Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. creatinine is always 2 point something

    Lacie replied to nursingisok's topic in Dialysis, Renal, Urology

    Our nephrologist doesnt freak at that level. Usually he will order a 24hr urine creatinine level and go from there. Many times he will d/c them as a "kick start" and bring them back only when things...

  2. so "the state" is coming, and i dont know how to rectify what i did.

    Lacie replied to lorenwithano's topic in General Nursing

    This is a perfect example of the old addage that "nurses eat thier young"!! I'm a DON not in LTC but in dialysis and we are anticipating the state to come in as they hit our sister unit last week. The...

  3. the "dream" has come to an end

    Lacie replied to summersent's topic in General Nursing

    Good for you on your decision as you must do what is best for you. I was a police officer before entering nursing. I left being an officer as my husband was worried something may happen and we had a...

  4. Can an LPN train/precept and RN?

    Lacie replied to yfloridanurse's topic in General Nursing

    Bingo!! You hit the nail on the head with this explanation and I couldnt agree more. I didnt take all those extra pathophysiology, chemistry and all the other extra required to get that BSN for...

  5. Tattoos and nursing

    Lacie replied to PrincessJessica's topic in General Nursing

    I have a full back piece and working on a full sleeve. I get the same thing "You dont look like the type" lol. What type do you have to be to have tattoos? By the way I am 52 years old and figured "I...

  6. Can an LPN train/precept and RN?

    Lacie replied to yfloridanurse's topic in General Nursing

    I see this frequently in the chronic dialysis setting and like you I disagree. When first entered dialysis my preceptor was an LPN. When it came down to me asking rationale or what the...

  7. Tips for new grad starting Davita dialysis houston

    Lacie replied to ET04's topic in Dialysis, Renal, Urology

    Good for you!!! Sounds like you made the right decision. Stay in the hospital setting for abit and get your feet wet. You'll find you nitch when your ready

  8. Tips for new grad starting Davita dialysis houston

    Lacie replied to ET04's topic in Dialysis, Renal, Urology

    There are somethings they just cant teach you in a classroom. I am and always will be what some of us old schoolers call a "gut" nurse. In other words my gut directs me when I think something isnt...

  9. opinion for seasoned dialysis nurse/manager

    Lacie replied to Lacie's topic in Dialysis, Renal, Urology

    There have been places I absolutely hated but I did give notice of at least 2 weeks as learned long time ago it's not good to burn too many bridges. I hated my last job in chronics and swore I would...

  10. CVC blood flow rate

    Lacie replied to bella706's topic in Dialysis, Renal, Urology

    Same here. We try to avoid reversal but sometimes it's not an option until we can get intervention. Many units doing away with Activase/cathflo these days due to cost also. I always understood that...

  11. hospice

    Lacie replied to anurseadvocate's topic in Dialysis, Renal, Urology

    We have frequent patients in hospice on dialysis. Some choose to stop others continue. We treat them same as any pt not in hospice. We do cpr and send them to ER even if a DNR. Our policy is that the...

  12. Davita Lufkin dialysis unit

    Lacie replied to anurseadvocate's topic in Dialysis, Renal, Urology

    I think she's being a scapegoat for bad management. If that clinic used Cobe machines which are bleached daily to include the "who's" which utilize pulling up bleach in a syringe to do. Cobe's also...

  13. Is it legal to write a order 4 months after you took it?

    Lacie replied to BigSurKay's topic in General Nursing

    The appropriate would be to add an "addendum" to the original note without disposing of the original notations. You never remove any original documentation but you can add. You also dont back date. It...

  14. Things you'd LOVE to be able to tell patients, and get away with it.

    Lacie replied to AngelfireRN's topic in Patient, Colleague Relations

    I work in chronic dialysis and I can think of a million things a million times a day I would really love to tell pts!!! After experiencing Burn ICU/Trauma for many years I get the "I didnt show up...

  15. patient allocation

    Lacie replied to munki32's topic in Dialysis, Renal, Urology

    depends on your state. In Florida as long as there is 1 body to work with every 4 pts is all the ratio requires. It doesnt matter if RN, LPN, or PCT. Therefore it is in compliance to have only 1 RN...

  16. patient allocation

    Lacie replied to munki32's topic in Dialysis, Renal, Urology

    I run an 11-chair unit with 3 shifts. I work 1 RN and 2 PCT's on the floor and never more staff than that. Each pct takes 4 pt's and the RN takes not only the balance of pts (3) left but also does all...

  17. Tech saying they are a nurse

    Lacie replied to nursebrandie28's topic in General Nursing

    It is illegal in any state and also against the nurse practice act to identify yourself as a "Nurse". I would report this not only to thier DON but to the BON. I worked hard to earn my title as RN. A...

  18. Davita

    Lacie replied to madisent's topic in Dialysis, Renal, Urology

    I was also denied my sick time and was told I had to use my entire Pto first before it would be touched!!! Considering I called in only once for a 3 day period with doctor's excuse. Company I am with...

  19. Dialysis Transport

    Lacie replied to coco3299's topic in Dialysis, Renal, Urology

    More than 50% of mine depend solely on public transport. If none then there is absolutely no way for them to come. Holidays are a real issue for

  20. How are you with needles?

    Lacie replied to feralnostalgia's topic in General Nursing

    I had to recently draw my own yearly labs for my job as it was let the pct do it or do it myself. I work in dialysis and they may be used to a 14g in a huge fistula but leave my veins alone!!! I can...

  21. New RN BSN over 50 and Can't Get a Job

    Lacie replied to HoosierMale's topic in General Nursing

    52y/o here and I went into chronic dialysis at age 50. I'm now a DON and it feels right. I did come into it with other experience to back me but I know my company hires without age issue. I recently...

  22. Licensing Dilemma

    Lacie replied to ilovenursing2009's topic in General Nursing

    Much easier to get licensed by endorsment. I have had no problem getting licensed very quickly in 3

  23. Tech Certification....what's everybody else doing

    Lacie replied to Kelly_the_Great's topic in Dialysis, Renal, Urology

    Put it this way. Do we as nurses get our initial boards or all ceu's paid to maintain our license? Hmm what about specialty certifications? Should we expect less of those who reportedly

  24. Did you catch a disease while working as a nurse?

    Lacie replied to bronzemint23's topic in General Nursing

    Like you I have been in long before universal precautions. I remember the days when gloves were for cleaning up poo and that's about it. In fact in school we were told back then gloves were insulting...

  25. Be Honest...what's it like in a Dialysis Clinc(LPNS)?

    Lacie replied to skittlebear's topic in Dialysis, Renal, Urology

    My facitility the LPN does charge and does the same task the RN does. Many days I'm on a paperwork day and my LPN takes the floor on her own with the pcts'. She also does assessments, gives meds, does...