Tish88

Tish88

Dialysis (acute & chronic)

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All Content by Tish88

  1. Alert: PA requirement for training/CE in Child Abuse Recognition effective 1/1/15

    Tish88 replied to NRSKarenRN's topic in Pennsylvania Nursing

    Is there any update on this program for the CE requirement on child

  2. Ideas to help my pt

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

    What is his starting BP? To me, it sounds like his dry weight needs to be adjusted. When was the last time it was adjusted. If he does have a cardiac history, 4kg sounds like a lot for him. There...

  3. How to deal with the old Dialysis line in line exchanges in IR?

    Tish88 replied to penelope3000's topic in Dialysis, Renal, Urology

    There are a few questions I would ask first before answering. 1. Is the catheter infected prior to the exchange? Is there a tunnel track infection present and/or positive blood cultures? 2. Are you...

  4. Pediatric Dialysis

    Tish88 replied to RNDialysis80's topic in Dialysis, Renal, Urology

    I am not a PEDS dialysis nurse, but I know the children's hospital in our area uses the Fresenius K machines. I have used the Phoenix and the K's and I HATE the phoenix

  5. Davita vs Fresenius RN - big question

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

    I agree with the previous poster. Definitely find out how your time will be

  6. Aspirating or flushing the catheter lock solution?

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

    Dialysis catheters are packed with a higher dose of heparin than a normal CVC line. Heparin 1:1000units /ml up to 1:10,000units/ml is used for dialysis catheters. Normal line flushed are 1:100...

  7. Nephrology Nursing Certification

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

    ANNA does not require you to have "their" CE's to sit for their exam. The majority of PCT's who take an exam do not have any CE's prior to taking the

  8. Are Groshong central tunneled catheters used in dialysis?

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

    The lumen of a Groshong is around 9F where as a dialysis catheter is around 13.5 - 14F. The Groshong would not support the required large volume of blood that is needed for dialysis. As for the...

  9. While out on sick leave, found out I am being "replaced"

    Tish88 replied to kimbalotz's topic in Patient, Colleague Relations

    Are you out on FMLA? If so read up on FMLA regulations. U.S. Department of Labor - Wage and Hour Division (WHD) - The Family and Medical Leave Act This is from the website about returning to your...

  10. Acute Dialysis: Do they want you to live close by?

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

    I have worked for the 2 largest dialysis companies and never had to live in the city where the position was for. Since I did acutes, I was expected to travel to the hospitals were they provided...

  11. Overwhelmed within 2 weeks!

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

    I always tell my new staff that it will take you 6 months to feel comfortable and a year before you truly understand dialysis completely. I am sure that if you need more time on orientation, that...

  12. Water supply?

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

    I don't understand how using the shower could hurt "the physical plant"? Don't patients use the showers? All you are doing is running the water If the unit does not have water supply to the rooms,...

  13. Nephrology Nursing Certification

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

    Check first to see if you would even qualify to sit for the exam. There are restrictions as to how many hours you need to have worked in dialysis before you can take the exam. Since you don't do...

  14. Water supply?

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

    They would hook the shower hose up to the R/O machine (reverse osmosis water machine), that filters the water before it goes to the dialysis machines. I have hooked up this way in the past. I also...

  15. PCT C.E for recertification (CCHT, NNCC, Bonent, etc.) Michigan

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

    Acutedialysis - thanks for sharing those

  16. Heparin Batch Filling

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

    According the the CDC, Normal Saline bags are for single patient use only. These should not be shared. I think this would include the heparinzed saline bag you are making. This bag can possibly...

  17. PCT C.E for recertification (CCHT, NNCC, Bonent, etc.) Michigan

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

    Check with you local ANNA chapter. Many chapters have educational conferences a couple times a year. Our local chapter has 2 large conferences each year that usually offer 6-7 CE's each. These CE's...

  18. Experience dialysis nurses....PLEASE HELP!

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

    I went from working ICU straight into acute hemodialysis. That was 25+ years ago. I had 3 weeks of orientation to learn hemodialysis and pheresis and I was on my own. With an ICU background, I...

  19. Nephrology Nursing Certification

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

    The CNN and CDN certification are certifications for dialysis nurses (nephrology nurses), not for nurses working with renal patients in the hospital. The certification is very specific to dialysis,...

  20. ANNA Fall Meeting in Chicago....anyone?

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

    American Nephrology Nurses Association The mission of the American Nephrology Nurses' Association (ANNA) is to promote excellence by advancing nephrology nursing practice and positively influence...

  21. Heparin Batch Filling

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

    We use heparin 1:1000 units per ml and draw this up into 10 ml syringes and put them on the machine. This is for patients that require hourly doses. We also give our patients bolus' of heparin prior...

  22. Heparin Batch Filling

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

    I would say that you would have to make a new batch everyday, since there are no preservatives in Normal Saline bags. I still am trying to figure out why you are diluting heparin. Is this a cost...

  23. Heparin Batch Filling

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

    Are you talking about the heparin syringes that are on the dialysis machine, connected to the patients bloodlines? If this is what you are talking about - you should NOT be keeping this syringe with...

  24. After 1 Year I am SICK of Dialysis

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

    These patients are very challenging and can be difficult, but not all of them can be characterized as non compliant.I have been doing all forms of dialysis and pheresis for over 25 years and I tell my...

  25. My Results With Nocturnal Dialysis

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

    Because people in the United States do not want to be connected to a machine for 6.5 - 10 hrs a day every night for 6 nights a week. We are lucky to get them to come to a clinic 3 days a week for 3...