parolang

parolang

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All Content by parolang

  1. Clinical Manager offer

    parolang replied to Duncan6's topic in Dialysis, Renal, Urology

    Wow, I don't blame you. It always seemed to me that they have an SOL approach to FA's, and they will cut you on budget and staff, and then kind of silo with any internal problems you might be

  2. Are dialysis RNs responsible to PCTs actions? Can RNs be penalized for PCT negligence?

    parolang replied to keftirific's topic in Dialysis, Renal, Urology

    Are you responsible for what PCTs do under your charge? Yes, just like any other unlicensed assistive personnel. Can RN's be penalized for PCT negligence? Depends on your FA and the command chain...

  3. Help - “New” grad working in dialysis with crazy hours

    parolang replied to CN101's topic in Dialysis, Renal, Urology

    It sounds like the bigger problem is that you don't like dialysis. Would it really be better if you just worked 36 hours if you hate the job? I'm not trying to minimize your complaint, I think 14...

  4. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang posted a topic in Dialysis, Renal, Urology

    I'm a PCT at a dialysis clinic, and there had been a policy for a couple of years now that the patient has to completely vacate the station before disinfecting and setting up for the next patient....

  5. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    FWIW, I left in October. Best thing I ever did. In the end, it doesn't matter what other people say they can do, or what you are being told that other people do, but what you know what you can...

  6. Speed for Rinsing Blood Back

    parolang replied to integrativenurse's topic in Dialysis, Renal, Urology

    It's kind of an interesting question. One thing that is different is the rate of blood volume increase. During treatment, ideally, there is no change in total blood volume. But blood volume increase a...

  7. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    The issue isn't the difficulty of the job. It is whether I can reasonably do the job on a consistent basis while meeting all of the requirements. It's a matter of whether am I doing all that I signed...

  8. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    Fair enough. It was arrogant for me to make assumptions. I

  9. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    My guess is that they just don't. They are just really good at letting you think that they do. I follow policy more than anyone at our clinic. But I can't blame them...I run behind a lot. Nonetheless,...

  10. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    Okay... I'm running into the same problems. So I broke it down on a spreadsheet even. If I give myself a minimum amount of time of 5min to take a patient off, 5min to wipe down a station, and 5min to...

  11. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    I'm actually going to write that down and maybe share it with others. The whole idea of air drying makes sense, and is generally recommended for infection control, yet it isn't in our P&P to my...

  12. Ethical Issues

    parolang replied to RN2020scm's topic in General Nursing

    I'm not a nurse, but I think the ethical question is more about whether you guys consider nursing a profession, and kind of profession you believe it to be. Generally, for non-professionals and...

  13. Co worker

    parolang replied to RNewbieMA's topic in General Nursing

    Sounds like untreated or poorly treated ADHD. Doesn't matter, I wouldn't say anything about

  14. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    I'm actually going to write that down and maybe share it with others. The whole idea of air drying makes sense, and is generally recommended for infection control, yet it isn't in our P&P to my...

  15. Waiting until patient has vacated station by before disinfecting and setup for next patient

    parolang replied to parolang's topic in Dialysis, Renal, Urology

    DaVita. I have heard from people in management something like an hour between patients at each station, but I never really understood what exactly they are talking about. It seems they mean I can take...

  16. Tech falsified vitals

    parolang replied to Presbynurse12345's topic in Patient Safety Issues

    JKL33, I'll be honest, I never truly knew what the role of the RN's and LPN's were there in the nursing home. Things were in practice pretty compartmentalized, mostly because we were busy the entire...

  17. Tech falsified vitals

    parolang replied to Presbynurse12345's topic in Patient Safety Issues

    Neats, I've never misreported a blood pressure reading or vitals. As a manager, this is exactly one of the things that you can profoundly change if you find it among your staff. But you won't get...

  18. New CNA needing help with time management and arrogant co workers

    parolang replied to Colaash's topic in Medical Assistant, CNA/MA

    Don't do this. To me that borders on telling a resident that he/she has to wait until later to go to the bathroom, and to me that's just wrong and could get you in trouble. Residents with dementia or...

  19. Tech falsified vitals

    parolang replied to Presbynurse12345's topic in Patient Safety Issues

    I was a CNA for three and a half years. I do think a lot of readings were fudged/made up, but I also think that nurses are complicit with this. You are supposed to supervise. The job of nursing aides...

  20. How has dialysis changed over time? Is it a worse job than it used to be?

    parolang posted a topic in Dialysis, Renal, Urology

    I've been a dialysis PCT for three years. There are some things that puzzle me, and I thought I would ask. Like my manager had said that when she was a PCT, she had a POD of six patients, and I know...

  21. nurse on nurse bullying

    parolang replied to profdocmaher's topic in Patient, Colleague Relations

    I am not a lawyer, but I thought that was the reason why companies try to establish a paper trail of write-ups and evaluations before they fire someone. Maybe wrongful termination isn't the

  22. nurse on nurse bullying

    parolang replied to profdocmaher's topic in Patient, Colleague Relations

    Do you really think it's easy to tell the difference between a toxic and a stressful environment? A toxic environment isn't just a workplace where people are acting violent and threatening each other....

  23. nurse on nurse bullying

    parolang replied to profdocmaher's topic in Patient, Colleague Relations

    If you are certain that you are being bullied and that the manager is behind it or complicit with it, then you need to leave that organization. There's really no other way around it. Your manager is...

  24. UFR Goal questions

    parolang replied to perksrn's topic in Dialysis, Renal, Urology

    True. Our medical director will increase that to 13mL/kg/hour for some of our patients though if he feels that they can and need to tolerate

  25. UFR Goal questions

    parolang replied to perksrn's topic in Dialysis, Renal, Urology

    Keep your ego in check. Then ask your boss and the experienced nephrology nurses what their assessment of these patients were. You need to know because you're new to dialysis and it will be a while...