Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. Dressing Changes

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

    If a biopatch is not being used, the patients dressing should be changed with each treatment. It is better to do at the beginning of the treatment so if there is any signs of infection present, the...

  2. Dressing Changes

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

    We use the biopatch and also a pre-assembled catheter kit, which does not contain the biopatch. The biopatch has cut down on our exit site infection rate. We do our dressing changes and biopatch...

  3. LPNs in acute dialysis

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

    My state does not allow LPN's or PCT's to do any acute treatments. They can only work in a chronic unit and they are actually lower then the PCT's, since the pct's are certified now. As for "an RN in...

  4. Dialysis Facility Survey/Inspection reports

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

    This information is available to the public on the internet - you can find the department of health inspections online around 30-45 days after the survey - it will list all the deficiencies that were...

  5. Would appreciate advice please

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

    I would ask how long your orientation will be and if you don't seem to be getting it, can that time be extended? Also, what is your nurse to patient ratio and tech to patient ration? How long will it...

  6. Room Temperature

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

    I would like one of those in my living room after a long days work at the dialysis

  7. Room Temperature

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

    They love them, but they do wish the entire chair was heated and not just the seat area. They also have flat screened TV's with internet service!

  8. Dialysis RN vs Critical Care ICU RN?

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

    I agree with

  9. Dialysis RN vs Critical Care ICU RN?

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

    In my opinion, I feel you need a critical care background or ICU background before you venture into doing acute dialysis treatments. I personally would never hire a new grad for an acute position or...

  10. Room Temperature

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

    Some facilities do have heated dialysis chairs. They are very expensive! It is my understanding that it is only the seat area and not the back rest

  11. Can ER doctors give dialysis orders?

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

    So basically you are saying the ER doctor is not writing the dialysis orders - you call the nephrologist for orders, based on the order from the ER doctor to consult nephrology for a dialysis. I only...

  12. Can ER doctors give dialysis orders?

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

    Are you an acute dialysis RN for a hospital or do you work for FMC/Davita/DCI or any other dialysis company? FMC/DCI and Davita policy is ALL orders must be from a nephrologist. I also go to 3...

  13. Can ER doctors give dialysis orders?

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

    I work in acutes and cover over 12

  14. when to hold zemplar?

    Tish88 replied to g19marsha's topic in Dialysis, Renal, Urology

    I would suggest you get a policy and procedure written for administering Zemplar before you get inspected by the DOH. I don't understand how a facility could be doing this without one written and...

  15. Can ER doctors give dialysis orders?

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

    The ER doc should NOT even write "stat dialysis" . They should ONLY being writing for a consult for the nephrologist. By writing "stat dialysis" is just like giving dialysis orders and we can not...

  16. Potassium in Dialysate

    Tish88 replied to ram_8582's topic in Dialysis, Renal, Urology

    Doesn't your dialysis unit have a policy and procedure for you to follow to carry out this MD order? The P&P should tell you exactly how many K+ packets to use and how to add it to the acid bath....

  17. can you work in dialysis as a CNA?

    Tish88 replied to muffinCNA15's topic in Dialysis, Renal, Urology

    I totally agree - don't waste your money. It seems that since CMS is requiring PCT's to be certified, these programs are popping up all over the United States. Most dialysis companies offer on the...

  18. acute dialysis- lets talk money

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

    There are nurses in our area that will manipulate the patients put on times too, so they get paid for the whole pay per tx. I am not money hungry either and can't stand playing around so the pt's run...

  19. acute dialysis- lets talk money

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

    Fresenius in our area, you get paid per treatment, but if you are doing 2 treatments at a time you only get paid for 1/2 the treatment amount for the second patient on - as long as they are running...

  20. Question about acute dialysis schedule??

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

    Sounds like your team needs to hire some more acute nurses. When I did acutes, I worked 4 - 10 hr days and covered a 750 bed acute hospital. Our hospital ran dialysis shifts 24 hours/day and I would...

  21. Has anyone seen a pt involuntarily discharged???

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

    My staff do respect the patients and if they don't they get discharged too. So respect does go both ways! But when a patient is physically harmful to the staff, the police are called. I don't agree...

  22. Has anyone seen a pt involuntarily discharged???

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

    I totally AGREE with you on this

  23. Room Temperature

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

    CMS has regulated this with the new Conditions of Coverage. See Section 494.60©(2)(i) and 494.60©(2)(ii) now requires a facility to maintain a comfortable temperature within the facility; and make...

  24. Trying to get into Dialyis with no luck so far

    Tish88 replied to bobo0078's topic in Dialysis, Renal, Urology

    You might receive a PCT certification from a dialysis school, but in order to sit for a national certification exam, you must have a certain number of hours of experience before you are permitted to...

  25. New Grad with Dialysis Interview on Monday

    Tish88 replied to Kimmi73's topic in Dialysis, Renal, Urology

    I understand now! I am used to clinic around my part, the patients start coming in at 5:30! They start early