I've been hired to start home hemo. I'm curious about the hours and oncall. I need to only work 8 hours Monday to Friday. I'm afraid there is more to it than I'm being told. If there is anyone working in this area that can tell me what the oncall is like. How often do you visit the patients home after hours to assist with cannulation? Also extending treatments to weekends or working after five in the evening. This is very important to me for child care.
Hope all has been going well for you since completing Home Hemo class and your preceptorship. Sorry it took so long to get back with you but, things got a little busy for me. Well, have you trained a patient yet? If so, I hope everything went well. My only piece of advice to you is to set your own pace and don't take on more than you can handle. I am currently training a patient right now and managing my growing patient load. It is very overwhelming at times, but somehow I manage. Anyways, let me know what you've been up to and if you have any more questions. Talk to you soon.
It's great to here from you, I'm glad you are doing well. You are on a second training that is wonderful I am very impressed I hope this patient does very well and no complications. How many patients do you have now total? Did you inherit a clinic or did you start one from the beginning?
I was on a vacation my family came here to visit me lots of work but worth every second. The first patient to train will start on Tuesday. The NxStage educator will be with me for 8 days then on my own. My initial training and time has been in PD other than the week in Tennesee and Seattle I haven't had much time in HHD. Thank God for you and the perceptor who gave me some great information to take back I don't know how I would have started gettin things together. The NxStage machine had been sitting in the clinic for 2 years with out any attention. On Monday I tried uploading the 1.13 version on the Pureflow to find out I needed a new jewel box that didn't come directly to me but another patient in a different state. Next I needed a control unit the first one they sent leaked water at he UV light. I was grateful another nurse had one to give me until mine arrive on Tuesday. A batch started at 08:30 PM Friday night no cultures or AAIMS have been done on the machine. The patient will run on bags for the first week or more. What is your experience with NxStage and their technical staff and equipment.
I'm actually looking forward to how this training will go. The patient says it won't take him 4 weeks but 3 weeks he is really motivated. Though he is 133kg I hope he will stick with the program. I'll let you know at the end of the week how my first week of training went. Thanks for emailing again I like keeping in touch with you. Toni
How are you? Hope all is going well with the training of your first patient. I just finishing training my 3rd and will be starting my 4th in the next week or so. Right now, I'm trying to get caught up on all the work the gets behind while I'm training. I inherited the program I'm currently working in. I'm currently up to 8 patients that I'm managing, while I continue to train new ones. My experience with Nxstage has been wonderful thus far. They offer wonderful customer support and are available 24/7. The Nxstage educators are awesome and you will learn a lot during your time together. As for machine issues (AAMI/Cultures), that's a part your responsiblity. I don't know about you but I have no biomed support whatsoever. Patients usually run on bags the 1st few days or so anyway, that way that get used to using bags and the pureflow. That way if they have problems with pureflow at home they can use bags as backup. At my clinic, I do it all (screen/train the pts, manage care, home visits, AAMI, cultures, supply ordering, AA & biomed duties, etc.) Well, hopefully you have a good patient that will stick to the program. Let the pt know that he needs to give it at least a 6 month adjustment period. Patients tend to get discouraged early on. They need lots of support in the 1st 90 days in order to be successful. I am sure you and you patient will do well. Good Luck with training and keep me updated.
Hello how are your thanks for asking about my week. How long did your patient train? Was it a easy one or not? I have completed my first week of training, my patient is really motivated he is cannulating but needs assistance. He wanted to do everything himself but it is hard to pull needles alone. His wife is pretty helpful. The Nxstage educator is a good resource. I think she is so into how wounderful the company/product is that I get a one sided training. I have lots of paper work WOW. How do you make time for clinic during a training? Do you see a few patients each day or all in one day for clinic? Well, my patient is on the machine for nearly 4 hours so it takes almost 6 hours of my day, I know it will decrease as he gets more confident in his skills. I have another questions that popped into my head on the way home today. When a patient gives themselves saline during a treatment and the saline bag empties what stops the air from going into the patient. The saline T is before the air detectors right? During priming air is being sent inside the saline bag so that is different than a regular IV bag that will collapse down on itself and not allow air to continue down the lines. Am I missing something?
Well, I like teaching and spending time with the patients I pray this is the place for me to be. Have you had any complications with any of your home patients?
I have a program just like yours I do everything, biomed only came by and RPM'd the centrifuge. I have long waiting list of patients to be trained some are really large and need to be trained on the BabyK they will be later I need to learn one machine at a time. Let me know how your week went. Have a restful weekend Toni
MsDorsey
16 Posts
Hi Toni,
Hope all has been going well for you since completing Home Hemo class and your preceptorship. Sorry it took so long to get back with you but, things got a little busy for me. Well, have you trained a patient yet? If so, I hope everything went well. My only piece of advice to you is to set your own pace and don't take on more than you can handle. I am currently training a patient right now and managing my growing patient load. It is very overwhelming at times, but somehow I manage. Anyways, let me know what you've been up to and if you have any more questions. Talk to you soon.