Zeek

Zeek LPN

Nephrology/Dialysis

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All Content by Zeek

  1. If I love CRRT will I like hemodialysis?

    You may really love acute hemodialysis. I would ask to shadow for a day or so before you accept a position tho. There are times when you work 20 hours (rare) or may have no patients at all. It is a...
  2. Newbie Dialysis RN

    Welcome to DCI!! You will be trained both clinically and didactically to perform dialysis and recognize issues, deal with lab values, create care plans and the like. I have been in this field for...
  3. I often close my eyes and just feel the fistula - if I try to find it with eyes only I may miss the stick, but when I KNOW where I can feel it, I usually hit it every time. Use a tourniquet and maybe...
  4. Day to day tasks of dialysis nurse

    I agree! I love dialysis for the fast pace and the fact that you can use all your assessment skills. We catch things like DVT's, pericardial friction rubs and pneumonia etc. Yes, you'll be rushed...
  5. Feeling Pressured

    I don't know why they are bugging you. It usually takes a full year for you to feel comfortable in dialysis. That said, they need to let you finish your training before you decide if you like it or...
  6. Back Injury and Work Comp :(

    I hope that you filed a report that you injured your back. I have had 3 back surgeries and each time I thought I might have re-injured it I filed another report. I does sound like you have nerve...
  7. Need advice in a sticky situation

    Most hiring managers in my opinion understand that sometimes we are not a good fit/have personality clashes or whatever at former jobs. If you put your 2 weeks notice in, I would not consider this...
  8. Need advice in a sticky situation

    I would give your 2 weeks notice and if they ask you to leave early just do it. They will likely be glad you are leaving anyway. Most places (if no unions etc) are "at will" employment anyway so...
  9. Dialysis nursing pros/cons?

    I'll be the voice on the other end of the spectrum. I have been a dialysis nurse for 34 years now. Took me some time to find this specialty but I was hooked! Instead of working for the big 2, try...
  10. Dialysis Nursing

    First of all let me say that I am amazed at how you are coping with all this! You seem very clear headed and know how you want to have things go for your Dad. I am a dialysis nurse of 34 years and...
  11. I basically have them do a competency test at the beginning to identify areas of weakness which we then do training on. Everyone gets a skills checklist yearly. Experienced staff are with a...
  12. Help!!!Accesses covered compliance

    I have had the same thing happen - hence the need to have them uncovered. A few years ago a unit in my state was cited and had to complete a huge plan of correction AND a second site survey due to...
  13. Looking up patients on Facebook

    We see our patients frequently in the area I work in and one nurse in particular "friends" patients on Facebook. I think this is a professional boundary issue - these patients then request special...
  14. Still struggling....

    You have not indicated that you have seen a doctor recently - and that is where I would go first. Anxiety can be treated and maybe that is all you need to be able to continue in this position for...
  15. We have a small tote that fits between the handle of the portable RO cart & the RO itself. We used plastic bags, gloves over the ends of hoses, etc. for many years before the tote & new...
  16. Renal Telemetry Unit Interview

    Some things you might expect are s/s of hyperkalemia including tented T waves, assessments for fluid balance (edema, lung sounds etc) and what could be done for each. Also anything related to post...
  17. Current RN pay scale?

    Pay rates seem to be lower here than in many other states, I am fortunate in that I have years of dialysis experience so I make a bit more. However, before you move here, please check out the area...
  18. Dialysis nursing

    From my perspective of over 33 years in the field, I love dialysis for the autonomy - I have done home dialysis, PD, travelled, in center and acutes as an LPN. I have also learned to repair machines...
  19. I wanna quit

    When I think I can't get an access, I close my eyes and just feel the access under my fingers, take a deep breath and only when I feel like I have the feel of it do I put a needle in. You will have...
  20. I have been in the dialysis field for over 30 years and I can tell you that we welcome new grads. It is sometimes better to have some med/surg experience, but we want to teach you from the ground up....
  21. LPNs can be nurses in dialysis. I have been in the field for 33 years as an LPN. In some ways it has enabled me to go into areas I would not have been able to do as an RN. You can travel, do...