Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. Two job offers. Help me make a decision!

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

    If you are looking into anesthesia in the future, most schools require a minimum of 1 year of recent ICU experience before applying. That is for CRNA school. How many patients are being dialyzed in...

  2. Starting out Per Diem

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

    In my opinion, you would need to have experience in dialysis before becoming a per diem staff member. In order to feel comfortable with dialysis, you are looking at 6 months to 1 year of full time...

  3. opinion for seasoned dialysis nurse/manager

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

    I hope you kept the email. I would be forwarding it to her superior or the corporate office and then see who gets the last laugh. That behavior is so unprofessional and unacceptable. You should not...

  4. opinion for seasoned dialysis nurse/manager

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

    One thing to ask yourself - "is your nursing license worth it to you?" If I was you I would also turn in my resignation and get out of dodge. See if that would help you get at least an agency nurse...

  5. dialaysis access

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

    A Hickman is used for : Drawing blood Chemotherapy IV fluids Blood transfusions IV nutrition I have experienced many surgeons call our large bore dialysis catheters "Hickman's", because they are...

  6. Dialysis Cruise

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

    When you sign the contract with the dialysis at sea company, you are disclosing you are familiar with the machines that are used on the cruise ships. I can not believe a nurse would take the risk of...

  7. Should I stay or should I go??

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

    No holidays??? - Most dialysis clinics are closed on Thanksgiving and Christmas Day. Some are also closed on New years day too. We are all open on the summer holidays. The clinics open up on...

  8. What is the typical day like for a dialysis nurse?

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

    Dialysis is busy job, with hardly any down time during your shift. Especially when you are the only RN for 20 patients at a time!. Each clinic RN:patient ratio is different. You have to assess the...

  9. is your unit running out of supplies too?

    Tish88 replied to corky1272RN's topic in Dialysis, Renal, Urology

    WorkingmomRN - that is just "nuts". I could not work with conditions like that.... if one of the patients don't call their network or the dept of health, I as a staff member would anonymously be...

  10. Can ER doctors give dialysis orders?

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

    I just love the times when an ER doc calls the nephrologist and tells them the patient needs dialysis because they are in CHF, then the nephrologist don't go in and see the patient but calls you out...

  11. is your unit running out of supplies too?

    Tish88 replied to corky1272RN's topic in Dialysis, Renal, Urology

    Why don't you go to the Medical Director of the facility next and let him/her know that you are running out of supplies? You stated that you even run out of dialyzers; then how do the patients even...

  12. Can ER doctors give dialysis orders?

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

    You need to have dialysis orders from a nephrologist, not any other doctor regardless of their specialty. There should also be a consult to a nephrologist and the dialysis RN should obtain the...

  13. is your unit running out of supplies too?

    Tish88 replied to corky1272RN's topic in Dialysis, Renal, Urology

    If your FA knows that this is going on - my next step would be to notify OSHA and the DOH! It is a law that they have to provide you protection against blood borne pathogens! I would not put my life's...

  14. Dialysis Cruise

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

    I have gone on 7 dialysis cruises and they were all worth it. First of all I only worked 3 days out of the 7 days. We are always out at sea when we do the treatments, never in port - so you don't...

  15. Overtime when "on-call"

    Tish88 replied to sweetart_1980's topic in General Nursing

    According to the Fair Labor Standards Act 2009: "FLSA does not limit the number of hours in a day or days in a week an employee may be required or scheduled to work, including overtime hours,...

  16. low albumin

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

    One should not use IV albumin for nutritional reasons, it is very short acting and falsely increases albumin level in the blood. The best way to increase a renal patients albumin level is through the...

  17. Chronic or Acute dialysis experience before doing traveling

    Tish88 replied to chill598's topic in Dialysis, Renal, Urology

    I have to agree with bluefabian, I think you should have a good nursing background prior to doing dialysis -- particularly in ICU or ER, especially if you want to do acute treatments. When I started...

  18. Davita is doing what?!?

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

    When I worked for Davita, I had referred 2 different RN's for employment and was told that I would get a referral bonus for each one, however, I never got a cent! Good luck trying to get your $$$....

  19. Giving Calcijex (Calcitriol) IV during or at end of dialysis

    Tish88 replied to montreal2008's topic in Dialysis, Renal, Urology

    We give ours anytime during the

  20. new dialysis RN to work acute?

    Tish88 replied to tracie317's topic in Dialysis, Renal, Urology

    You will do just fine. When I started doing dialysis 15 years ago, I went straight to doing acutes. I was trained in the acute setting 1 on 1 with a preceptor. I had 1 month of orientation and then...

  21. Interested In Dialysis

    Tish88 replied to lisa41rn's topic in Dialysis, Renal, Urology

    Hello, I have been doing dialysis for about 15 years and I would not consider dialysis a non-stress job! It is a busy job. As for the "codes", yes they do happen and with a free standing clinic...

  22. Response time when on call?

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

    I work for multiple dialysis companies. With 1 company we have 2 hours to get the patient on treatment and with another company I have 4 hours to get the patient on. Keep in mind, that you need travel...