chatty-rn

chatty-rn

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About chatty-rn

I have been a nurse for 15 years, working in dialysis the last 6 years. Working on obtaining my BSN

Latest Activity

  1. CCU nurses performing their own CVVHD?

    I work in a hospital based chronic dialysis unit and cover call at the hospital. When the ICU first got CRRT (prisma) the call dialysis nurse would go in and set it up (any time of day) and ICU nurses then ran it- monitor, change settings, etc. If i...
  2. Tech Certification....what's everybody else doing

    Hi, which exam did they take? I see that there are at least 2 versions. Also, do your techs run pts? We have techs that set up machines, do blood pressures, stock and occaisonally hold sites. We are having them take the test, but I don't know how ...
  3. PPE for dialysis nurses

    Not good! The unit should be laundering the gowns if they aren't disposable. At our unit (hospital based) we use a different washable gown with each pt and it gets sent to the laundry. If we get blood on our clothes, we are to put different scrubs...
  4. Conditions of Coverage

    Just wondering if any other chronic hemo units are stressing from the new Conditions of Coverage regs?
  5. Help! Kabiven TPN administration during HD

    I give IDPN (intradialytic parenteral nutrition) at a chronic unit. It comes directly to the unit from the company. The rate is already figured to cover the length of the treatment. Each pt. has an individulized prescription for it. We hook it by ...
  6. Common Practice For Acutes Call Back Pay

    Hi, I work for a hospital and do chronic, acute and PD. I acute/call about once a week, all the RNs take turns from the chronic unit, we do weekend call-Sat and Sun every 2 months. We start at the chronic unit and if we have pts to do at the hosp. t...
  7. Just wondering what different units lock their catheters with. We use 1000unit/ml Heparin, does anyone use saline or stronger heparin? Thanks for your info.
  8. Preparing to present grievances to heads of hospital

    I don't work med/surg so can't help you, but.... I'm exhausted just reading what all you're doing! Good Luck!
  9. Is it common for shunts....?

    Hi, I don't agree with the dermatologist idea, but I think fistulogram to check it out and see if there are any problems that can be fixed before the fistula stops working. Good luck.
  10. Is it common for shunts....?

    Are the staff rotating sites on the fistula? If they are going in the same area, it could cause a psuedoanuerysm and could get painful. maybe they need to do a fistulogram to check how well it's functoning. If it isn't a long fistula, doesn't have ...
  11. Is it common for shunts....?

    Does she have a fistula or a graft?
  12. Peritoneal Dialysis monthly Clinic visits

    You made me giggle! I think it's crap too! I usually refer to my PD pts as my hobby. You should see my pt load when I'm training a new PD pt. HD pts in the morning, hopefully get to lunch, train in the afternoon, and if I'm really unlucky for the d...
  13. I was wondering how PD nurses schedule the clinic visits. Do you schedule your visit separately or together with the doc? (we have one nephrologist) Right now I schedule them at a time convenient for the doc to coincide with when he does weekly round...
  14. Epogen SC administration

    Hi, I couldn't find anything about forearm being an accepted SQ route, I think they just don't want to have to push up the pts. sleeve or take off the BP cuff! If they think it is acceptable they should be able to show documentation that it is. Good...
  15. Anyone got their CDN certification

    Hi, I just renewed my CDN, I studied from the same books as above. It wasn't too bad to take. I also did it "for me', but the hospital I work for did reimburse the cost of the exam. Good Luck