LPN2RNBSN

Latest Activity

1. blood return

   LPN2RNBSN replied to LPN2RNBSN's topic in Urology

   Thanks. The patient was only nauseated for about 5 or so minutes,then disappeared. Any suggestions. not sure how to look up policies.

2. blood return

   LPN2RNBSN replied to LPN2RNBSN's topic in Urology

   Is the FMC policy the same in all units? The one I work at part time we do 200? But no one can tell me the cause of a patient having terrible nausea and sweating about five minutes after blood returned? any ideas? Never happened before in five years...

3. blood return

   LPN2RNBSN replied to LPN2RNBSN's topic in Urology

   What specifically is criteria in determining bfr when returning blood? What causes the patient to be extremely nauseated, sweaty about five minutes after return of blood. Have not seen this before. thx

4. blood return

   LPN2RNBSN posted a topic in Urology

   What is standard bfr for return of blood? We had a patient who became extremely nauseated and diaphoretic (slightly) about five minutes after return of blood. never happened to him before..

5. Question about leg cramps

   LPN2RNBSN replied to nurscee's topic in Urology

   Carmping, according to our neph can be due to electrolytes and acid/base changes during dialysis .. also, to send a patient out about dry weight, esp one w/ cardiac problems, can be trouble... also, some doctors like to 'challenge' patients. but t...

6. Question about leg cramps

   LPN2RNBSN replied to nurscee's topic in Urology

   Confused.. if the doctor is ordering something pre dialysis to prevent cramping then doesn't that defeat the purpose, so to speak. When pt cramps that is indicative of something ie too much fluid removed?, therefore, if patient does not cramp, one co...

7. patient to staff ratio- laws

   LPN2RNBSN replied to sueinga's topic in Urology

   I would be concerned about my license esp with only 8 months experience. Doesn't the regulation stated one year to be in charge, esp if you are the ONLY RN? This can cause the unit to be cited by the state should there be a complaint either by someon...

8. Starting late?

   LPN2RNBSN replied to Lacie's topic in Urology

   First, I would suggest that you put yourself in the patient's shoes. It is not easy for patients, no matter how long they are on dialysis. Even a few minutes outside their normal routine of getting to unit and being put on can have psychological effe...

9. potassium/dialysate bath

   LPN2RNBSN replied to LPN2RNBSN's topic in Urology

   what are standing orders for other FMC units.. is range of patient's K+ level and what bath should be used?

10. conflict resolution with patients

    LPN2RNBSN replied to LPN2RNBSN's topic in Urology

    Delana, thanks,. FMC has a policy re conflict resolution.. Patients that are educated do have questions when they note a staff not conducting effective infection control practices, or doing somthing on their machine that is not correct, etc. I was mo...

11. conflict resolution with patients

    LPN2RNBSN replied to LPN2RNBSN's topic in Urology

    what about those patients who have true concerns about some staff not being adequately trained especially in dealing with potential emergent situations, etc.. who is responsible, per policy of unit, to address such.. care plan, etc contract etc.. al...

12. RN- Is This common practice in Dialysis Training?

    LPN2RNBSN replied to jen75RN's topic in Urology

    This is scarey reading all about training RNs. Do these companies not care about patients. If someone (RN) is interested enough to work in this area then the companies should provide adequate training. I wonder how many patients die due to those who...

13. Any San Diego RNs out there??

    LPN2RNBSN replied to scallisto's topic in California

    You all need to keep in mind that there is good and bad in all hospitals. If you want to know how their care rates you can go to the Dept of Health Services and ask if there have been any complaints, look through the file and get an idea. Although JC...

14. RN- Is This common practice in Dialysis Training?

    LPN2RNBSN replied to jen75RN's topic in Urology

    We all know that the administration of Epo is in the media's attention now. Much has been written, including Medicare revising what they are doing with Epo.. Also, several months ago the House Ways and Means Committee convened and questioned many abo...

15. conflict resolution with patients

    LPN2RNBSN posted a topic in Urology

    Both units I am in part time have been talking about patient-provider conflict and something about the ESRD Networks? any input? What does your unit do when they have patients c/o issues about staff, care they are receiving or staff not being trained...