patadney

Everybody,lighten up! You don't know why another person does something until you have been there.Each hospital and situation is unique and with the nursing shortage we will be seeing more "re-engineering" with housekeeping being trained to scrub,EMT'...

I have CNN and took test abotu 7 yr ago-didn't pass the first time-missed by 1 point. That test was very hard. The area I didn't do well on was CAPD,so I went to work part time in CAPD. Also had a study book,which you can get from ANNA. They have a s...

You will HAVE to get the details from your manager.I have done both acute and ON CALL. The main CAPD nurse did the teaching. It is much slower paced,you do have to be able to teach. As on call nurse,I had to be available 24 hr a day and be able to an...

In a chronic dialysis unit staff:pt. ratios should be about 1:3,that is 1 staff to 3 pt-but staff includes DON,unit secretary,RN,LPN,tech,machine tech,maintenance man,re-use tech,etc. Working as an RN,you hasve to have good communication with your te...

We can only instill medication to cause declotting. I have seena device like a very small bottle brush that is supposed to be used for stripping the inside of the catheters,but I would not think I would want that responsibilty. Dialysis catheters are...

That sounds like a well-staffed unit. I worked in a chronic unit for 10 years and then traveled for 5 years and am doing a little work as and acute nurse now-that is I do the treatments in the hospitals,pt in ICU or that can't be moved out of their h...

Try the ANNA web site-it is the American Nephrology Nurse Association. There is a meeting in Chicago in April with lots of CEUs

Check with some travel companies. A good place to start is healthcare traveler.com. There are roughly a million companies out there. I traveled for 5 years with Nursesrx and they were very helpful with addresses of state nursing boards,etc. I don't t...

I had a friend who worked ICU nocs-used to ask for a serum porcelain level-to see if they were a crock! Than another nurse told me she was glad a certain pt had been transferred out as he was "gettin froggy" on her-said he was "fixin to croak!"

Where I grew up in a small town in Illinois,the dentists were Dr. Kurt Gronner and Dr. Fillmore Ketola. I worked in Kansas with a Dr. Marvel who did hip replacements and our vetrinarian in Indiana was Dr. Bird. When I went to nursing school the head ...

Dialysis nursing is definately like no other specialty. BUT you only get every other Sat off if there is enough licensed staff to cover and you only get Sun off if you are working in an out patient clinic with no acute responsibilities. Pt will get s...

Consider what you liked about LTC,then think about going into another area of nursing. Check with local hospitals and see what they need. Perhaps mental health or substance abuse centers would be an area you would like. They are more medically stable...

There is a decanoate injection which can be given every 2 weeks if the pt is on a committal . This typically lasts 2 weeks and the opt does not have to take meds. Her Mom should talk to her psychiatrist.

Here in the heartlland the process is a little different. A person may be admitted on a hold if he is a danger to himself or others for only 48 hr and then a hearing must be scheduled or the pt is DC'd. They can be placed on inpt or outpt commital an...

If the child were diagnosed based on behavior,it could be learned behavior. How would you like to be the child of a Bipolar and a shizophrenic? There are many of those children on psych units. However,I think I babysat with a child who maybe should h...

We clock in and out,so of course I am paid-however,I only work 3 days a week,so it may not be overtime,but it is paid time. I don't report missed breaks,try to get them,but don't worrry about it. Of course,smokers don't miss breaks! I do put down for...

Of course,i claim all missed lunches as we clock in and out and 30 min is automatically deducted for lunch breaks. We hjave to fill out a form .but everyone knows why-we are running a census way,way over budget,the superviser has to sign,but there's...

That poor soul should have been dialyzed or made DNR as soon as the Kaexylate didn"t work! I have been called in to do dialysis on a pt with a K of 9 who was down to 6.9 by the tiem I got there.Of course he was a chronic dialysis pt. I hope that nepr...

You might also include your minister in thisd group.He/she might be able to help you maintain your "cool"

If the pt was calling out she was probably disturbing other pt and was not responsible for her own action,in which case the POA is the one with the right to refuse meds.Large doses of Haldol are sometimes given when smaller doses don't work. Haldol h...

I made the same decision 15 yr ago and have had a very enjoyable career.Do visit a facility and really watch what goes on-dialysis is very hard work physically! It's very rewarding as you get to know the pt really well. They are in the unit 3-5 hr 3 ...

You may find it worthwhile to work part-time at the larger hospital,say per diem from thurs to tues 1 weekend a month. For all of you out there who do need benefits,I found that ny hospital pays benefits if you only work part time-some retirees have ...

Has anyone heard anything about the deaths at the dialysis unit in Indiana? How did the patients die? On the unit,or later? I am intierested because it is my specialty and I was working at a unit that had a problem with defective tubing fortuneately,...

Sorry,I have no experience with them. Havbe used Jack L. Marcus out of Milwaukee and they ship within a day or 2 and they don"t charge postage when you have a $25 or more order. Their prices are the most reasanable I have ever seen. They are jacklmar...

Where I work,we have to sign up for 1 mandatory overtime shift every pay period(2 wk). If we get "busted"(have to work),we get incentive pay. I have signed up for only 3 8hr shifts a wk,so a shift q 2 wk is not a big deal for me. I have already take...