penem10

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1. Reuse

   penem10 replied to penem10's topic in Urology

   Thank you everyone for your very informative responses. Does'nt there have to be a separate log/documentation to record the specifics of the dialyzer use rather than a paper label that can be lost? Does this label become a part of the permanent rec...

2. Dialysis Staffing

   penem10 replied to CocoaGirl's topic in Urology

   In some states the department of health will put forth standards of nurse/patient ratio for dialysis. In others, it is the state board of nursing.

3. Is it common for shunts....?

   penem10 replied to RNinfamily's topic in Urology

   I would not recomend going to a dermatologist to soften the areas. The scarring, if minimal is protective to an extent. The scar tissue will decrease the pain sensation to some degree. I would recomend a fistulagram also, this way you know what you...

4. Reuse

   penem10 posted a topic in Urology

   Hi! our facility is looking into reuse, and I have read that the AAMI standards require a log to be kept. Do any of you have experience with this log? Is so, what has to be kept on the log? Have you ever had a patient get the wrong dialyzer? Than...

5. Chronic or Acute dialysis experience before doing traveling

   penem10 replied to chill598's topic in Urology

   I would recomend at the minimum 6 months of med-surg experience. There is nothing like on the job experience when your a new RN. Most units I know of like this minimu also, ICU or ER experience would be even better.

6. May be interviewing for a dialysis job, HELP!

   penem10 replied to midcom's topic in Urology

   The description of LPN's vary from state to state and unit to unit. But the majority cannulate the fistulas and grafts, initiate dialysis, terminate dialysis. In our state, NY, they cannot access caths unless they have proper competency. They admi...

7. AV Graft reverse cannulation

   penem10 replied to GeauxNursing's topic in Urology

   We have used this in a desperate situation. When multiple attempts at cannulation have been made and no success. When the interventional radiologist is not available to do a fistulagram, or when the vascular surgeon is not available to place a cath...

8. Tech vs. Nurse War

   penem10 replied to BellaCerraRN's topic in Urology

   I have heard of this situation, although I have never dealt with it before. The solution was to approach your co-workers with the attitude that you are all there for the patients. It is not a competition between tech and nurse. Bottom line, the pa...

9. advice on using TPA for catheters?

   penem10 replied to sueinga's topic in Urology

   I would just like to add a comment to "make it work" You need to remind that doc that his KT/V's are probably bad and that is all documented nationally. At least in our facility, that is the motivator to get those caths out or to get them functioni...

10. advice on using TPA for catheters?

    penem10 replied to sueinga's topic in Urology

    As far as I know, their is no limit to using TPA, however, In my experience, it is best to try to understand why it is not working and then fix the problem. For instance, how long has it been in? The longer the Cath has been in, the more apt it is t...

11. Question about Dialysis machine malfunction?

    penem10 replied to gin2425's topic in Urology

    Assess the situation, a blood leak is a serious issue and do not rinse the patient's blood back. Restring and initiate dialysis again. In any other situations, try to rinse the patients blood back, dialysis patients need every once of blood they ha...

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

    penem10 replied to jen75RN's topic in Urology

    I agree it is good to orient with the tech to learn the machines and what their job is. But you need to orient with a RN (preferrablY) or and LPN if a RN is not available. Especially if you do not have any experience in Dailysis. I remember back y...

13. Nursing intervention?

    penem10 replied to nursedandy's topic in Urology

    Work them up for infection. Draw blood cultures, look for s/s of infection ie: respiratory, kidney, catheter, assess access. No s/s? Rule out this first then consider the flu? Did they get a flu shot? If they do exhibit s/s of infection or sepsis...

14. ICD 9 codes for dialysis?

    penem10 replied to Hellllllo Nurse's topic in Urology

    This link will get you a big list of books available for ICD 9 codes. http://tinyurl.com/yj3feg Have a great day Robin A. Clark, RN, CDN

15. bevel up or down?

    penem10 replied to majestix's topic in Urology

    Cannulation Camp: Basic Needle Cannulation Training For Dialysis Staff by Deborah J. Brouwer, RN, CNN I highly recomend this inservice, she does cannulation training around the country. In her education materials she states "The needle should be he...