Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. Anyone interested in Dialysis Techanican Program?

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

    Don't waste your $ on those programs. The leading dialysis companies provide on the job training and do not require these courses prior to

  2. Dialysis nursing

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

    You don't need ICU experience to work in chronic hemodialysis units. You indicated you applied at Davita and FMC - did they actually have open positions or was you just submitting an

  3. Interview tomorrow, what do I need to know

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

    Did you happen to ask him about the turn over rate??? I would want to know that information before I would accept a position

  4. A Point of View From a Dialysis Patient

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

    Another thing about buttonholes to consider is a patient should have at least 1 back up buttonhole or another complete set that is rotated with each treatment. A back up buttonhole is needed in case...

  5. A Point of View From a Dialysis Patient

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

    In the first episode of Jon & Kate plus 8, Kate Gosselin did reveal that she was a dialysis nurse and she worked on Saturdays at a dialysis clinic close to her home. I heard her say this

  6. Chronic dialysis nurse/patient ratio

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

    There is no national nurse to patient ratio, but you can check with your state regs to see if they have one. My state does not have any regulations on this. I have done as many as 1 RN to 25 patients...

  7. Chronic vs. Acute

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

    "they do their schedule in 6 wk blocks with taking one 3 weekday stretch of on-call, and one weekend each 6 week block. you do not work any of your days on call on the unit. you work every other...

  8. Fresenius

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

    Was you applying for a specific position or just sending in your resume? I liked acutes and chronics both, but my :redbeathe heart was in

  9. Chronic vs. Acute

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

    I loved doing acutes, but the hours and call can be a challenge, especially if you have kids. I did acutes for over 15 years. I loved the very critically ill patients in the ICU's and trauma units -...

  10. How to start as a dialysis tech

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

    You can apply as a PCT (patient care technician) but you will need to take a certification exam during your first 18 months of employment to keep your job. Most major dialysis companies offer on the...

  11. Bruits and Thrills??

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

    Some other indicators that there may be a problem with the access include: 1. prolonged bleeding post treatment or starting to bleed at home (break through bleeding). bleeding > 15 minutes post...

  12. What should EVERY nurse know about Dialysis

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

    Did you mean to write 500ml/day plus their volume output? I have been doing dialysis for over 20 years and never had a pt on a 500ml/day fluid restriction. They are generally on 1000 - 1500ml/per...

  13. Bruits and Thrills??

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

    A wheezing or whistling sound in an access is an indication of stenosis. You should listen to the entire length of the access from the AA to the

  14. What should EVERY nurse know about Dialysis

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

    These patients should not have a "pressure dressing" on their access site. there should only be a small amount of tape or a bandaid. You do not want to occlude an access off, the access should be...

  15. cathlock heparin

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

    1 time a week is good enough for heparin exchange. How long have you been using the fistula or graft? Is it time to get the catheter

  16. New Grad on Nephrology Floor (NOT dialysis)

    Tish88 replied to roma4204's topic in Dialysis, Renal, Urology

    Do the dialysis nurses a favor and "Do Not" give the dialysis patients a water pitcher!!! Have them ask for something to drink so it can be monitored. I always throw their water pictures in the trash...

  17. cathlock heparin

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

    Our policy is 1 time a week. If you are using a permanent access without having any issues, why don't you get the catheter taken

  18. New Grad want to become hemodialysis nurse..

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

    I totally agree with your professor. You need to have some nursing background before venturing into

  19. Nursing diagnoses

    Tish88 replied to username33's topic in Dialysis, Renal, Urology

    You might also address her potassium level being 6.0 Renal patient's with sever diarrhea normally would have a lower potassium level. I just wonder what her potassium level was before she became...

  20. Nursing diagnoses

    Tish88 replied to username33's topic in Dialysis, Renal, Urology

    You could address her fatigue and paleness being related to her low H&H and the knowledge deficient about a renal

  21. treatment sheet charting

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

    Here is a good site to check out: CNNT - Renal Career Fact Sheet If a PCT is documenting these things such as high BP's and chest pain, they also need to be documenting that they notified the RN on...

  22. Dressing Changes

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

    We do not use any type of ointments or antibiotics on our sites - only the biopatch. I personally don't like putting ointments on them, only if they show signs of an exit site infection. There has...

  23. Dressing Changes

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

    I feel that there is a cost savings with using the Biopatch and doing dressing changes 1 time each week. Especially if you are using the pre-packaged drsg kits - which can be costly if they are used...

  24. Dressing Changes

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

    The National Kidney Foundation recommends having the dressing changed with each dialysis treatment. National Kidney Foundation: A to Z Health Guide

  25. New Perm caths and bleeding issues...

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

    Are these "new" dialysis patients who are uremic? Bleeding diatheses are characteristic findings in patients with end-stage renal disease (ESRD). The pathogenesis of uremic bleeding tendency is...