Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. New Grad with Dialysis Interview on Monday

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

    On the days that you are the only nurse, how do you start at 7 am and there are patients/staff starting at 5:30 am. What nurse assesses the patient prior to going on the

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

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

    Keep contacting the companies - some are slow to respond due to the volume of applications they receive. Also, many people on here complain that their unit is short staffed, however, they might not...

  3. Dialysis center Business?

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

    I say "don't waste your time". Many of the small independent clinics are closing due to the new conditions of coverage costs/requirements. Many are being bought by the larger for profit companies....

  4. new to dialysis

    Tish88 replied to TXRN2's topic in Dialysis, Renal, Urology

    Just ignore those PCT remarks - you are doing fine! It will take awhile to get into your own groove. Allow 6 months to feel comfortable and 1 year to truly understand what you are doing and why you...

  5. Self-cannulating and buttonholes

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

    I support button holes too. I have the patients create their own, that way you don't have to deal with staffing issues. This is done with my incenter and home patients. I also have them make a...

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

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

    I have discharged 2 patients from my unit for abusive / disruptive behavior. We had our department meeting with them and gave them their 30 day notice paperwork. I don't put up with patients being...

  7. B12 injection prior to pt undergoing dialysis???

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

    I think the original post was in question to giving SQ injection PRIOR to going to dialysis, by a home care nurse. The extent to which a drug is affected by dialysis is determined primarily by several...

  8. B12 injection prior to pt undergoing dialysis???

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

    Nephrocaps are water soluble, so they will just be dialyzed

  9. B12 injection prior to pt undergoing dialysis???

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

    I don't give any vitamins before dialysis. Vit B12 is water soluble and will be dialyzed out. Just my

  10. Dialysis Staffing

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

    http://www.cms.hhs.gov/CFCsAndCoPs/13_ESRD.asp Here is the link to read the conditions of coverage. You should know what is in this ruling if you are practicing in

  11. Dialysis Staffing

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

    CONDITIONS OF COVERAGE: "We have revised the requirement formerly found at subpart U ( 405.2162), so that an RN must be present in the facility, and an LPN could still act as a charge nurse if he or...

  12. Dialysis Staffing

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

    Here is a part of the conditions of coverage: "We proposed new qualifications for the charge nurse, who would be required to be an RN or licensed practical nurse (LPN) with 12 months of nursing...

  13. Dialysis Staffing

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

    CMS does regulate when a nurse can be "in charge" and I do believe it is 6 months as working as a NURSE (not your other jobs for the total of 6 YEARS) - You also should not have been left in the unit...

  14. Dialysis Staffing

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

    There is nothing illegal about that ratio as long as your state you work in does NOT have a set ratio, which would be RN to patient ratio and not PCT to pt ratio, since they are not covered under the...

  15. Dialysis Staffing

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

    CMS will not set any staff to patient ratio. (As stated in the new condition of coverage.) We brought this up to the CMS, during a conference, prior to the new regulations and they indicated that...

  16. amiodarone on dialysis?

    Tish88 replied to Courtney Nurse Writer's topic in Dialysis, Renal, Urology

    I think the poster was addressing scheduled po amio and not gtts. I agree with you to use CRRT with the acute patients on gtts though...hard to tell sometimes the cause of their

  17. Heh! Dialysis, Renal, Nephrology Nurses :)

    Tish88 replied to iln77's topic in Dialysis, Renal, Urology

    Are you speaking about dialysis nursing? I always recommend new grads to get some med/surg, ICU or ER experience before doing dialysis - either in the chronic units or with the acute programs. I...

  18. charting

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

    When I needed more room to write up a incident about the patient run, I would attach a blank physician progress note to my patient's flowsheet. You would need to indicate on the flowsheet, such as...

  19. bfr return rate for hypotensive episode

    Tish88 replied to dbeckner222's topic in Dialysis, Renal, Urology

    The amount of NSS to infuse should be ordered by the nephrologist for the treatment of hypotension. Our MD's order the amount just as they order the amount of Mannitol to give a patient. As far as...

  20. amiodarone on dialysis?

    Tish88 replied to Courtney Nurse Writer's topic in Dialysis, Renal, Urology

    I never held the dose of amiodarone. Amiodarone is used to help keep the heart beating normally in people with life-threatening heart rhythm disorders of the ventricles. Amiodarone is used to...

  21. Feeding patients

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

    Patients don't like to hear the word "compliant", however if they were "compliant" with taking care of their diabetes and high blood pressure when they was first diagnosed, the majority of them would...

  22. Feeding patients

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

    Nicely said

  23. Feeding patients

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

    They come via stretcher with Kangaroo pumps running off of battery and we just put the pump on top of our machines and plug them into electric to charge the battery for the return trip. Some of these...

  24. Feeding patients

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

    It was briefly mentioned by a poster and I replied to it. I have patients in the chronic unit with tube feeds running. They come from the nursing homes. I put my foot down to no portable vents or...

  25. CLINIC MANAGER PAY-Fresenius

    Tish88 replied to thanson809's topic in Dialysis, Renal, Urology

    I am management too and I know how much of a pay cut I actually took when you consider the actual hours I put in during the