km5v6r

km5v6r EdD, RN

Acute Dialysis

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All Content by km5v6r

  1. running antibiotics into a permacath?

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

    "My preceptor and I spent nearly all day trying to straighten out this IV access issue" The impression I had from the original post was that several hours had past while trying to establish another...

  2. new to dialysis, please help!

    km5v6r replied to s9283's topic in Dialysis, Renal, Urology

    I am still in training with a tech (learning machines, sticking pts, troubleshooting, etc...). I am in my 5th and final wk of tech training and at the end of this wk I am expected to beable to handle...

  3. running antibiotics into a permacath?

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

    With an order from the nephrologist any IV maybe run into a dialysis catheter. A minimum flow rate of 30ml/hr on an infusion pump is required. The Heparin; usually 5000 units/ml; MUST be aspirated...

  4. What's your favorite pair of nursing shoes?

    km5v6r replied to changeofpaceRN's topic in Scrubs, Uniforms, Gear

    I didn't find a web site for the only store in Nebraska but they do have link to an e-mail address on the company web site. The store will also do mail order. If you have any plans to go to the...

  5. What's your favorite pair of nursing shoes?

    km5v6r replied to changeofpaceRN's topic in Scrubs, Uniforms, Gear

    I love my Z-Coils. I have an old achilles tendon injury and my z-coils are the only thing that keep me walking with out pain. They are pricey but my first pair are still going strong after 2 years....

  6. question about rinsing back

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

    Squeezing the bag is always controversial. Sometimes to return the arterial side without disconnecting you must squeeze the bag to prevent blood backflow. A few pts I have seen will back blood all the...

  7. Getting started

    km5v6r replied to clyen's topic in General Nursing

    I work in Omaha. What is happening with new grad around my facility is thay start in a nurse residency/orientation type program while waiting to take and receive board results. Most of the beginning...

  8. New to HD & equipment--learning curve??

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

    I became a dialysis nurse after 15 yrs in ICU as a preceptor/instructor. It was one of the biggest ego busting moves of my career. I went from being the expert to knowing nothing. I would practice...

  9. Ma vs CNA

    km5v6r replied to Lost in Nebraska's topic in General Nursing

    Yes, you can go straight to nursing school. Personally I went straight from high school. You don't have to be a CNA or MA. It may help but is not a requirement. Lincoln and Omaha both have a variety...

  10. Infant Botulism

    km5v6r replied to photorn's topic in PICU, Pediatric

    We recently had a baby the docs test for this. The intensivist was discussing how rare infant botulism is except in California. He said that the botulism organism actually is found in the the soil...

  11. Nursing Community: I need your feedback

    km5v6r replied to BrendanK's topic in General Nursing

    Personally, I love a good quality pen. A pen on a rope is always handy, a stethascope name tag that won't jab me in the neck or come off, a nice looking lanyard with a retractable end. My nametag...

  12. Do they make these?

    km5v6r replied to StarGirl's topic in General Nursing

    While you are at Wal-mart look at the non-scrub pants. I personally like the Basic Edition or Chic elastic waisted pants. I usually pick them up for under $10.00 a pair. And in the summer there are...

  13. When a resident decides to cease dialysis

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

    Fluid overload is not necessarily a problem. It strictly depends on how much fluid he takes in. Hyperkalemia will be the main cause of death. Many pt's who withdraw from dialysis pass quietly in...

  14. To Aspirate or Not

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

    In a word NO! Once the treatment is completed and the blood returned; the catheter should be flushed with saline then have the appropriate amount of heparin instilled. The clamp is closed while that...

  15. Returning blood

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

    Squeezing the bag is always controversial. Sometimes to return the arterial side without disconnecting you must squeeze the bag to prevent blood backflow. A few pts I have seen will back blood all...