km5v6r

km5v6r EdD, RN

Acute Dialysis

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All Content by km5v6r

  1. I&O, UF rate, & CRRT

    km5v6r replied to dorimar's topic in MICU, SICU

    These nurses don't like/want to do CRRT anyway. They particularly don't want to have to do all the additional math, empty J/P's and measure NGT output hourly. Many won't turn off the UF when the pt...

  2. I&O, UF rate, & CRRT

    km5v6r replied to dorimar's topic in MICU, SICU

    As a dialysis nurse who used to work with the Prisma we taught that at 8:00 you added up everything put in between 7:00 and 8:00, subtracted everything put out in that same time period, added the...

  3. Got sick at work

    km5v6r replied to RNNPICU's topic in PICU, Pediatric

    Don't worry about it; it happens. You did the right thing in talking with your preceptor and leaving. Heck you even had to have someone else drive you home. Your preceptor was much happier sending...

  4. dialysis and lasix???

    km5v6r replied to sandimedic/lpn's topic in Dialysis, Renal, Urology

    Nope. It probably won't work but it doesn't hurt. Depending on the pt's residual kidney function if you give a high enough dose, I have seen as high as 1 GRAM IVP, you might see some response. As...

  5. I wanted to explain what happened to me...

    km5v6r replied to LoriAlabamaRN's topic in General Nursing

    No the mistake was thinking she could go to work without sleeping for over 24 hours, leaving her sleep deprived. In trying to manage the sleep deprivation; which would cause impairment and lack of...

  6. Treating Hypotension

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

    The acute units I worked in Mannitol and Dextrose were not options. Hypertonic saline and 25% Albumen would be used if the pt had fluid on that needed to be shifted to the intravascular space. The...

  7. Not a poop or pee nurse?!?

    km5v6r replied to thumperRN's topic in General Nursing

    This type of statement needs to be documented to the manager in writing. This is totally unacceptable. Not only is she not a team member but what if it had been her pt laying there? Would she have...

  8. Pediatric toy ideas please !!

    km5v6r replied to mom_of_two's topic in Pediatric

    Take paper medicine cups, flatten them out, color with highlighters and glue/tape to paper as flowers. Draw the stems on the paper. Glue/tape plastic med cups to paper in a Christmas tree design and...

  9. Is pudding charted on a I&O sheet?

    km5v6r replied to NurseLatteDNP's topic in General Nursing

    Basically, yes to ice cream and jello, no to pudding, gravy,

  10. Curious to hear NICU nurses perspective--23-wkr, NEC m

    km5v6r replied to wannabeL&D's topic in NICU, Neonatal

    I am not a NICU nurse but I do currently work in PICU at a transplant center. Most of our pt population is somewhere in the transplant process either eval or post op. This center takes the kids that...

  11. Is pudding charted on a I&O sheet?

    km5v6r replied to NurseLatteDNP's topic in General Nursing

    Our dietians always said thing that are liquid at room temperature. Yes to milk, soup, soda, juice, jello, ice cream etc. No to gravey, pudding, canned fruit

  12. Peritoneal dialysis cell count

    km5v6r replied to gtmoore's topic in General Nursing

    I have worked acute dialysis and have never heard of using a lavender tube. In fact our prefered method was to just send lab the entire bag. That way they were the ones to collect the speciment and...

  13. Crrt

    km5v6r replied to nurseasia94's topic in MICU, SICU

    Think of the effulent bag as a giant foley bag. You don't change out the foley bag every time it is full, you don't have to change out the effulent bag. It may be easier to change it out but it...

  14. Looking for ideas & advice on retention

    km5v6r replied to KTYRN's topic in General Nursing

    The facility I work at charges for parking. After so many years of continous service cut the cost of parking or eliminate it completely. With what we pay per month someone who has worked here for...

  15. Hey, CNAs.......got a question for all of you!

    km5v6r replied to TazziRN's topic in General Nursing

    Now that we have throughly hashed out the "should manuel b/p be taught" issue; they should; and the "does a CNA need their own scope" issue will be debated for several more pages I wish to introduce...

  16. Dealing with death

    km5v6r replied to savealife's topic in General Nursing

    :icon_hug: However, my bigger problem is this, I made it through the codes as all the action was taking place, stumbling a little of course, but made it through. But, when the end came and the...

  17. grrrrrrrrrr.........

    km5v6r replied to luvkitties's topic in General Nursing

    Yes, the nurse should have worn gloves when starting that IV. Yes, we now know how dangerous blood borne pathogens are. However, when this nurse went to school and started working the only gloves...

  18. Feeling very pressured, please help

    km5v6r replied to mia37's topic in Dialysis, Renal, Urology

    Do you think I am being a baby (I mean after all I am an acute HD nurse and we do work alone...although we can always reach a support person by phone). NO! NO! NO! DO NOT LET THEM DRAG YOU INTO...

  19. TPE plasmapheresis access question.

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

    This isn't the only thing she's said that I really question the validity of Question and keep questioning. I have worked with nurses like this and it can become a very difficult situation. The ones...

  20. TPE plasmapheresis access question.

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

    Another dialysis nurse told me this was being done in other parts of the country. Our protocol is to stop CRRT do the TPE then reset up the CRRT. We also stop the CRRT for plasmaphoresis. Actually...

  21. Curriculum for Diploma in Nursing

    km5v6r replied to zoluking's topic in General Nursing

    I graduated from a diploma program in 1984. At that time freshman year was spent split between the hospital and the local community college. The college courses consisted of pychology, sociology,...

  22. Ethics in PICU (long)

    km5v6r posted a topic in PICU, Pediatric

    I am an old nurse (20+yrs) but a new PICU nurse. I work at a major trauma/transplant center and I am stuggling with the ethics of some of the things we do. Our docs will transplant kids that other...

  23. Dressing changes

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

    Dressing changes after dialysis has stopped is one of those things that always seems to get missed. The dressing needs be changed at least as often as any other central line dressing. A TLC dressing...

  24. Ethics in PICU (long)

    km5v6r replied to km5v6r's topic in PICU, Pediatric

    Thank you for the understanding. The few attempts I have made to say something at work I am met with blank stares and "well the doc ordered it" and "of course we do everything" Lots of very young...

  25. Dressing changes

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

    The 2 national companies I have worked for required dressings be changed with each dialysis treatment and when soiled. Even if doing treatments daily the dressing was to be changed. The hospital...