km5v6r

km5v6r EdD, RN

Acute Dialysis

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All Content by km5v6r

  1. Rough Night in NICU

    km5v6r replied to navynurse06's topic in NICU, Neonatal

    :icon_hug: After 15 yrs working with adults and in adult ICU I now work in PICU. It is different to lose a little one. Even though you know in your head that withdrawal is the best choice your heart...

  2. My 4 year old daughter fixing to have heart surgery

    km5v6r replied to gfoster6993's topic in General Nursing

    Talk to the Child Life department of the hospital you will be at. They have both the experience and supplies to help both your daughter and her

  3. Telephone Orders- Perplexed in MA!

    km5v6r replied to kathybMA's topic in General Nursing

    :uhoh21: I am confused also. Once the orders are written on the chart what does it matter as to who wrote or notes them? Once they are written any other nurse may note or sign them off. Most of...

  4. Gave my heart away again. (long)

    km5v6r posted a topic in PICU, Pediatric

    I just needed to talk. Work called this evening and they are withdrawing on one of our chronic kids. He was fine when I left work yesterday. He was trying to launch into orbit in the bouncy chair....

  5. fistula info for the non dialysis RN

    km5v6r replied to canoehead's topic in Dialysis, Renal, Urology

    Wow, that is so helpful. It sounds like dialysis catheters should be OK to access for meds, but cannot be used during dialysis, is that correct? Prefered is to not access the dialysis catheter except...

  6. fistula info for the non dialysis RN

    km5v6r replied to canoehead's topic in Dialysis, Renal, Urology

    The tip of that catheter sits in the same place; the Vena Cava (superior or inferior) or the Rt Atrium. In dialysis the port that pulls blood from the pt to the machine is refered to as the arterial...

  7. Question About Renal Tranpslant. Help please.

    km5v6r replied to iamarn's topic in Dialysis, Renal, Urology

    Your pt has a decrease in renal function. It maybe temporary or permanent. Contrast and antibiotics may cause a bump in the BUN and Cr as well as dehydration. Ironically enough the antirejection...

  8. share your touching moments

    km5v6r replied to AliRae's topic in PICU, Pediatric

    I was doing acute dialysis at the time. I regularly did the hemodialysis treatments on the youngest to date pt. We had started him in the NICU and finally discharged him home at 6 months of age. He...

  9. Gave my heart away again. (long)

    km5v6r replied to km5v6r's topic in PICU, Pediatric

    turns out, not even knowing it, the funeral director put in his all-time favourite rattle, the first toy my little man ever reached for on his own! God does work in mysterious

  10. TPN and ABX

    km5v6r replied to sweetieann's topic in General Nursing

    Just to add to the confusion. I work in a PICU. We frequently hang TPN + Lipids and will infuse certain antibiotics, pressors, fentanyl, versed, vecuronium, nimbex etc to the line with TPN. We...

  11. AV fistula/shunt used as PIV what's this?!

    km5v6r replied to CaLLaCoDe's topic in General Nursing

    If the ER doc okay'd the drip to be run via the shunt and the admit doc knows, she may not have had any other choice It is not the call of the ER doc or the primary doc. They have absolutely no say...

  12. Gave my heart away again. (long)

    km5v6r replied to km5v6r's topic in PICU, Pediatric

    Go to the funeral. For yourself it will help complete the cycle. There is no true "closure" with something like this. For the parents it will show respect and

  13. AV fistula/shunt used as PIV what's this?!

    km5v6r replied to CaLLaCoDe's topic in General Nursing

    Well, IMHO, that nurse should of never touched that fistula. That is the patient's lifeline. The ER should have never started the drip there. They should of got peripheral IV access and leave the...

  14. Gave my heart away again. (long)

    km5v6r replied to km5v6r's topic in PICU, Pediatric

    AliRae you are right God did have this planned out for both of you. Your little man knew love. That is the most important thing. Very few other people are going to understand. We do. I do. You...

  15. Are you having an RSV crisis?

    km5v6r replied to NotReady4PrimeTime's topic in PICU, Pediatric

    We do liver, liver/small bowel and kidney transplants. Those along with the Intestinal Rehab Programs kids who have bowel lengthening surgery we stay close to full most of the

  16. Are you having an RSV crisis?

    km5v6r replied to NotReady4PrimeTime's topic in PICU, Pediatric

    Thankfully we haven't had any RSV kids ...yet. I think they are probably going to the Children's hospital in town. RSV with our transplant kiddo's would be the end. We counted up and since Nov 1st...

  17. Are you having an RSV crisis?

    km5v6r replied to NotReady4PrimeTime's topic in PICU, Pediatric

    We aren't allowed to let kids die in our unit. Until they've started to decompose. I hate that part of it. That is the part of PICU I am having the most difficulty with right not. We recently had a 4...

  18. Adoption option?

    km5v6r replied to lannisz's topic in Ob/Gyn

    Congrats on becoming a grandma!:balloons: steph Thank you. I am slowly coming around. My immediate response was to sign up for scuba lessons. That was fun even if I was old enough to be Mom to the...

  19. Adoption option?

    km5v6r replied to lannisz's topic in Ob/Gyn

    Steph I realized my DD was reflecting the herd thinking. I didn't realize at the time that it was the opinion of society that adoption was not an option. It almost seems a double or triple standard...

  20. Floating to your unit

    km5v6r replied to perfectbluebuildings's topic in PICU, Pediatric

    Right now my PICU is so full with such high acuity I practically kiss the feet of any float who comes in. We will even have ADULT med/surg floats. I know they are scared spit less. We are having a...

  21. Adoption option?

    km5v6r replied to lannisz's topic in Ob/Gyn

    I am not an OB nurse but I have a little bit different perspective. My cousin started having children in her teen years. She kept the first baby for about 6 months then gave it up for adoption to...

  22. Good Samaritan Question

    km5v6r replied to Hoping LVN2BSN's topic in General Nursing

    No, you do not have to legally render aid in any situation. This situation is debate frequently. Remember they would have to prove you were at the scene, have the appropriate knowledge base to...

  23. How busy is your unit this Christmas?

    km5v6r replied to RunningWithScissors's topic in General Nursing

    When I left at 2000 Christmas eve we had 12 out of 14 beds filled, 10 in isolation, 9 on the vent (we started with 10/12 on the vent) 2 with continous CRRT, 1 ICP monitor. and no one able to transfer...

  24. What would you have done? rant

    km5v6r replied to Nursingangel's topic in LPN, LVN Corner

    You absolutely did the right thing. Years ago on my first nursing job I received a call at home to do a transport from our small hospital to the larger city hospital. The pt was a young guy...

  25. You Know You're an Old(er) Nurse If . . .

    km5v6r replied to hollyvk's topic in General Nursing

    The only gloves on the unit were in the treatment room and it was locked at night. Treating skin breakdown with a brisk massage to improve the blood flow. Manual B/P's. Mercury B/P machines (no I...