sissib

sissib specializes in Med/Surg, Rehab, Burn, dialys.

Latest Activity

1. Fresenius medical care...taking over dialysis unit HELP!

   sissib replied to hodgpodge's topic in Urology

   they are probably checking Hep B titer. Have you had the HepB vaccine series? Did you sign a consent for them to draw your blood?

2. Do LPNs/LVNs have to give up their license to work in dialysis?

   sissib replied to Let's help out's topic in Urology

   Most places you do not have to "give up" your license to work as a tech. I would try other facilities. I assume if you work as a tech for over 1 yr your LPN license would become inactive unless you take a part time job as LPN in addition to dialysis ...

3. how low of BP is too low to run a pt in chronic unit

   sissib replied to julesd's topic in Urology

   Some pt's we would recommend they not take their BP meds on day of dialysis if they always come in with low BP. Our Dr's wrote standing orders to do that. I would not send anyone home with BP

4. Late minute calls for private duty work

   sissib replied to Blackcat99's topic in Private Duty

   This is certainly not what families need to be going through. I am starting my first HH private duty position next month with agency that does mostly peds. I have noticed about every 3 months they are begging for staff. Give me a schedule and I will ...

5. too hot in the home

   sissib replied to tjmschet's topic in Private Duty

   Yes, speak to your supervisor. Most HH co's will assist families with getting room AC just for the patient. That must me hard on the patient also. If pt is ill enough to require private duty nurse, then needs AC during hot summer months. Just sayin

6. Fresenius medical care...taking over dialysis unit HELP!

   sissib replied to hodgpodge's topic in Urology

   Keep in mind the new federal reg's for incenter chronic hemodialysis. That will now drive the "$ meaning more than Pt care" that is now happening all over the country now. Some units are encouraging pts to go home hemo, because the dialysis centers c...

7. Clinic not for me?

   sissib replied to erika.RN's topic in Ambulatory

   The best advice I can give is stay there and tough it out. In this economy all other nursing jobs are so stressed out, feel like they are pulled in 10 directions at once. You have your whole career in front of you and this could lead to something a l...

8. Dialysis Staffing

   sissib replied to michigandialysis's topic in Urology

   I feel for you. I worked in a Nonprofit facility. 28 pts, 4 rn/lpn's and 6 techs. There would also be a charge nurse to answer the phone and sit on her butt. I would have at least 2 UTI's per year. We did get our breaks and then if we got a chance we...

9. What should EVERY nurse know about Dialysis

   sissib replied to Twink's topic in Urology

   How important pt compliance is with diet, fluid restriction, and taking their meds as directed.

10. What should EVERY nurse know about Dialysis

    sissib replied to Twink's topic in Urology

    The best time to eat is not while on the dialysis machine. Some of pt's blood is in the bloodlines, while eating, a lot of blood goes to digestive system. That leaves brain and heart:redbeathe short of blood, then blood pressures drop to dangerous le...

11. Dialysis Staffing

    sissib replied to michigandialysis's topic in Urology

    Try a non profit unit. The one I work in used to be pretty bad, but all new management has got us up to full staff. One Rn per 7 pts and one tech or lpn with the rn, then we usually have a float tech or lpn between 2 teams. All our patients get on tr...

12. Dialysis Interview for LPN...HELP

    sissib replied to skittlebear's topic in Urology

    Dialysis is all this and more. Especially LPN. You will need your nursing skills and tech skills too. I too was LPN only 2 years when I went to dialysis and I do not regret one day I spend there. Sure there will be days from ____, but those are every...

13. Has anyone seen a pt involuntarily discharged???

    sissib replied to traumaRUs's topic in Urology

    Yes, we had one pt that kept messing with her needles while on tx causing her to bleed all over, we documented verrrryyyyy well and the doc had her sent to psych for 96 hr hold and then she was not allowed to come back. She went to the other unit in ...

14. Feeding patients

    sissib replied to Mother Goose's topic in Urology

    Yep, the rolling coolers are great. They would fill them with ice from our ice machine until the machine "broke". No ice machine for 6 months and they are complaining, "when will we get our ice machine back?". They think we are a full service restaur...

15. Feeding patients

    sissib replied to Mother Goose's topic in Urology

    I love your response, GeauxNursing! We have a guy who brings his roll up camping mattress to put in the chair, luck has it his loyal wife has to carry it in and out and roll it up. Next, they will bring their whole bedrooms and fridges. lol, thanks f...