Lacie

Lacie BSN, RN

jack of all trades

Member

  • Content

    1,037

  • Visitors

    13,004

  • Followers

    0

  • Likes

    19

All Content by Lacie

  1. Scope of RN license

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

    This is one of the very reasons I left my previous dialysis job. Too many chiefs and not enough indians so to speak. The FA would give a verbal order for antibiotics etc and expect me to follow it. I...

  2. Cannulation sites

    Lacie posted a topic in Dialysis, Renal, Urology

    I have had 2 seasonal pts arrive from clinics that use constant site cannulation with regular needles. Same site same hole every time similar to the procedure for buttonholes. These sites are huge and...

  3. Cannulation sites

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

    Thanks for your response, keep in mind these are Not buttonholes is my point. His home clinic uses the same site/hole each time with regular cannulation needles. Same site cannulation, not...

  4. Acute Pay

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

    The company I am with contracts for acutes at several hospitals and pay by the treatment. I was told when I initially was going to acutes it paid $125.00 per treatment,not including on-call pay etc....

  5. Epogen SC administration

    Lacie posted a topic in Dialysis, Renal, Urology

    Some of the insurance companies are requiring we now give Epo via SC route over IV in our unit (chronic). I generally give them if the pt allows in the abdominal area as usually the b/p cuff on one...

  6. Epogen SC administration

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

    Thanks for the responses but did anyone read my initial question? I know epo can be given IV or SC. That was not my question. Anyway I have double and tripled checked including medical director and at...

  7. Dialysis companies other than DaVita

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

    I work for a KRU clinic and love it! I'm the DON and management does back when I put it out that Pt care is First priorty. I'm along with rest of staff are off by 3:30. For 11 chairs I staff 1 RN...

  8. Catheter lock solutions

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

    We use 1:5000 and dilute with saline to the amount of the cath lines. Ie: 1.7/1.8 cc usually marked on each port. We dont have much issue with clotted caths but do with poor placement

  9. LPN's in Dialysis ?

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

    My best nurse in the chronic unit I manage is an LPN. That said, it depends on the unit and where your located (state). I'm in Florida and every unit I've been affiliated with has LPN's on staff. Mine...

  10. Salary Pay for Fresenius Medical or Davita?

    Lacie replied to naz220's topic in Dialysis, Renal, Urology

    I make a lot more with a private company but in return I found I had to sacrifice some benefits in the process. I dont get paid holiday pay nor comp time for working it of which my administrator...

  11. New grad - possible to start in dialysis?

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

    Personally, I would recommend anyone to get at least 1 year of M/S or critical experience before choosing dialysis. I'm not saying it cant be done I honestly think you may be cheating yourself out of...

  12. Povidone-Iodine breaking down CVCs

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

    I've never had this problem and leave the soak on the ports the entire treatment also in a 2x2 packet. Keep in mind though there are caths out there that are very specific to not use providone-iodine...

  13. Epogen SC administration

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

    Giving SC wasnt the question. I have no problem with that, it was the location of the SC site I was questioning. I am no longer with that company:yeah: as I finally determined it was much to unsafe...

  14. Incident report for injury with unknown cause?

    Lacie replied to NewWayofLife's topic in General Nursing

    my advice would be to initiate a claim with ur manager ASAP. the longer u qait the less likeky they ate ro accept full fuduciary responsibiliy. I've watches s staff in 2 weeks put in claims. were

  15. Dialysis Staffing

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

    When I worked for Davita the ratio was 4:1 (non-differentation to roles), it didnt matter what your role was as long as you were a body to open and close the building. Most times it was 1 RN...

  16. Reuse

    Lacie replied to penem10's topic in Dialysis, Renal, Urology

    I have seen the wrong reuse dialyzer placed on pt's. Primarily due to failure of sfaff to do thier double checks usually due to excessive short staffing on a routine basis. Also the problems that can...

  17. UF Profiling & Sodium Modelling

    Lacie replied to nu2dialysis's topic in Dialysis, Renal, Urology

    Most likely depends on your state and nurse practice act also as where I am it's a physician based order and treated no differently then the standard hemo orders or medication order. The only thing we...

  18. Davita - Should I take it/should I not????

    Lacie replied to wyrleygirl1's topic in Dialysis, Renal, Urology

    I heard "wonderful things" also until I accepted the job and worked there for 11 months. It's called "Recruitment bonus"! Ideally if you luck out at a facility with an FA that is willing to put...

  19. Davita

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

    I guess it depends on your state regulation for staffing also as I have visited all 5 clinics in my area and they all run pretty much the same and all have different FA's. We were limited to 4:1...

  20. DaVita Academy

    Lacie replied to sicurn07's topic in Dialysis, Renal, Urology

    7 million?? He made $27.8 million for 2007 total compensation package! Not that I begrudge a Harvard grad making his living but at the expense of patient safety there I have an issue....

  21. about Davita...

    Lacie replied to Billy5949's topic in Dialysis, Renal, Urology

    There isnt a Hiring freeze on but they did run into financial trouble with thier stocks dropping. Of course as you know with Davita it's primary goal is "too make money and increase profits". They...

  22. DaVita Academy

    Lacie replied to sicurn07's topic in Dialysis, Renal, Urology

    Personally, I havent been to anything job related to Davita in which they didnt ensure there was plenty of alcohol for the guest to enjoy. Some overdo it some dont. As far as the "Academy", I felt it...

  23. Staffing

    Lacie replied to momRNof3's topic in Dialysis, Renal, Urology

    Wow and they are complaining it's short? I just left Davita where we had 14 chairs and I was the only licensed in the building much less being the charge nurse and taking on pt load as well as only 2...

  24. Davita

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

    Not sure about Texas but here in central florida the LPN that was working at Davita I just left has been there 18 years and is making $17.00/hr (doesnt seem like much after 18 years in the same...

  25. Possible Complication

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

    Jmo, I see this with new accesses and I go ahead if it concerns me enough schedule them back for a follow-up with thier vascular surgeon as (at least in my previous clinic) it was the same attitude...