TELEpathicRN

Hi I am a dialysis nurse and had a pt the other week that is in the ICU and had VRE previously and now is again VRE +. They cultured her urine somehow, she voids about 10 cc/day!! The infection control dept says that to enter the pts room, you must ...

Hi, I was just wondering how many of you fellow dialysis nurses have taken the CDN (Certified Dialysis Nurse) exam and have been credentialed. I am thinking about taking it sometime next year. I have my Associates degree, so I can't take the CNN exam...

Does anyone know if the LNC program from Kaplan College is any good?? Thinking about looking into it. Thanks in advance

I've asked this question months ago, but since we have more visitors posting to the site, I am going to ask it again. Has anyone that works in Dialysis taken the CDN exam offered by the NNCC?? I am scheduled to take it in May, and just wondered if an...

I was just wondering if any of you ER nurses use PDA'S in your practice and if so, what programs are the best. Are there any free ones out there? I am about to start in a Pedi/gyn ER. I have worked ER before, but it was before PDA'S came in to play. ...

We use ketamine for procedures/burn dsg's in our Pedi ER. Our policy states that the MD must draw the drug up and also push the drug. Most MD's go ahead with the versed pre procedure and give something to dry up secretions. I haven't seen it have a n...

You should contact your state board of nursing for their specifics on abandonment, each state varies some. Most states say that if there is nobody to "take" your pts from you and you leave, it is abandonment. Depending on your employer/co-workers, th...

Besides just doing gait training, ROM, etc, PT'S are wound specialists! They are more than qualified to handle these wounds (even the area that it is in). Maybe she needs to see another MD. Also, sedation for dsg changes would make her more comfortab...

I think these are isolated incidents. . May speak for what the nursing school is teaching?? I graduated with my LPN in 97 and RN in 99. I had no problem with the NCLEX-RN and don't know anyone that has failed and were already LPN'S. I would suggest a...

I too have fibro and am an RN. The only thing I am guilty of is not getting enough exercise! I have never been to the ER seeking pain meds and do not take narcotics for pain as they do not work for the pain of fibro!! I work 40+ hrs per week and none...

Is there anyone out there doing CPR and First Aid training for groups? If so, I am just curious what you charge, how you charge (set rate or based on # in group), etc.. looking for any information that could help me get started. Thanks in advance

I have just accepted a position in a chronic dialysis clinic. Will recieve 6 weeks orientation. Just wondering if any of you "seasoned" dialysis nurses have any advice?? Any books, websites that you recommend? Have been doing Tele for about 2.5 yrs a...

Here is a question to all of you infectious dz nurses: Should a resident with positive AFB smears who is on TB prophylaxis (hx of HIV and TB. No fever or coughing) be on any type of isolation precautions in a LTC facility? Thanks in advance for your ...

Thanks for your reply. The health dept is involved, so there is not an option to get a speady culture result. They say it will be 8 weeks. The first one they did was positive! This is the second culture. They say the AFB'S being positive could repres...

Here is a question to all of you infectious dz nurses: Should a resident with positive AFB smears who is on TB prophylaxis (hx of HIV and TB. No fever or coughing) be on any type of isolation precautions in a LTC facility? Thanks in advance for your ...

Does anyone know about the laws in AL??

They came to our facility on a Sunday! I never had heard of them working weekends!! They seem to enjoy suprising people.

In LTC we heavily rely on the care plan, they are extremely individualized and really give you a picture of each resident. No, we do not have time to sit down and read each and every care plan before we take care of a resident, but it is a good guidl...

I feel your pain!! I am a unit manager for a 58 bed unit with usually 10+ Medicare residents. Everything falls on me! I am responsible 24/7 for the operations of the unit. I was supposed to be M-F 8-4:30, but our admin has decided that we need nursin...

Hi, I am a unit mgr for a 58 bed nursing home floor. We have a variety of LTC and short term residents. I was just wondering what type of products everyone else is using for moisture barriers, stage I's, etc... We use constant care or Baza as moistur...

Hi all. I am new to dialysis and have a question... I was wondering if any of you had any info on administering antibiotics while the pts are dialyzing. My clinic doesnt have a specific policy for each antibiotic....please help. Just wondering how an...

see if you can get an order from the MD to turn the temp to 35.5 and use NA profiling (I like the step profile, starts off @ 150 and then set it to shut off 30 min before tx is complete).

I am applying for a community relations position with an assisted living community. Gotta get away from the bedside!! Had surgery on my back and now I am fixed and do not want to get "broken" again!!!!

To everyone who knows nurses doing transcription from home, do you know if any of them are working for Spheris (formerly Edix)? I am seriously looking into this while I get my BSN and probably MSN. I am not physically able to do bedside nursing at th...

Your dad needs to see a nephrologist to see if he has Chronic Kidney Disease (CKD), which would explain the anemia and he probably can be put on Epogen or Aranesp to bring up his Hgb and make him feel better, etc.... Also, the nephrologist can keep a...