Tish88

Tish88

Dialysis (acute & chronic)

Member

  • Content

    284

  • Visitors

    7,984

  • Followers

    0

  • Likes

    6

All Content by Tish88

  1. Is it legal for Davita to do these things??

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

    First thing I would have to ask is what does the units policy and procedure say about taking patients off the machine to use the bathroom. I have seen it both ways - time placed on hold and time...

  2. Salary Pay for Fresenius Medical or Davita?

    Tish88 replied to naz220's topic in Dialysis, Renal, Urology

    First of all, I would never sign a contract like that and I also agree to the statement that the contract would not stand in court. Did they provide you a copy of this contract for you to keep - I...

  3. Advice needed, ASAP PLEASE

    Tish88 replied to kellrn4's topic in Dialysis, Renal, Urology

    Call your companies compliance hotline and report it. Let them decide how to handle this. Did you give your company a number that "you" can be reached? All the CC needed to do was to leave a message...

  4. Thought I had the dialysis job...but no word in over a week..

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

    I know that the larger companies take months for the entire process. Maybe the manager/administrator is working the floor and is not able to answer calls/emails because he is covering for the unfilled...

  5. Thought I had the dialysis job...but no word in over a week..

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

    Maybe there is another position, in addition to the one you interviewed for. The turn over rate in dialysis is very high. The hiring process for the large dialysis companies can be very long. I...

  6. how can I become a certified dialysis nurse?

    Tish88 replied to Joie777's topic in Dialysis, Renal, Urology

    Here are some requirements to take the CNN exam (nephrology nurse certification): Applicant must have a BSN or MSN. The applicant must have spent at least fifty percent of employment hours in...

  7. BSN Required for Dialysis Nursing?

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

    You can work as a nurse in dialysis without a certification, however to obtain the certification for dialysis nurse (CNN), you must have your BSN to take the exam. Other requirements for the CNN exam...

  8. Did a dumb thing r/t dialysis port

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

    The ejection fraction must be greater than 20% and the systolic blood pressure > 100mmHg per

  9. Did a dumb thing r/t dialysis port

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

    I think the biggest problem with the HeRO is that if the patient has a cardiac

  10. Did a dumb thing r/t dialysis port

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

    No, HeRO is still available. Just had one placed in a

  11. Did a dumb thing r/t dialysis port

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

    The HeRO device can be used with patients with no other alternative places for a AVF or AVG. Also, how about a leg graft, chest graft or necklace graft? Those are areas that you don't see used that...

  12. Controlling Vascular Access Bleeding

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

    Heparin last dose should be given up until the last 1 hour for fistulas and grafts. Catheter patients can have heparin during the entire treatment. 20 minute hold times is an indication for the...

  13. Controlling Vascular Access Bleeding

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

    when i notice bleeding coming from a catheter site, i replace the dressing with a pressure dressing during the treatment and apply pressure to the site (i use a saline bag). i do not rinse the...

  14. PRBC Administration during dialysis

    Tish88 replied to klm49's topic in Dialysis, Renal, Urology

    I give each unit over 30 minutes. During the first 5 minutes I will check their temps and bp's about 3 times, because if you are going to have a severe reaction it normally happens during that time...

  15. Blood Transfusion of PRBC during dialysis

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

    Yes, K+ does increase, but slightly. I start my transfusions at the beginning of the treatment to adjust the pt's K+ during their treatment. I run them on their regularly ordered K+ bath, since it...

  16. Controlling Vascular Access Bleeding

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

    Using 3 fingers to hold a site will cause too much compression on the access. You only need to use 1 finger - it is only 1 small hole . Bleeding that long is an indication that there could be a...

  17. Acute nurse question

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

    Joni's mom, I just sent you a private message. I hope the information helps you

  18. Acute nurse question

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

    I think there are only 8-9 states that have break/lunch break requirements.

  19. Acute nurse question

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

    http://www.dol.gov/whd/ U.S. Department of Labor - wage and hour division. Look up your state. Many states don't have any legislation on breaks or lunch breaks unless you are under the age of 14!!!...

  20. Acute nurse question

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

    How many hours a week have you been currently working? Do you work for one of the 2 major dialysis companies? PM me and I will tell you how to get this handled the quickest way! I don't want to...

  21. Acute nurse question

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

    That is good that you have all those schedules - it will help your case. I would present the schedules to them and have "them" explain the changes that are occurring presently with your new schedules....

  22. Acute nurse question

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

    I would write down all your thoughts and concerns and take then with you when you have a sit down meeting with your

  23. have a question about lab values after dialysis

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

    Here are some: Potassium, Sodium, BUN and

  24. Controlling Vascular Access Bleeding

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

    How long are these patients bleeding for? They should only bleed for 5-10 minutes post needle removal. I would send the patient for a fistulagram if they bleed longer. This is an indication for...

  25. Acute nurse question

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

    First of all, does your unit have an "acute team" of nurses that only do acutes? Are you ever scheduled acutes during the weekdays? Who covers the acute call during the weekdays? Sounds to me that...