Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. acute dialysis RN- a day in the life...

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

    With the new conditions of coverage from Medicare, unless you are one of the Large Hemodialysis Companies, it is about impossible for independent companies to survive. That is why you hear about so...

  2. Home with temporary catheter

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

    above quote should

  3. Home with temporary catheter

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

    We don't have a policy on that topic, however, NO patient should be getting a subclavian catheter. These catheters should be placed IJ. Subclavian catheters cause too much vessel destruction, that...

  4. Acute nurse question

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

    We used to have 6 week schedule and when the schedule was being made, if I was on call on a Sunday I would request a PTO day ahead of time for the following week. My whole team did the same thing....

  5. Acute nurse question

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

    When I did acutes and was on call over the weekend, I would schedule a vacation / PTO day the following week. Because 9 out of 10 times you was working on that Sunday. When that happened, you did...

  6. Acute nurse question

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

    Yes, that is common

  7. Fresenius Zemplar Policy Question

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

    The new CMS bundle payment includes injectable drugs given during dialysis - they are no longer billed separately. This was implemented Jan 1, 2011. My concern is, Zemplar 5mcg vials are single use...

  8. Cannulating grafts with Abbocath cannula

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

    I looked at the link you sent. I have never used a needle like that in a fistula or a graft here in the United States. First of all, there is no tubing extending from the needle with a clamp on it to...

  9. Cannulating grafts with Abbocath cannula

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

    You should not be sticking a graft or fistula for anything other than for dialysis or a fistulagram. Why would you want to put a angiocath into a graft or fistula? Are you a dialysis nurse or

  10. FA Making us fill home pill boxes.

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

    My daughter is a pharmacist, and I asked her if they fill pill boxes for patients and her response was "are you joking? The pharmacies are busy enough just filling the prescriptions." The pharmacy...

  11. FA Making us fill home pill boxes.

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

    NO! It is hard enough to get the patients to bring in a "list" of their current meds for our records let alone bringing in their meds! Med checks should be done on a monthly basis. We need to keep...

  12. Pay periods for dialysis...Fresenius

    Tish88 replied to Lucky724's topic in Dialysis, Renal, Urology

    You get paid every two weeks. (most months you will get 2 pays and some months you will get 3). There are a total of 26 pays per year. Your first pay will depend on when you start working in the pay...

  13. Anyone interested in Dialysis Techanican Program?

    Tish88 replied to Minnie02's topic in Dialysis, Renal, Urology

    OK - you can message

  14. Anyone interested in Dialysis Techanican Program?

    Tish88 replied to Minnie02's topic in Dialysis, Renal, Urology

    I agree with TraumaRUs. What is your Bachelor's degree in? I have in the past hired non-medical people for PCT positions and they have turned out to be excellent employees. What are the reasons why...

  15. Anyone interested in Dialysis Techanican Program?

    Tish88 replied to Minnie02's topic in Dialysis, Renal, Urology

    You are welcome! I am also involved with ANNA (American Nephrology Nurses Association) and our ANNA group is very involved with the local PCT's - we are always providing them with educational...

  16. Anyone interested in Dialysis Techanican Program?

    Tish88 replied to Minnie02's topic in Dialysis, Renal, Urology

    Under the conditions of coverage with CMS, certification is required within 18 months of employment as a PCT. This is from the CoC: 494.140(e) ''Patient care dialysis technicians'' by adding...

  17. Anyone interested in Dialysis Techanican Program?

    Tish88 replied to Minnie02's topic in Dialysis, Renal, Urology

    I know first hand that they DO hire PCT's with no experience and/or certification. I am a administrator for one of the named companies! I live in an area that have all 3 of these companies and one of...

  18. Anyone interested in Dialysis Techanican Program?

    Tish88 replied to Minnie02's topic in Dialysis, Renal, Urology

    Davita, Fresenius and Dialysis Clinic Inc will train you to be a tech and within the 18 months of employment you will need to take the certification exam to continue employment with them. Those...

  19. A Point of View From a Dialysis Patient

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

    we use Nxstage too, but not with a tech in the home. we teach the patients to self stick, or their support person and we teach them how to run the machine. I have to TOTALLY agree that the rural...

  20. A Point of View From a Dialysis Patient

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

    At least the dialysis clinics aren't paying for the cab. Does the IL lottery help pay for this? Our states lottery helps with older adults. An RN wages for a 5.5 hr treatment, plus 1 hr to set up...

  21. A Point of View From a Dialysis Patient

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

    Originally Posted by NDXUFan "I am trained as an Economist, so I know a fair amount about benefits and fiscal policy. Nocturnal dialysis IS cost effective, which would greatly reduce costs to the...

  22. how low of BP is too low to run a pt in chronic unit

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

    I also would suggest Midodrine. If the patient's b/p is in the 80's coming into the clinic, that is probably his baseline. You are not going to get his b/p higher than that. Over 20 years I have...

  23. Bruits and Thrills??

    Tish88 replied to starr234's topic in Dialysis, Renal, Urology

    Patients that have a tunneled dialysis catheter will NOT have a bruit or thrill unless they also have a fistula or graft. Catheters alone don't have bruits/thrills. This is the feeling and sounds...

  24. Salary question...

    Tish88 replied to Lucky724's topic in Dialysis, Renal, Urology

    What state do you live in? I have always made more as a dialysis nurse than nurses in the hospital. Check out http://www.salary.com and put dialysis nurse as the job

  25. Home Therapies Dialysis nurse question

    Tish88 replied to Lucky724's topic in Dialysis, Renal, Urology

    Patients can do home hemodialysis