of mine relocated to Florida near Miami about 2 years ago. She was being offered in the range of $44K per year. She has over 10 years in ICU, and a Master's degree. If your friend is looking to move up, she will be faced with being paid l...
  10. CRF and Troponin-I

    We have also seen elevated Troponin I's with our patients with acute renal failure. I asked one of the renal fellows, and he said that there is something going on research wise, but nothing conclusive yet. These patients have had "events" but their...
  11. Inexperienced RNs... too much.. too soon

    Interesting lawsuit. Also interesting to me, a nurse with 20 years in the ICU who can fully appreciate the value of experience in preventing problems, that hospitals are once again starting to pay hiring bonuses to new staff but don't give the ones ...
  12. a place to vent

    I recently attended a seminar on legal issues in nursing and, as this is a hot topic, the question of what to do about staffing problems came up. The lawyer, who is also an RN with over 20 years' experience as a nurse said that the thing to do when ...
  13. mattress/bed to prevent pressure ulcers

    We currently use what is called an Accucair overlay mattress that uses a small motor to inflate air into a mattress that becomes about 6 inches thick with air. Works very well. We will soon be getting some new Hill-Rom beds that allegedly incorpora...
  14. Securing ET tubes

    We use adhesive tape but make sure to change positions every day or two, or when the tape becomes really gross from secretions. If this is done religiously, chances for breakdown are minimized. The only tube holder I've had experience with was one ...
  15. INTRA AROTIC BALLOON PUMP RATIO/RN/PT

    Our policy is that IABP patients are 1:1. However, when the patient is a stable postop who had the balloon inserted for chest pain as opposed to failure or shock, and when a nurse who knows what he or she is doing is caring for the patient, we will ...