Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. Anyone work at a KruMed facility

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

    Where is the facility located? I work for Kru. First off be sure to ask them about "paid holidays" something they dont pay. At least in the Florida faciities they dont. You work a holiday at regular...

  2. Tattoos and epidurals

    Lacie posted a topic in Ob/Gyn

    I work in dialysis so ob/gyn is a far fetch regarding my knowledge. A close friend of mine just gave birth and her MD refused to consider an epidural due to her having a tattoo on her lower back. If...

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

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

    One of my PCt'S is 63y/o and the best tech I have. She's like why waste her time. It's only going to put her into early

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

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

    My company hasnt done anything in preparation for this at all. In fact I've only gotten heck from my pct's that the RN's arent required to take the same test lol. Most pct's are telling me at this...

  5. Nursing scope of practice/Standard of care

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

    You made the correct decision. One of the reasons I left my previous clinic is the old adage "It's the way we always have done it". Your FA is giving you the INCORRECT information to say the charge...

  6. LPN mistreated in dialysis

    Lacie replied to LPN30's topic in Dialysis, Renal, Urology

    Sorry to hear you have had such a nightmare of an experience. Remember anytime you make a "deal" with an FA or another management - Get it in writing!!!! I've been in many situation where sudden...

  7. Skin condition

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

    I use 2x2's to apply to access site and allow it to sit for 2-3 min. I then wipe it off with another 2x2 then apply an alcohol prep. I'm sure to cannulate with the site wet though. Once alcohol dries...

  8. Trying to break into dialysis

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

    I got tired of waiting and just called and spoke directly to the FA at the facilities. I still had to fill out an app on line but I got an interview very quickly. Or just present yourself to speak...

  9. Skin condition

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

    Have you tried just simple Hibiclens? I use it frequently on my allergic pts without issue. We used it routinely in debridement during the whirlpool in the Burn ICU without ever having an issue and I...

  10. Fresenius starting pay

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

    Florida around

  11. New Conditions of Coverage

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

    I agree as the guidelines dont enforce pt's to be accountable for thier own care. I cant tell you how many ama's I get signed or how many "no shows" I document a week. Or the "I dont feel good, cut my...

  12. Suture to laceration

    Lacie posted a topic in Emergency

    My son had his finger accidentally slammed in car door and suffered about 3" gash to his finger. He presented to ER within a 3 hour time due to noone to take him at the incident time. They stated they...

  13. Suture to laceration

    Lacie replied to Lacie's topic in Emergency

    Thank you all for your responses. Yes it is a very deep uneven laceration. As you know a car door can impose significant damage. I changed the dressing this morning and I am actually angered by what I...

  14. need help re removal of temp. dialysis cath.

    Lacie replied to snuggles49's topic in Dialysis, Renal, Urology

    I work in a chronic clinic and we do remove temp dialysis caths. Procedure pretty much is same as hospital, placing head down, deep breaths, pressure to site. MD isnt present but only the RN can pull....

  15. Recirc without UF

    Lacie posted a topic in Dialysis, Renal, Urology

    I have been told by my upper administration to instruct my staff and biomed to remove the UF setting from our Cobes during recirc in order to cut saline use/cost. We have also cut all our machine...

  16. Will RNs be phased out of dialysis?

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

    Interesting considering CMS requires an RN be present. I cant think of any state board nurse practice act that permits pcts to give any type of blood product (albumin). I would investigate that...

  17. acute hemodialysis...do you like it?

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

    It can be done but after being in the business as long as I have I would recommend anyone to get at least 1 year Critical care experience. There are numerous other co-morbities and being able to...

  18. Advice Re: job interview with Davita

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

    :banghead:good decision. I'd scrub toilets before ever returning to a Davita clinic. Yes they have a great education program but that's about the end of it. I was charge 2-3 weeks before I completed...

  19. staffing issues

    Lacie replied to hello0oNurse's topic in Dialysis, Renal, Urology

    It's all dependant on your state laws. I'm in Florida and run a 12 chair clinic. We operate routinely with 1 RN and 2 PCT's. I have been at other clinics such as Davita and they run the same staffing...

  20. Vasovagal syncope with seizure like activity

    Lacie replied to Guest219794's topic in Emergency

    I have seen very similar in my dialysis patients but only a few times. These were pts with no hx of seizure disorder but would have seizure like activity when they became suddenly hypotensive during...

  21. Change from floor nurse to dialysis????

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

    LOL, Even worse there are nurses in the chronic units that wont push those damn buttons!!! They wait for the magic fairy named "PCT" to do it and will let them beep beep beep to thier own musical...

  22. Pulling Cannulation Needles and Labs

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

    I put a sterile 2x2 quartered under the bandaid. I do pull the needle out just slightly to dislodge any sticky residual left from the old tape from during treatment. I pull the needle by the hub...

  23. Change from floor nurse to dialysis????

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

    It's very individual, I've been an RN since 1978 and went directly into CCU/ICU. Then to Open hearts. I'm now in chronic dialysis and to be honest am seriously considering returning to CTU. Dialysis...

  24. Pulling Cannulation Needles and Labs

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

    We pull only 1 needle at a time and the pt must hold. If they are unable to hold and we cant hold for them then a clamp is used but no more than one at a time. Our clinic doesnt allow pulling 2...

  25. Scope of RN license

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

    I would not just "write" a verbal order for vanco or any other med without an official order or something covering in standard protocol to cya my own rear. I have set as an expert witness in...