Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. Davita Lufkin dialysis unit

    And if she witnessed enough to say "it actually happened" and didnt intervene then that nurse is also guilty. I agree with nurseadvocate. Many people like to boost that they know something more then...
  2. There won't be any raises this year

    The chronic dialysis clinic I just left employees havent had raises in over 3 years now. But thier profits are up
  3. I was out for 4 years then again for 8 years. Both times I sought out a RN review course which had clinical time. While in PA I had found a great refresher that was 12 weeks long with on-hands...
  4. I was told ratio of 4:1 in dialysis also LOL. I ended up the only RN in the building most of time with no one to fall to for advice which entailed me being responsible for 12. My techs carried 6 pts...
  5. Lost my job again!!!

    Depending on your state, I know in Florida, you can get unemployment if you resign for medical reasons that are documented and reasonable. I resigned my position due to severe arthritic condition of...
  6. can I get fired ?

    Good advice from this poster. Also are you in an "at will" state in regards to employment. If so it doesnt matter who, what or if, you and/or your employer can terminate employment at any time without...
  7. How do I enter lapse?

    I had same issue and for the gap I just put "Homemaker" the time period, then followed by my previous employer. Think about it Homemaker is a full-time job in itself :) hope this helps: HOMEMAKER...
  8. Rhythm Analysis

    Like anything it takes time and practice. Find a good interpertation workbook also. I started out in CCU/ICU and before long I was seeing them in my sleep. You'll be a pro in no time. Ask the monitor...
  9. Will Florida inmates come to my home?

    I agree with you but to be honest I have never had anyone "show up" at my home nor even mail related to my license posted on line. I do agree it's not appropriate to post your home address and never...
  10. Survey: How do you get a life outside of work?

    One of the hardest things for me to learn over the years was to say "No". Once you start saying No it becomes easier. Also in not saying no people tend to take advantage of it and continue to come to...
  11. There are a lot of post in the Dialysis forum related to this question. It all depends on the clinic itself and the management. Myself I wouldnt return to a Davita clinic as most of time I was the...
  12. Survey: How do you get a life outside of work?

    Well said!!! I learned the hard way after almost 30 years in nursing that a job needs to be a "part" of your life and not "become your life". Been there and done that!!! I cherish my time off and...
  13. is training paid with FMC?

    Omg the LMS!! You are right there...when I was with Davita the FA insisted on us doing them from home without pay of which I refused. If I dont get paid I dont do it. Not anymore at least. Only thing...
  14. Where is blood not admnistered?

    I've only given Albumin in chronic dialysis units and the pt had "bring thier own". Otherwise blood products are not generally given in chronic units especially in light of erythropoietin products out...
  15. Anyone starting Daytona State ADN Fall 09

    Those in need of CPR for health professionals in the daytona area. Check Ormond Beach Fire Dept's main office as it's only $25.00 and they loan you the book/CD. No one "fails" the class and it's the...
  16. old school vs. new school

    Have seen this over and over. Too many times. I am more than happy to help along any new nurse but when you come off as a "know it all" then why do you need me? It's not really "old school ways" but...
  17. Why Do Nurses Write: "no new orders received"?

    I always make note of any call to the doc, why I called, and his/her orders. If they give no new orders then I document everytime "no new orders received". I agree it's a cya thing. Charting that no...
  18. How do you handle bad odors in a clinic setting?

    I always keep a small container of Vicks like many of the other posters. Been doing it since clinicals in school in the 80's.
  19. I made a doctor mad at me.

    I recently had to call the doc for a K level of 6.2!! Of course I was working in chronic dialysis and he hit the roof stating "these are dialysis patients, they can live with high K". I further...
  20. Your hospital legal team should have someone there to represent you in this case and also help prepare you prior to any questioning. If you have personal malpractice insurance notifiy them asap. You...
  21. Nurses backache..

    Make a report asap as the previous poster stated. You may experience issues down the road from an aggravation and want it documented well. Dont play around with back issues. I'm still suffering from...
  22. Please help with job hunting

    Check careerbuilder.com and put up your resume. They will also send you the listings in your email twice weekly if you elect to. I did this for the last 2 jobs I worked at and also got a decent amount...
  23. MRSA colonization and staff

    I work in chronic dialysis and when I see a significant increase in cvc infections related to mrsa or staph then I recommend we culture the staff nares It usually occurs when we have new staff come...
  24. CLINIC MANAGER PAY-Fresenius

    Ditto, Ditto, Ditto!! I just left a management position and it was bad enough it burnt me out on dialysis entirely. I was covering all the hours of call-ins to include if a pct called in and no...
  25. Feeding patients

    You dont find tube feedings in the chronic setting. How did tube feeding come up? I believe the jest of the post is if allowing pts to eat/drink during thier dialysis treatment and how we end up being...