mmurphy

Dialysis is chronic care, not rocket science. Any unit should have basic protocols. Taking initiatives to draw CBC's clood cultures, basic metabolic panels etc., are within the skill of an experience competent dialysis nurse. Administering meds, w...

I agree. I agree. I agree. It is not a matter of racism or bigotry, it is a matter of exploiting us, the American Citizen Nurse.

I think that this clamp issues cnme from the "fistula first " program. The suggestion was to no use clamps on newly underdeveloped fistula for fear of clotting. Comparing a developed fistula with a graft the obvious risk for clotting using clamps wo...

Many units use heparin 1000units/ per ml , and draw up the amount needed to fill the volume of the catheter. 2ml or under is the average amount needed for each port. some current evidence suggest that just filling the lumens/ports of the dialysis c...

No, so not file an incident report. Report the error to the physician. Be honest. If no harm is done to the patient do not buy the "this is a learning experience, or this is a "process analysis to aid the hospital in determining how errors occur. ...

It is up to you to insist to management that you have regular scheduled breaks, not doing so makes you a fool.

This "pulse" is called a thrill. It is basic nursing 101. A patent graft or fistula will have a strong "thrill" when palpated. The thrill is from the anastomosed artery and vein, if you do not feel this thrill likely the graft/fistula is clotted....

I have worked a a RN for 25 years. I have been a manager, a Charge Nurse and a staff nurse. Nurses are more productive when they take breaks. You are not serving your patients well, or doing yourself any favors when you don't take a break to rekin...

Your role as a dialysis nurse is not to be a Nazi Guard. Try to understand sitting in a chair for 4 hours without food or drink. Try to understand that this treatment time is like "a job" for the patients Let alone the time traveling to and from t...

It sounds like you only know some of the technical aspects of dialysis. that would be boring Learing the psych behnind chronic illness, the regulations for dialysis etc., I find the nurses that are bored in dialysis are the ones that are not motivat...

I have been a nurse for 25 years. I have worked in Florida, PA, and NJ. Recruiters have been calling Hospitals and Outpatient clinics in these states for a very very long time, I would say since the late 1980's. When I was an Administrator for a D...

In New Jersey i nurse ot 3 patients is the standard. It is defined as the standard by the New Jersey Department of Health.

You must be a fairly new nurse. This has been common practice for many years.

I totally agree with you 1989.

As long as you guys continue to put up with this the moneymakesrs (Administration and Docs) will keep you going at this pace and work you like dogs

I agree. Why was the bath so importnat on such a busy day? Why was the Doc concerned about the bath? 30 years of nursing.. i have never seen a Doc worrying about a patient's bath. Give yourself a break, you won't make the same mistake again. Nex...

Why is the world would you think that you would neeto take the NCLEX exam after obtaining a BSN? Do the nurses with BSN's practice nursing differently than the ASN nurses? ave you been working a A RN? A NP functions differently, than A RN ( diagno...

our units draw PT/INR's from cath patiens this way. We place the patient on the machine after aspirating 5-10ml of blood from each cath. lumen. We then flush the lumen with NSS and begin the dialysis. We then withold the heparin oading dose for 10 ...

Surely you aren't serious. Poor eating habits are bad for your health. Perfumes/Hairsprays can cause symptoms in the allergy prone/asthmatic individual. I do not smoke, however, this is not communist China. Your opinion leads me to believe that y...

The statistics that I am aware of bear out the opposite. First Borns are rarely RN's as nursing is a subservient role. First borns are usally Doctors, Lawyers and enter fields that are generally more respected than nursing. The exceptions, would be i...

I agree 100 percent. Magnet means nothing. It means the hospital can afford to have administration spend hours fluffing up deceitful paperwork to gain a bought status.

I work per-diem for 3 different hospitals. One of theses hospitals is a "Magnet" Hospital. In my 25 years of nursing experience, the "Magnet" is bull. The Magnet hospital delivers the worst nursing care of the 3, is constantly short staffed to a dang...

There is absolutely nothing to enjoy about nursing. If a nurse is a manager, supervisor, educator, or administrator; in order to function he/she must be devoid of moral character. These jobs are nothing but political bull, they talk patient care at...

In some states it is mandated that any dialysisn training must be with the oversight/direction of a RN. This means that a RN must train both PCT's and RN's to dialysis. I would check your state regulations for Dialysis Facilities.

I was told a long time ago that the complete opposite is true. First borns are rarely nurses, however a lot of physicians are first born children. The explanation was that this is due to the authority of a first born child, and the subserviant natu...