Lacie

Lacie BSN, RN

jack of all trades

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All Content by Lacie

  1. Advice needed please

    First of all I LOVE what I do. I loved the first day I walked into critical care areas and loved it ever since. After 28 years I decided to try something else. Dont get me wrong as I also found I love...
  2. Chronic vs Acute

    Just my own opinion. I have been an RN for over 28 years with a strong critical care background. I went to chronics 1 year ago and now moving to the acute setting. Remember in acutes you may very well...
  3. Tech vs. Nurse War

    Boy did you hit that nail on the head!!!! I'm currently leaving Davita for many reasons and this is one of the primarys. I have expressed over and over I dont like being micromanaged by others with...
  4. Davita Employees.....

    This is one of the reasons I am leaving Davita myself. Even if they can give saline at thier discretion they are required to inform and document they notified the nurse. The Nurse is also supposed to...
  5. Epogen SC administration

    I'm aware of all the hoopla regarding epo administration. My question is the route of administration. I dont believe the "lower inner aspect of the forearm" is an appropriate nor acceptable practice...
  6. Epogen SC administration

    The justification I was given is now we give it only once per week rather than every treatment with the hope it will sustain in the system longer with less. Personally I believe its nothing more than...
  7. Davita Employees.....

    The Davita clinic I work for has Per diem as they dont want to pay the bennies to part-timers. Also consider if it's a chronic or acute unit. I'm currently in chronics and just gave my 2 weeks notice...
  8. Clamps

    Thanks Delana!! Been a nurse for a long time Davita has just about scared me to death of chronics due to the safety issues on a daily basis. My license is too important to me then profit sharing lol....
  9. Clamps

    I currently work in a chronic unit and they routinely use 2 clamps even on pts who are entirely capable of holding thier own sites. On a personal opinion I dont like them at all! Most of the time pt's...
  10. Look at your overall benefits!! Do they have vesting, do they have matching for 401K, if single do you get free insurance or pay? I'm leaving Davita at $22.00/Hr to go to another company at $26.00/hr...
  11. Offered a Position

    Just keep in mind the units is only as strong and or supportive as the administration behind it!!! The first thing I have learned to ask is "what is your turn-over rate for various staff?". How long...
  12. Boy did you hit this nail on the head!! I couldnt agree with you more is why I'm on my way out the door myself!!! Dont forget pushing the mop and doing all the cleaning because they have sent everyone...
  13. Charting Help Needed...

    I usually chart what they may be doing at the time: appears to be resting with eyes closed. watching tv with no apparent s/s or complaints of discomfort reading book. Tolerating tx at this time w/o...
  14. http://www.forbes.com/lists/2006/12/IPFN.html (AcuteRN posted this one previously) Ken Thiry recieved over $27 Million for this past years compensation package, yet we cut staff to the bone. Next the...
  15. is dialysis less stressful than med surg

    I agree with the exception of the "footwork" in chronics. I worked open heart/trauma and burns for over 20 years and find I am stagnating in chronics. I feel more that I'm running an assembly line...
  16. You're very fortunate if well staffed in a Davita unit particularly with the recent cutbacks. I worked last Saturday as the only licensed in the unit (building for that matter) and 2 techs. We run 3...
  17. I currently work with Davita and when I first started there about 9-10 months ago I was impressed with the "pt first attitude". In the last 2 months that has seriously changed and the "do it the...
  18. I work for Davita and have yet to see any patient isolated for MRSA, VRE, or Hep B. We do internal bleaching of the machine in between pt use only if HIV/Hep. Of late we have seen our share of MRSA...
  19. I currently work for Davita and have been for a total of 7 months now. From day 1 i have been essentially the only licensed person on the floor and have no more than 3 pcts to work with. We have 14...
  20. How big (or small) is your unit?

    Sorry for the misunderstanding. What I meant was I know of other units that work shifts, we do not as most others probably. The RN is usually first in at 4:30/4:45, then 2-3 Pcts come in at 5:00am. We...
  21. How big (or small) is your unit?

    14 Hemo chairs and we run 3 full shifts staffing the same staff from open to close 6 days a week. Usually one licensed and the rest pct's (2 -
  22. Need Info On Davita..........

    I beleive it's the company as even my FA comes in and works the floor in order for me to get more than 1 day off in a row. We are now down to one RN (me) and the FA (also an RN), other than that our...
  23. LVN's in chronic units

    Am I missing something here? I am an RN, BSN and I still get up early, set up machines, stick pts, put caths on, give meds, take pts off, assessments, careplans, phone calls, monthly pt notations in...
  24. Need Info On Davita..........

    I clocked out last night with 16.48 hours for the day. Started out with 2 PCT's and myself as the only licensed person in the building for the day and ended the same way. 14 bed unit with 3 full...
  25. salary rate

    I think this all depends on the type of FA you have. The Davita facility I work for kept me on the regular orientation schedule which was approximately 3 months before I started taking charge. Also...