wordsmith

wordsmith

Med-surg, acute rehab, cardiac, oncology, dialysis

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All Content by wordsmith

  1. Nursing scope of practice/Standard of care

    That FA had his head you-know-where...don't do anything to endanger your license--it's your livelihood. Good for you for sticking to your
  2. What do you lack dialysis catheters with?

    We use 5000 unit heparin and use 0.1-0.2 mL over the limb length size stamped on the catheter ends. If the patient's using an access, though, and still has the catheter in while they're transitioning...
  3. Certified Nephrology Nurse

    Good gravy, counting inches of tape??? Our FA does want us to watch supplies and med usage, but not to the detriment of the patients. If we drop something on the floor, like gloves or a roll of tape,...
  4. Dialysis Staffing

    I work in Oregon and I'm an RN. Our facility, which has up to 24 chairs, generally has two RNs. We used to have 2 techs per 7 chairs but are now experimenting with the 1:4 tech:pt ratio. Turnover can...
  5. Certified Nephrology Nurse

    It really does depend on where you're located. I'm in a city of about 60,000 near the west coast in a privately-owned freestanding facility. The docs also own a few smaller facilities. The atmosphere...
  6. Some other folks have posted asking similar questions and I'm going to ask, too. I've enjoyed reading the posts and realize that the six-month thing is pretty consistent. Still... I'm an RN, haven't...
  7. salary rate

    Not Illinois, Pacific northwest, $24, small shift diff for swing and
  8. Patient hostility...HELP!

    I agree with the other poster--this kind of behavior can't be tolerated; it's abuse. You've probably thought of all this, but I'll suggest the following, for what it's worth. Since the MD refuses to...
  9. New to HD & equipment--learning curve??

    Thanks for the post. I know what you mean about feeling like you know nothing. I was doing oncology in my last job and I think that's one reason I was hired--they figured I was used to taking care of...
  10. New to HD & equipment--learning curve??

    Hey, thanks for the good words. Just gotta remember not to get too wired up about it. My husband (the problem solver) is wondering if he should create a mock-up of the fronts of the machines so I can...