just keep swimming

just keep swimming

Nephrology

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All Content by just keep swimming

  1. Interviewer cried during interview

    Maybe I can woo the staff into telling us what the heck they mean!
  2. Sequential Ultrafiltration

    We have run them with dialyzers both ways. The old lines we used were arterial up but with the new lines, the venous segment is short so we run all treatment venous up. I haven't noticed any...
  3. Temporary Dialysis and PICC line together

    Even if it can't be used during dialysis it still gets rid of the need for another access and if the picc is in place for something like antibiotics, these should be given after dialysis anyway so...
  4. PCT'S training nurses?

  5. minimum UFpossible?

    If you are writing policies a good place to start would be the guidelines that are set by the machines manufacturers. I usually set for 500. This balances out the rinseback without adding fluid to the...
  6. Any good funnies in medical transcriptions?

    I think I posted this in another thread but it fits here too. Doctors monthly progress note for hemodialysis pt was supposed to read that "pt currently using buttonhole on right upper arm fistula"....
  7. Nursing: Culture of inclusion, or culture of exclusion?

    "Are there some work places where our ideals fall short, and the facility or unit culture needs healing as much as the patients in it?" I had not really thought of this until we got a new...
  8. Flu Vaccine, enough already!

    I haven't finished reading all posts yet, but I just wanted to say one thing...We are nurses because we want to take care of and protect our patients, if we do not get vaccinated we put them at risk....
  9. alcohol wipes

    This may be a stupid question but I want the right answer to this one. I work in dialysis and we are taught that prior to cannulation, wipe the site with alcohol and cannulate while still wet. This is...
  10. Wellness Checks

    I sent out the police yesterday to check on a patient who did not show up for his treatment. He never misses, he didn't answer the phone and his emergency contacts were unable to contact him. The...
  11. Wellness Checks

    Thank you for your responses. We always call the patients and check the hospitals. I guess I was referring to the one you still cannot find and the family has no idea if they are okay. I just get sick...
  12. Which online RN to BSN program, while working FT?

    I'm currently working on mine at Mankato State University MN online. I work full time as does my husband (who is also in school) and we have 2 children (3&4yrs). I will complete this program in a...
  13. alcohol wipes

    Thanks for your responses. I get the part about friction, but after that are you to wait for it to dry? I agree about the one line swipe being so annoying though, and how bout when the wipe comes off...
  14. alcohol wipes

    I guess in all honesty it would be pretty difficult to cannulate while still wet if you are just using a wipe since it dries so quickly. Wipe, toss the wrapper, uncap needle, and its pretty much dry I...
  15. Too attached

    I apologize for using the word egotistical. Leslie said it better when she said territorial. Bad choice of words on my
  16. Too attached

    I have had this problem with my patients before and have realized that this way of thinking is a bit egotistical. Please don't be offended by this. The way that I look at it now is that I have had the...
  17. How to prepare for dyalisis?

    Cardiac knowledge is very important as well. You also may want to see if you can spend some time in the vascular access department at your hospital. Learning about hemodialysis accesses can be a...
  18. Any tips with smells? Please!!!

    We wear masks for almost everything so I just stick an alcohol wipe in there. Works
  19. What have other nurses done that have freaked you out?

    BP came up cuz they got her mad! Works like a
  20. thrill and Bruit

    Good question and I wish more non dialysis nurses would ask! The thrill is not a sound, it is felt. You simply lay your hand on a graft or fistula and feel. You should feel what i would describe as a...
  21. Assessment Manager

    You are right that their control is limited. I was speaking more toward the culture of the unit than staffing ratios etc. How great would it be to have half the patients! I think that one major...
  22. Inpatient Oncology to Outpatient Dialysis?

    I agree with the previous posts and stress that if you are looking for a less stressful environment, you should look at a smaller unit. I have 36 patient that i see everyday so I am constantly running...
  23. Assessment Manager

    I am so sorry that you both feel this way. I do have to make the point that it's all about the individual units management. I work at a large inner city unit that used to be in the bottom 15% of...
  24. Will there ever be a surplus of nursing jobs again?!

    This is totally off topic but i had an administrator who actually asked if I would help them catch-up on charting while I was inpatient and
  25. What is your biggest nursing pet peeve?

    Nurses who look down on aides and won't take their advice or guidance on anything, even if they have a ton of experience, but the get angry when a doctor doesn't take their advice or looks down on...