Ashley_SF

Ashley_SF BSN

Dialysis

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About Ashley_SF

Ashley_SF has 5 years experience as a BSN and specializes in Dialysis.


I'm a dialysis nurse with experience in the chronic outpatient setting, newly transitioning to acute care and pediatrics. 

Latest Activity

  1. Has anyone returned to dialysis after many years?

    If she's doing acute dialysis then she will have mannitol and albumin for BP maintenance. My docs do not use hypertonic solutions though..
  2. Can I break my contract if I'm homesick?

    I relocated for my first nursing position and was also really homesick. It was a new grad program and although not required, I did stay for 2 years before moving back home. It was challenging, but manageable. Those 2 years of experience gave me what...
  3. Too gutsy??

    Thank you ?
  4. Too gutsy??

    Our youngest inpatients are newborns, the youngest outpatient I've had is 3 years old. We really try to initiate peritoneal dialysis, especially with the little ones. Right now most of my outpatient peds patients are teenagers.
  5. Too gutsy??

    I have worked as an adult outpatient dialysis nurse for 5 years and as a pediatric dialysis nurse for the last 8 months. I work for a large university hospital and my unit is NOT like a Davita clinic. Firstly, pay is largely going to depend on where...
  6. Is working per diem worth it ?

    As others have stated, it depends on how busy the unit is. I work per diem, but can float to another hospital in our system to make up hours. The other unit I float to always needs help and I have more than enough hours per week. I do work in Califor...
  7. Failing a nursing class

    I'm surprised you were able to stay in the program. I failed a course in my nursing program and was dismissed. I had to petition for them to reinstate me and I had to retake the course before advancing in the program. When I graduated the failed clas...
  8. Your most bonehead moment in nursing. Or 2. Or 3.

    During my maternity rotation in nursing school I spent the day on the post-partum unit. My patient had a foley that needed to come out, so my clinical instructor walked me through the steps and we went into the room to do the removal. I deflated the...
  9. Never feeling good enough, despite milestones

    This stood out to me. When I first started in dialysis I had this thought too. Once I knew how to set up machines, connect patients and manage ESRD labs, I craved something harder too. ICU or ED, an area with more bells and whistles. But, I stayed i...
  10. Dialysis nursing pros and cons

    I'd take it as a big red flag if they were losing a lot of employees at once.
  11. Dialysis nursing pros and cons

    I would never again work salary in dialysis. Whenever we were short I would get called in to fill in as a tech, nurse or both.. even if I had already worked over 40 hours for the week. I didn't have time to myself and I dreaded the phone ringing. I ...
  12. Next Day Off

    I am off today after working yesterday and I can relate to your post. I feel so drained and foggy, my body aches and it was an effort to get out of bed. I started a new position a few months ago which requires me to work in many different areas; ICU...
  13. Sad series of peds hem-onc patient deaths

    I'm late to this post, but I wanted to say thank you for working in the area you do. My twin sister was diagnosed with stage 4 neuroblastoma back in the late 80's; she was given a 5% chance of survival. She endured total body radiation, a bmt, and ch...
  14. Per Diem vs Full time in San Francisco

    I work per diem in San Francisco and get as many hours as I want, but I think it depends on the hospital and the specialty. I work in a specialty that allows me to float to another hospital in our system if the census is low on my home unit. I accep...
  15. This is Where the Cowboy Rides Away

    I'm not a school nurse, but I love this group and I love reading your wisdom and input. Enjoy your retirement!