Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. SLED (Sustained Low Efficiency Dialysis)

    Tish88 replied to AmyCardsNP's topic in CCU, Coronary, Cardiac

  2. Feeding patients

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

    I would never turn a hospitalized patients tube feeding off during dialysis unless I needed to lay their bed flat d/t an access functioning

  3. CLINIC MANAGER PAY-Fresenius

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

    Usually in the long run, you can make more money being a staff RN as opposed to being a clinical manager d/t it being a salaried position and the amount of hours spent working over with no...

  4. Have you gone to giving Epo SC?

    Tish88 replied to Valerie Salva's topic in Dialysis, Renal, Urology

    We had switched to Epogen SC about 15 years ago and followed our patients H&H's for about 6 months. we did not see any great results and the patient's complained about the injections, so we...

  5. Bonus criteria

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

    Your surgeons need to be educated "by the nephrologist" regarding Fistula First! All of my patients must have a consult for a permanent access within 1 week of being admitted to the clinic. Our unit...

  6. Patient Scheduling

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

    It is illegal to work off the clock. Simply said! The management should be telling their employees not to be at work doing work without being on the

  7. Feeding patients

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

    Gee, if I ever have to go on dialysis, I want to go where your clinics are located! You feed your patients, clean up after them, and pack their bags for them! My thought is - these people are adults...

  8. no more NS at chairside!

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

    What would be the difference in sticking a NSS bag multiple times or accessing a fistula needle sticking into a NSS bag multiple times. In my opinion that is basically the same. We use prefilled...

  9. Feeding patients

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

    As mentioned above, we don't feed or allow our patients to eat on treatment or even in the dialysis unit. We do check their sugars at the start of treatment and if they are low or dropping during...

  10. Feeding patients

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

    The idea of feeding these patients just makes me cringe. Thank goodness I have a no eating policy and don't have to worry about feeding these patients too. It is not like the nurses and techs don't...

  11. Anyone else getting bored?

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

    Maybe that should be my next research

  12. Anyone else getting bored?

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

    This is a policy that is followed in all the clinics in our area. That can also be considered an infection control problem, if you think about it. The OSHA blood borne pathogen regulations tell...

  13. FT in dialysis with PRN jobs

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

    I think you answered your own question - IMO - I would get hired on per diem with another dialysis company. In my 20+ years of doing this, I had worked for 4 different companies at the same time!...

  14. What would you do? Sorry so long!

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

    I would stay with the hospital and get hired on per diem with the dialysis company. When you are not getting enough hours there at the hospital, you could do some per diem acute

  15. Anyone else getting bored?

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

    Well, after reading your above response, it seems that the pct's are at least acting professional and not handling their differences on the floor and keeping it to themselves and not the whole unit....

  16. opinion for seasoned dialysis nurse/manager

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

    You are welcome Lacie and let us know how everything goes with your new adventure - you can still visit us here in

  17. Drugs that get dialyzed out of circulation?

    Tish88 replied to CNA764's topic in Dialysis, Renal, Urology

    The book I mentioned above from http://www.ckdinsights.com , is small enough to slip into your pocket and comes in handy especially when doing acute treatments. It fits into a med cabinet easily too....

  18. Drugs that get dialyzed out of circulation?

    Tish88 replied to CNA764's topic in Dialysis, Renal, Urology

    Go to www.ckdinsights.com you can print out a copy of the meds "2009 Dialysis of Drugs" or request a book. Hope this

  19. Anyone else getting bored?

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

    On good thing, the pct's at least had enough sense to take their differences to the break room and not in the unit. Are we not always taught to try to work things out amongst ourselves first and then...

  20. opinion for seasoned dialysis nurse/manager

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

    I have some good nephrologist too. If KRU is physician driven clinics, the neph there should be standing up to the administrator as to how she is treating her managers and how often the this clinic...

  21. Anyone else getting bored?

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

    If I see food in my unit being eaten by patients, I tell my staff to rinse the patient back and they are done! Then I give them another copy of the unit policy and I call their MD and inform them. I...

  22. Anyone else getting bored?

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

    Thank goodness we don't do the "coffee" thing in my clinic. I have pt who go on vacations and come back and tell us about the "service" they receive. We only have ice and our patients are responsible...

  23. opinion for seasoned dialysis nurse/manager

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

    Lacie, As far as the chair with holes like that, the department of health would have a field day with them and handing out citations. Is there any other clinic closer that those patients could go to...

  24. opinion for seasoned dialysis nurse/manager

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

    I don't even think they are making parts for the H's or Cobe C3's any more. That clinic is going to be like a scrape yard, using machines for parts to keep the ones on the floor running. I have...

  25. Nurse to patient ratio - state regulations

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

    There are clinics everywhere now, even across the street from each other where I live. Years ago, clinics/companies had to apply for a certificate of need in order to open up a clinic, but now, if you...