Tish88

Tish88

Dialysis (acute & chronic)
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Tish88 specializes in Dialysis (acute & chronic).

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  1. Is there any update on this program for the CE requirement on child abuse?
  2. Dialysis At Sea--hard to get a spot as an RN?

    I know when I cruised with Dialysis at Sea, I would sign up about 9 months ahead. They will send you a calendar of all the cruises for 2013. I would pick in January for an October cruise and June for a February/March date.
  3. Ideas to help my pt

    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 are so many variables it could be and is hard to t...
  4. 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 exchanging over a wire? 3. How is the radiologis...
  5. Pediatric Dialysis

    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 machines!!!!
  6. Davita vs Fresenius RN - big question

    I agree with the previous poster. Definitely find out how your time will be divided.
  7. Aspirating or flushing the catheter lock solution?

    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 units. Only dialysis staff should be accessing these ca...
  8. Nephrology Nursing Certification

    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 exam.
  9. 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 length, they both reach into the superior vena cava and...
  10. 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 job: Job Restoration Upon return from FMLA leave, a...
  11. Acute Dialysis: Do they want you to live close by?

    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 dialysis treatments for. The one company would make acu...
  12. Overwhelmed within 2 weeks!

    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 could be possible to extend your time. It can be over...
  13. Water supply?

    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, how do you wash your hands?
  14. Nephrology Nursing Certification

    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 hemodialysis, I don't think you would qualify. The we...
  15. Water supply?

    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 had to run a garden hose to get water supply to a p...