Zeek

Zeek LPN

Nephrology/Dialysis

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All Content by Zeek

  1. Does peritonitis have to be drained?

    We have had patients with a peritoneal dialysis catheter that can be drained as well. They don't necessarily have to be on dialysis to have this type of catheter as a long term access. It is double...
  2. Anyone have an injury that took you out of nursing?

    I had a "devastating" fracture of my femur almost 2 years ago. Then had the screw at the base of the rod break when I started walking on it which shortened my leg by 2 cm. I am in pain every day as...
  3. CRRT: Providing Optimal Patient Care

    Although I have limited experience with CRRT, part of the anticoag issue is whatever the MD is comfortable with. We tend to use more citrate, but it needs to be reversed before the blood goes back to...
  4. Continuing education in dialysis

    You can go to the ANNA (American Nephrology Nurses Assoc.) website to find information about hemodialysis. I am not aware of anything that DaVita has for CE credits, but I know that Fresenius does...
  5. Magnesium Electrolyte

    I am in the dialysis field and we look at primarily secondary HPT. PTH secretion is tied to serum calcium levels but magnesium can exert a similar effect. Low levels (hypomagnesemia) can cause an...
  6. Hole In My Glove!

    When I started in dialysis in 1985 we wore street clothes and did not use gloves. We held bleeding needle sites with just gauze and frequently had blood on our hands. Even when using a face shield,...
  7. Tablo

    I have heard that the blood flow only goes to 250 or 300 which is not high enough for conventional dialysis. I guess it would be OK in a hospital setting or maybe a daily home unit
  8. Others that have posted here are correct about the venous pressure staying the same or similar. Here is why: TMP (Transmembrane Pressure) is calculated by using the current venous pressure and the...
  9. I just lost it!

    The last time I lost it with a Nurse Manager was when she insisted I was the one responsible for all the infections in our unit. She was yelling at me and had her finger in my face at which time I...
  10. Breakthrough

    I know that they have in the past used a lot of travel people, so you may be able to find a job in that market. I wish you luck over
  11. Other than Nursing, what other passions/hobbies do you like?

    I live in Montana and have horses. They are my sanity! I can trailer 15 - 30 minutes from my house and be lost in the woods for a day! The only thing that relaxes me and makes me feel free of...
  12. Considering Dialysis Nursing

    I have found you will either love it or hate it. I love it because you get to know your patients and can pick up on subtle clues that you may not be able to see on the floor. I use all my assessment...
  13. New job in Dialysis!

    Welcome to the family! But seriously - this company is really great to work for. I have worked in independent out patient hemo; for profit centers and hospital based units and have really been able...
  14. At most units the patients are given an ESA (Erythropoesis Stimulating Agent) which helps them to build red blood cells as their kidney no longer produces erythropoetin; IV iron products to help them...
  15. Which Nurse are You?

    And you forgot to add One upper Opal - the nurse that has had whatever you or her patients have, but so much worse! This thread is
  16. Chiropractors

    I have an awesome Chiropractor who I have worked with for 7 years now. I have had 3 prior back surgeries from lifting and general life. Those helped with the acute pain, but not the chronic pain I...
  17. malpractice insurance IL

    Most places of employment have a policy that covers you as long as you work in that facility. If you choose to leave for any reason or get fired, you no longer work there and the hospital no longer...
  18. Is malpractice insurance worth it?

    Most companies have a "claims made" policy that only covers you if you still work for the company. Should you change jobs, you are no longer covered, but can still be sued. Check and see what type...
  19. Egocentric Managers

    Your manager is trying to bully you into staying per HER guidelines. You have done nothing wrong. I have worked with people like that as well and was at my wits end before they left. Things are...
  20. Reviews/Thoughts?

    I have worked for 2 non-profit stand alone clinics and then Fresenius and now DCI. I have also travelled and worked with Fresenius as well. I have not worked for Davita at all. I do really like DCI...
  21. The machines haven't changed that much in my opinion. I think you will be fine. You are right, your skills will need to be fine tuned, but you will start remembering once you start working. If they...
  22. CDN CNN Exam

    I have been in the field of dialysis for 35 years so I did not do a practice test. From my perspective, the NNCC does not care about where you get your CEU's from as long as they meet the guidelines...
  23. No drinking allowed on treatment floor

    We have a counter off the main floor that we set our drinks on. You don't say, but I am assuming that this is outpatient hemodialysis. I would talk with your manager and see if there is somewhere...
  24. Leaving before 1 year? Don't know what to do..

    I would like to add that being a dialysis nurse is stressful as well. You may be in charge of 12 patients and the technicians that do the actual care. It seems that some people have the idea is that...
  25. Newbie Dialysis RN

    Beachbabe86 - I am currently in Montana. Have practiced in Washington state, done some travel nursing in Indiana, N. Carolina and Kentucky then came back and settled here. I really love it! And I...