workingmomRN

workingmomRN

med-surg, dialysis

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All Content by workingmomRN

  1. Nursing scope of practice/Standard of care

    Your FA evidently does not understand the liability that he is taking on, or the risk to your license. I wonder if the doctors that round in your clinic know that falsifying documentation is going...
  2. Tech Certification....what's everybody else doing

    When I worked at Fresenius full-time, they paid for CEU's and for renewal fees for my nursing license. At Davita, they do not pay for any of that, my FA sayes that it is a requirement for nursing,...
  3. Tech Certification....what's everybody else doing

    $50 per year for a stable career is not a large amount when broken down per year. The problem some of our PCT's are having is coming up with the total amount to pay to take the exam. They will get...
  4. Med techs that I know say they have to take a 1-day class to become a qualified med technician. There is no way that someone with no medical knowledge can possibly learn & understand what meds...
  5. Strageties to deal with stress & burn-out?

    I have thought about that before. I would guess that you wouldn't have to get caught up in the all the politics & drama with the employees, or so involved with the patient's lives. It would be...
  6. Most of the time I am pretty laid-back, but sometimes dealing with patients' problems over & over gets to me. There are times that I do not want to see their faces, hear their complaints, or even...
  7. Valerie, you are right about the EPO and the supplies. The FMC unit that I still do some prn at has started using pre-made packs with the needles, gauze, and a little tiny roll of tape in it. There...
  8. Fresenius probably would not consider giving the doctors a partnership, I'm not sure about Davita. But the MD's would still be providing care for the patients, and one of the doctors would serve as...
  9. I wouldn't worry too much about being laid off. Experienced dialysis workers are too scarce. FMC is not employee-oriented, but surprisingly, their benefits are better than Davita. FMC does match...
  10. Case Management the best answer for older nurses??

    I enjoyed reading your input. It helps to answer some of my own questions as well. I have been working in dialysis for almost 9 years now, and do not want to still be working the floor when I am in...
  11. LPN mistreated in dialysis

    This is in a Renal Research Institute facility, which is owned by Fresenius now, and uses FMC policies. The CM and this LPN have what I consider to be an unprofessional relationship. They go...
  12. Tech Certification....what's everybody else doing

    I wonder what the purpose is in requiring certification for the PCT's. It's not like they are getting highly paid, and the exams are
  13. Tech Certification....what's everybody else doing

    I live in NC, and the PCT certification has become a state requirement. Our present PCT's have 24 months to get certified, but new hires only get 18 months to get it. Our company has started...
  14. LPN mistreated in dialysis

    FMC & Davita both are changing what the LPN is allowed to do. Presently, I work for Davita, but have worked for FMC as well. Until recently, the LPN could do the pre-tx assessment & sign off...
  15. Will I accept the offer to comeback ?....

    I would discuss with her the reasons you left the dept in the first place. If nothing has changed, and you only have the same old problems again, you will be truly miserable. Only you can make the...
  16. Yes, I work full time!

    Don't feel like you have to explain your life to anyone, because no one else is paying your bills, cleaning your house, or taking care of the children for you. My daughter is 4 yrs old, getting...
  17. Opinion Please...problem at work

    I agree that you should do an incident report each time something like you described happens. Keep copies of the reports for your own records & document when & who you turned it in to. This...
  18. New confused RN

    I started nursing school at 33 years old, and was scared to death that I wouldn't make it. I did it, and am glad that I did not let fear get the best of me. There will be challenges no matter what...
  19. Advice Re: job interview with Davita

    I've been in dialysis for 8 years now, and I still get nervous when I am the only nurse in the building. I thank the Lord every day for good PCT's who know their job very well, and pray even harder...
  20. New confused RN

    Go ahead & take the job that is offered. You will get alot of experience that will only serve to make you a better nurse in the future. A lot of nurses would love to have the opportunity ( and...
  21. Will RNs be phased out of dialysis?

    The new CMS guidelines do require PCT's to be certified. In NC, certification was not previously required, but now existing PCTs have 24 months to obtain certification and new hires will have 18...
  22. I Hate Dialysis

    I previously worked with one group of doctors where you absolutely did not change a EDW, heparin dose, or anything at all without calling the doctor on call. At the clinic I work at now, the nurses...
  23. I Hate Dialysis

    Redknight, since you have been a nurse for at least 18 years. you already know what professionalism is all about. It sounds like your CM and area manager are impossible to please. I have worked for...
  24. I have been considering becoming a certified hemodialysis nurse. One of our inservice coordinators told me that she ordered study materials on the internet before she took the exam. I have looked on...
  25. How to become certified hemodialysis nurse

    Thanks for the info. I'll check it