workingmomRN

workingmomRN

med-surg, dialysis

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All Content by workingmomRN

  1. Obamacare? How will it affect dialysis?

    workingmomRN posted a topic in Dialysis, Renal, Urology

    I have been hearing alot of changes coming in the future for dialysis, none sound very good. What have you all heard & how do you think it will affect our careers as dialysis professionals in the...

  2. Obamacare? How will it affect dialysis?

    workingmomRN replied to workingmomRN's topic in Dialysis, Renal, Urology

    Our FA told our staff this week that CMS is going to cut Medicare reimbursements by 2% for sure and is considering a nearly 10% cut that will result in a lot of smaller dialysis clinics closing...

  3. New to dialysis

    workingmomRN replied to missvwbugs's topic in Dialysis, Renal, Urology

    I have been in dialysis since 2000, started with Fresenius then went to Davita. I have worked in some great clinics & 1 particular clinic that was an absolute hellhole. It is hard work, but I...

  4. Can a nurse make massage therapy a full-time career?

    workingmomRN posted a topic in Nurse Entrepreneurs, Innovators

    I am considering starting massage therapy classes this fall. I have been an RN for 10 years. I was wondering if massage therapy can be a full-time lucrative career or will it remain as something to...

  5. PCT'S training nurses?

    workingmomRN replied to macey'smom's topic in Dialysis, Renal, Urology

    When I started in dialysis, I trained with a PCT to learn about the machines, cannulation, how to troubleshoot the machine when alarms go off. I learned alot from the PCT's I worked with then, and...

  6. Facebook almost cost me my job

    workingmomRN replied to ReginaPhalange's topic in Patient, Colleague Relations

    I agree with your post, but your insights about patients come from years of experience. Our OP may be a young nurse starting out & has not gained these insights yet. Kind words of instruction go...

  7. Chronic dialysis nurse/patient ratio

    workingmomRN replied to ILRunner's topic in Dialysis, Renal, Urology

    The nurse/patient ratios vary from state to state. In NC, there is no set limit for tech/patient ratio, but the general norm is 4 pts to each tech & 25 patients for 1 nurse. Now, with the new...

  8. how do i become dialysis certified?

    workingmomRN replied to oldfaithful's topic in Dialysis, Renal, Urology

    I agree with Acute Dialysis RN. You should go ahead & apply for the job. Clinics would like to get nurses with dialysis experience & certification, but there are not alot of them out there. I...

  9. Sever hypertension during dialysis

    workingmomRN replied to petiteRN88's topic in Dialysis, Renal, Urology

    These patients with severe hypertension need to control their fluid gains, avoid high sodium foods, & take their bp meds as directed. If they are doing all these things & their bp continues...

  10. ACLS In outpt HDUs??

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

    The clinics that I have worked in used to have ACLS meds at one time & there was discussion a few years ago about requiring nurses to have ACLS certification. But that fell away because there has...

  11. Terrified of the stick :(

    workingmomRN replied to kellyrainRN's topic in Dialysis, Renal, Urology

    Watch the experienced techs & nurses who are good "stickers". They will give you alot of helpful tips to make it easier for you. Sticking accesses is different, but remember that the grafts are...

  12. how did you guys become a Hemodialysis Nurse?

    workingmomRN replied to jtanga's topic in Dialysis, Renal, Urology

    In my state there are no dialysis training programs. I got a job at a dialysis clinic & got all on the job training. The clinics will train you in everything you need to know, they have classes...

  13. Davita details

    workingmomRN replied to stellsbells's topic in Dialysis, Renal, Urology

    Davita is not too bad to work for. At my clinic, there are only 2 RN's so we each work 3 days a week. I'm not sure how they schedule at larger clinics, probably 4 10-hour days. Davita likes for...

  14. What skills do Dialysis nurses use?

    workingmomRN replied to JillRNColorado's topic in Dialysis, Renal, Urology

    I agree with the previous posts 100%. Dialysis is not the place for a new grad. You need good assessment skills & the ability to supervise the techs. They can make or break your day, &...

  15. Calling all DIALYSIS CHARGE NURSES

    workingmomRN replied to willsgirl's topic in Dialysis, Renal, Urology

    Rock nurse has described the charge nurse's duties very well. It is a lot of headaches because you are responsible not only for your own patients but for supervising the rest of the team as well. It...

  16. paramedic seeking a switch

    workingmomRN replied to fedupparamedic's topic in Dialysis, Renal, Urology

    Try to go with Davita first before FMC. I believe Davita is more patient-oriented than FMC, but it depends on the staff at the individual clinics as to how good or bad it is to work for them. If you...

  17. ICD 9 codes for dialysis?

    workingmomRN replied to Hellllllo Nurse's topic in Dialysis, Renal, Urology

    585.6 is the code for ESRD stage V, you can use it as well for scheduling procedures such as fistulograms, thrombectomies, that are specific for dialysis pts. Blood cultures can also be 136.9 for...

  18. CLINIC MANAGER PAY-Fresenius

    workingmomRN replied to thanson809's topic in Dialysis, Renal, Urology

    I wouldn't want to go back to management again, it was for me a horrible experience. It requires alot from you, and you don't really have any time when you are not on call for your clinic. There is...

  19. Oxygen dependant patients

    workingmomRN replied to CocoaGirl's topic in Dialysis, Renal, Urology

    As a medical facility, the dialysis clinic is responsible to provide O2 if the patients need it. Our clinic recently ordered 2 additional oxygen concentrators because we are getting more patients who...

  20. Anyone working for FMC annoyed by this?

    workingmomRN replied to CocoaGirl's topic in Dialysis, Renal, Urology

    I got a letter from FMC last week about unions. Is there a union trying to get into

  21. It can happen to anyone, anytime

    workingmomRN replied to HDNurse's topic in Dialysis, Renal, Urology

    Some of the patients will have c/o CP,SOB, not feeling right, anxiety, etc prior to arresting. Some will not have any symptoms at all. You have to be diligent when they go to sleep because they may...

  22. It can happen to anyone, anytime

    workingmomRN replied to HDNurse's topic in Dialysis, Renal, Urology

    I've worked in HD for 10 years & have seen a few codes. It seems like it is always the one you least expect. When you have a relationship with the patient, it is certainly an emotional...

  23. Need advice about DaVita - Is it a good company to work for?

    workingmomRN replied to NewGradRN-IL's topic in Dialysis, Renal, Urology

    You are exactly right about dialysis. It is a growing population of patients because people are living longer with chronic conditions than ever before. All your previous experience will be alot of...

  24. New to nursing, new to hospice

    workingmomRN replied to dixiesnurse's topic in Hospice, Palliative

    I have been a nurse for 10 years, but just recently started working in hospice. My PCC recommended the articles that are posted on the hospice nursing forum in this

  25. Need advice about DaVita - Is it a good company to work for?

    workingmomRN replied to NewGradRN-IL's topic in Dialysis, Renal, Urology

    The previous posts are exactly right about having some previous experience before going into dialysis. I have been in dialysis for 10 years, and I still get uneasy about being the only nurse in the...