Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. Nurse to patient ratio - state regulations

    Tish88 posted a topic in Dialysis, Renal, Urology

    What states have passed regulation for dialysis units and RN to patient ratio regulations? What state are you in and what is the ratio

  2. Nurse to patient ratio - state regulations

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

    PA is 1 RN in the building and nothing about the number of pct's available. PA nurses are trying to get a bill passed in the senate regarding RN to patient ratio - however, this does not include...

  3. opinion for seasoned dialysis nurse/manager

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

    Now would be a good time to call the network and DOH, since things will all be in shambles right now with no one running the place

  4. opinion for seasoned dialysis nurse/manager

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

    These pts should not only contact their network but the dept of health just on the conditions of the chairs and duct tape - creates such an infection control issue! If I was the 911 patient, I would...

  5. opinion for seasoned dialysis nurse/manager

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

    i never heard of that company, so i google searched them and this is what their website states. "known in the industry for its dedication and commitment to both the patient and the physician,...

  6. opinion for seasoned dialysis nurse/manager

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

    Did you tell any of your patients that you was leaving? These patients could see the working conditions that you was exposed to and will know that you didn't leave "them". Maybe more of their...

  7. opinion for seasoned dialysis nurse/manager

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

    Amen to that

  8. opinion for seasoned dialysis nurse/manager

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

    Lacie, Who is orienting the acute nurse to the clinic? She leaves to go to breakfast - was there still a RN in the building? Did you work for a privately owned dialysis unit or one of the "big"...

  9. Anyone else getting bored?

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

    I agree - I used to get bored. I would socialize with everyone in the unit, walking down the hall and even with those cleaning the floors! Then, I starting taking my MacBook and time went quicker....

  10. RN duties at your facility

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

    I did transplant coordinator/case management for all organs and bone marrow transplants. I did not work the surgical unit post transplant. I did that for about 1 year, but missed dialysis too much so...

  11. RN duties at your facility

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

    Let us know how the interview goes. Also, you could consider it more than a buck an hour more since you will only be traveling 3 miles instead of 45 minutes. I always consider the amount of travel to...

  12. opinion for seasoned dialysis nurse/manager

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

    Good for you and good luck with the job search! You watch, the manager will probably have agency workers in there real

  13. RN duties at your facility

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

    It would be nice to have a ratio of 1:12. I have a ratio of 1:20 with 5 pct's. It gets a little crazy when you are trying to hang all the IV irons and push all the other

  14. RN duties at your facility

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

    You just have to learn a routine! and try not to get

  15. Patient Scheduling

    Tish88 replied to Mother Goose's topic in Dialysis, Renal, Urology

    I schedule my next round of patients 45 minutes after the first person gets off treatment. This allows for stripping, cleaning, priming, and alarm testing for the next patient going on. If the first...

  16. Question about IV pumps

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

    Once the air hits the air detector on the IV pump, the only fluid that is left is in the tubing. The inside lumen size of the IV tubing is so small that there really isn't much fluid left. If this is...

  17. Starting out Per Diem

    Tish88 replied to Eric1233's topic in Dialysis, Renal, Urology

    Most companies want you to be full time to receive training since it is so extensive and it takes so long to

  18. LPN mistreated in dialysis

    Tish88 replied to LPN30's topic in Dialysis, Renal, Urology

    The management needs to be giving reprimands for those who tend to be insubordinate. Jobs are too hard to find out there right now - maybe this would make them think twice before calling off....

  19. Apheresis VS Dialysis job offer....need help deciding!

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

    First of all 74 facilities to cover is NUTS - they need to divide them out and create "teams" to cover certain facilities. I though Fresenius had a 60 mile requirement - meaning if the assignment was...

  20. Apheresis VS Dialysis job offer....need help deciding!

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

    Apparently she noticed potential in you in the first place, or she would not have hired you. It would be best to be truthful upfront instead of going thru all the training and then losing you....

  21. Apheresis VS Dialysis job offer....need help deciding!

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

    Let your manager know your feelings and concerns. The cost of orientation is very expensive. Do they have any chronic hemo positions available? Not saying chronic clinics are easy! They are very...

  22. Question about IV pumps

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

    The same would happen if you was giving an antibiotic via a hep lock on a pump in regular nursing. That is such a small amount that I would not worry

  23. Apheresis VS Dialysis job offer....need help deciding!

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

    Acute hemodialysis has the same working conditions with the long hours per day, a lot of call & call outs and traveling between facilities. My longest acute day was 23 hours straight, went home...

  24. RN duties at your facility

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

    As per the pct's, it depends on what state you are in and what your company policy states. My pct's put cath patients on, do cath care and instill heparin post treatment. As far as RN's, they assess...

  25. Apheresis VS Dialysis job offer....need help deciding!

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

    I have done both hemo and pheresis treatments, and you experience the same complications in both treatments, that is why many dialysis companies contract out to perform the pheresis services too. As I...