mmurphy

mmurphy

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All Content by mmurphy

  1. Is there REALLY a nursing shortage?

    Ingel.. you couldn't have hit the nail on the head more accurately. Hospitals, and health care agencies attempts to circumvent necessary staffing ratios is what makes nursing a very undesirable field...
  2. salary rate

    In New Jesey per-diem dialysis nurses make a minimum of $40.00/hr and often $50.00/hr. I cannot believe the low salaries posted on this site. Nurses need to stand up for wage increases. Everyone is...
  3. 6% "take off" rule

    I am a Certified Nephrology Nurse with over 20 years experience in dialysis. I have never heard of this 6% "take off" rule. However, too much fluid removal in a free standing facility does present...
  4. Patient hostility...HELP!

    You don't "stick" dialysis
  5. I believe you must be mistaken. In every state it is a CMS regulation that an RN must do a minimum of a monthly progress note on each patient in the chronic dialysis census. These notes must...
  6. When patients lie about rides.....

    I think that it is wonderful that you are so responsible. However, if a patient has been educated and instructed pre medication why he/she should not drive after receiving the medication, and this...
  7. Returning blood

    When discontinuing a hemodialysis treatment on a patinet with any type of Central Venous Catheter (IJ, or subclavian), a syringe with normal saline solution is connected to each port of the catheter...
  8. When a dialysis nurse has been properly trained, in 3 months time, this nurse should be able to competently set-up a machine, initiate a dialysis treatment, monitor the patient treatment,...
  9. Renal Nurse's salary range

    How sad these salaries!!. Experienced Dialysis Nurses make 33-35 dollars an hour in New Jersey. I work pool and make 45.00/hr. The southern salaries are ridiculously low. Dialysis is not an easy...
  10. Returning blood

    I agree with Kathy. Squeezing is poor practice. Fresenius has adopted the squeezing method as policy. I am sure that it is to save them the time and money of using a syringe with saline to rinse...
  11. Davita Tulsa

    The only scenerio in which a Dialysis Nurse would have only 1 patient, would be rendering a dialysis treatment to a patient in ICU. Otherwise, each state dicatates the nurse patient ratio for...
  12. I knew it wasn't right while I was doing it...

    In New Jersey LPN's most certainly cannot take telephone or verbal orders from physicians. However, it is unfortunate that you do not trust your co-worker enough to take her at face value with...
  13. Upset!!! write up and patients marijuana

    I am confused as to why you were "visiting" the patient at home. Was the visit personal, or part of your assigned
  14. Should a 'old dog' change?

    I have been a RN for 23 years, straight out of college to the field. I assure you that I am more versed on the latest procedure, regulations and standards of care for med/surg, and critical care...
  15. Soy vs. Cow's Milk-Based Formula

    It is very rare that someone is physically unable to breastfeed. We are a disturbed culture that encourages women to feel uncomfortable with nursing their babies. Formula is a necessity for RARE...
  16. I know..this is a great shame. Nurses do not unite enough. This should not be tolerated. It is degrading and insulting. Why not have the physicians and surgeons wear these. After 25 years of...
  17. Male L&D nurses

    I agree. This should be left alone to the women. A nurse is not a physician. Ias a RN for many years, and a mother, I would not care for a male nurse to attend me in an OB/GYN setting. It is...
  18. Received this email today and I am steamed!!!

    Why in the world would this e-mail anger you? I think that it is funny. I have been a nurse for 25 years, and I am confident enough to not be so
  19. What is a normal pulse rate?

    Normal pulse is between 50-100. Athletes have lower rates, because their heart are more efficent. Generally higher rates occur with mitral valve prolapse, people who drink caffeine, alcohol or...