Tish88

Tish88 specializes in Dialysis (acute & chronic).

Latest Activity

1. Alert: PA requirement for training/CE in Child Abuse Recognition effective 1/1/15

   Tish88 replied to NRSKarenRN's topic in Pennsylvania Nursing

   Is there any update on this program for the CE requirement on child

2. Ideas to help my pt

   Tish88 replied to Joni's Mom's topic in Dialysis, Renal, Urology

   What is his starting BP? To me, it sounds like his dry weight needs to be adjusted. When was the last time it was adjusted. If he does have a cardiac history, 4kg sounds like a lot for him. There...

3. How to deal with the old Dialysis line in line exchanges in IR?

   Tish88 replied to penelope3000's topic in Dialysis, Renal, Urology

   There are a few questions I would ask first before answering. 1. Is the catheter infected prior to the exchange? Is there a tunnel track infection present and/or positive blood cultures? 2. Are you...

4. Pediatric Dialysis

   Tish88 replied to RNDialysis80's topic in Dialysis, Renal, Urology

   I am not a PEDS dialysis nurse, but I know the children's hospital in our area uses the Fresenius K machines. I have used the Phoenix and the K's and I HATE the phoenix

5. Davita vs Fresenius RN - big question

   Tish88 replied to RN Bulldawg's topic in Dialysis, Renal, Urology

   I agree with the previous poster. Definitely find out how your time will be

6. Aspirating or flushing the catheter lock solution?

   Tish88 replied to pineau's topic in Dialysis, Renal, Urology

   Dialysis catheters are packed with a higher dose of heparin than a normal CVC line. Heparin 1:1000units /ml up to 1:10,000units/ml is used for dialysis catheters. Normal line flushed are 1:100...

7. Nephrology Nursing Certification

   Tish88 replied to kxanuddin's topic in Dialysis, Renal, Urology

   ANNA does not require you to have "their" CE's to sit for their exam. The majority of PCT's who take an exam do not have any CE's prior to taking the

8. Are Groshong central tunneled catheters used in dialysis?

   Tish88 replied to pineau's topic in Dialysis, Renal, Urology

   The lumen of a Groshong is around 9F where as a dialysis catheter is around 13.5 - 14F. The Groshong would not support the required large volume of blood that is needed for dialysis. As for the...

9. While out on sick leave, found out I am being "replaced"

   Tish88 replied to kimbalotz's topic in Patient, Colleague Relations

   Are you out on FMLA? If so read up on FMLA regulations. U.S. Department of Labor - Wage and Hour Division (WHD) - The Family and Medical Leave Act This is from the website about returning to your...

10. Acute Dialysis: Do they want you to live close by?

    Tish88 replied to UGADawgs's topic in Dialysis, Renal, Urology

    I have worked for the 2 largest dialysis companies and never had to live in the city where the position was for. Since I did acutes, I was expected to travel to the hospitals were they provided...

11. Overwhelmed within 2 weeks!

    Tish88 replied to foxyroxyrn's topic in Dialysis, Renal, Urology

    I always tell my new staff that it will take you 6 months to feel comfortable and a year before you truly understand dialysis completely. I am sure that if you need more time on orientation, that...

12. Water supply?

    Tish88 replied to sauconyrunner's topic in Dialysis, Renal, Urology

    I don't understand how using the shower could hurt "the physical plant"? Don't patients use the showers? All you are doing is running the water If the unit does not have water supply to the rooms,...

13. Nephrology Nursing Certification

    Tish88 replied to kxanuddin's topic in Dialysis, Renal, Urology

    Check first to see if you would even qualify to sit for the exam. There are restrictions as to how many hours you need to have worked in dialysis before you can take the exam. Since you don't do...

14. Water supply?

    Tish88 replied to sauconyrunner's topic in Dialysis, Renal, Urology

    They would hook the shower hose up to the R/O machine (reverse osmosis water machine), that filters the water before it goes to the dialysis machines. I have hooked up this way in the past. I also...

15. PCT C.E for recertification (CCHT, NNCC, Bonent, etc.) Michigan

    Tish88 replied to nlovell's topic in Dialysis, Renal, Urology

    Acutedialysis - thanks for sharing those