just keep swimming

just keep swimming

Nephrology

Member

  • Content

    172

  • Visitors

    9,100

  • Followers

    0

  • Likes

    4

All Content by just keep swimming

  1. What does your clinic do to promote patient retention?

    just keep swimming replied to mxems's topic in Dialysis, Renal, Urology

    You're very welcome! With your population, I bet the holiday music/sing-a-longs would go over

  2. infection and normal WBC

    just keep swimming replied to clearblue3's topic in General Nursing

    It all depends on what else is going on with your patient. Those whose immune systems are suppressed do not always have an elevated WBC. Also what is their baseline, it may be elevated for

  3. What Colored Scrubs Do You Wear?

    just keep swimming replied to glutton4punishment's topic in Scrubs, Uniforms, Gear

    Any color we want! I wear purple, pink, grey, and

  4. What does your clinic do to promote patient retention?

    just keep swimming replied to mxems's topic in Dialysis, Renal, Urology

    We give out certificates and small gifts (key chains, candy) each month to patients with perfect attendance or excellent outcomes, they love it, has even been mentioned in a patients obituary as...

  5. I like being different.

    just keep swimming replied to ajeanine's topic in Patient, Colleague Relations

    It all has to go for school...that being said, once you graduate it depends on what you want to do and where you want to work. I work in an inner city outpatient dialysis unit. I never put my...

  6. Do any of the nurses here working 40 hr weeks and going to school, have children?

    just keep swimming replied to Glowinthedark's topic in General Nursing

    I am doing my BSN online and my husband works full time and is in school as well. It's definitely doable. I have found the BSN program to be way easier than nursing school was....probably helps to...

  7. Do any of the nurses here working 40 hr weeks and going to school, have children?

    just keep swimming replied to Glowinthedark's topic in General Nursing

    I am currently getting my BSN while working 3 14 hr shifts each week. I have a 2 yr old and a 4yr old, neither in preschool. My husband drops them off at daycare and picks them up on the days I work,...

  8. What happened to my patient???

    just keep swimming posted a topic in Dialysis, Renal, Urology

    I have a patient who has a history of a cardiac arrest in our unit 6 months ago. I got her back from that and she has been doing well....until today. At the end of her run she began to call out a...

  9. What happened to my patient???

    just keep swimming replied to just keep swimming's topic in Dialysis, Renal, Urology

    Thanks!

  10. If you know someone is going to be fired - do you tell?

    just keep swimming replied to Lucky724's topic in General Nursing

  11. If you know someone is going to be fired - do you tell?

    just keep swimming replied to Lucky724's topic in General Nursing

    It sounds like this guy got himself into his own mess. That being said, I'm sure he doesn't see it that way. If it were me and I thought I was doing fine and someone came and told me i was going to...

  12. What happened to my patient???

    just keep swimming replied to just keep swimming's topic in Dialysis, Renal, Urology

    She actually has a history of endocarditis which would make her more susceptible to getting it again. The problem is that this nephrologist already thinks I overreact because a couple of weeks ago I...

  13. What happened to my patient???

    just keep swimming replied to just keep swimming's topic in Dialysis, Renal, Urology

    Those were my thoughts too but she was discharged without any real diagnosis. Thanks for the validation

  14. What happened to my patient???

    just keep swimming replied to just keep swimming's topic in Dialysis, Renal, Urology

    She was dc'd from the hosp the next day with a diagnosis of waxing/waning dementia. I really don't agree that this is all that was going on. I've seen this woman 3 days a week for 5 years and this was...

  15. Have you ever seen this before?

    just keep swimming replied to SweetseRN's topic in General Nursing

    Rule is that the if the kidneys don't work, the lasix doesn't work! Easy as that...if you want more info just open up that handy-dandy med book and look at the action of lasix and where the action...

  16. Erythropoeitin Administration

    just keep swimming replied to rogue_maverick's topic in Dialysis, Renal, Urology

    You're

  17. Erythropoeitin Administration

    just keep swimming replied to rogue_maverick's topic in Dialysis, Renal, Urology

    Never

  18. Erythropoeitin Administration

    just keep swimming replied to rogue_maverick's topic in Dialysis, Renal, Urology

    I believe the half life is longer when given sub q. We give ours iv during the treatment. The package insert does not specify anything about beginning or end of

  19. Charting Bloopers

    just keep swimming replied to AHarri66's topic in Nursing Humor

    When reading one of the dictations on a patient with a buttonhole being used for hemodialysis I read, "pt currently using BUTTHOLE on left upper arm AVF". LOL! We were laughing about that one for...

  20. Does it pay to know spanish?

    just keep swimming replied to KCRustin's topic in General Nursing

    I speak spanish and work in an outpatient dialysis clinic. It did not help me get the job, nor do they pay me for it, but I have to say it has been so helpful not to have to wait for an interpreter...

  21. What should EVERY nurse know about Dialysis

    just keep swimming replied to Twink's topic in Dialysis, Renal, Urology

    1. Check that access every day! If it is clotted, the chances of saving the access are much better when caught early. They need to check for bruit and thrill each day 2. Reinforce fluid and dietary...

  22. What should EVERY nurse know about Dialysis

    just keep swimming replied to Twink's topic in Dialysis, Renal, Urology

    Yikes! What if they decided not to eat that extra bannana? Can anyone say

  23. New adequacy calculation

    just keep swimming replied to just keep swimming's topic in Dialysis, Renal, Urology

    I agree that this works well for some patients and have used it many times in the past. The difficult part is getting those patients who are so non compliant already to sit in the chair an extra...

  24. New adequacy calculation

    just keep swimming posted a topic in Dialysis, Renal, Urology

    We recently began using URR's as the measure of adequacy along with the KT/V. I have always tracked both on my patients, so no big deal. What I don't understand is that residual renal function is no...

  25. New adequacy calculation

    just keep swimming replied to just keep swimming's topic in Dialysis, Renal, Urology

    LOL! That's the same reason they assign me all the "difficult" patients! Keeps it interesting. Thanks for you input. I have one patient that I think it may be good to try the 11ml/kg/hr on. As for...