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when your manager closes the clock, he/she is to add the different differentials such as critical needs, float pay, preceptor pay and the amount of hrs, charge to the appropriate unit prior to closing. He/she can complete a timecard adjustment and fax to payroll to be added the the following paycheck. But like the post earlier, there is no set critical pay grid, it is approved by the RVP depending on the need and is clinic specific. Most RVPs have gone away from it.

You can ask for a copy of the assessment. It is pretty interesting reading it.

I make out the schedue for my 30 stn unit. Right now my nurses alternate 4 and 5 days a wk as we are down one rn right now. cchts.. i have 2 that want 5 days a wk, but most are 4 days a wk. nocturnal is only 3 nights a wk ( 1 rn, 2 cchts). i try not to do 4 days straight as it can get tiring and i would need a mental break also nice to ave a day off when kids are in school:)

How many of you fellow RN's work with nurses thast do not know how to string the machine, initiate and terminate txs? I am flabberghasted that some do not know the basics....just wondering:confused:

I expect a nurse to know how the string, initiate and terminate a tx. Not that you would be doing it everyday and have a pod, but call outs do happen and workloads get shifted if no one can come in and help.

Renal123, OMG!!!! like you guys said before, this happens everyday in pretty much every unit!! We can't help those that don't want to be helped. I can't believe you were fired for this. I am sure there are progress notes on their non-compliance. Did you make a detailed pre assessment note and noted that you called the MD? Hope so, then file a wrongful dismissal. Sure is frustrating...I don't even know you and I am upset about this! Holy Ham Sandwiches!

I would do a walk in. When I was a manager, I was told to always accept a nurse resume as we are not as easy to find as oppose to a tech. If I didn't need one I would then talk with one of my sister units in need. Now that was in 2007. I do see CMs talking to walk in nurses. There is def need, at least in NC. So keep at em! Good Luck

The last code I was involved in seemed to be textbook. Everything went exactly how it should. AND had a good outcome. He walked in got his bp cuff on, standing pressure good....then BAM full cardiac arrest. Had a wonderfull knowledgeable team. Even the other pts complimented on how well we handled it. Still, don't want to do it again. We do a mock code quarterly. Probably why we all knew our role, what to do and how.

As a float RN in a region, I enjoy the change. I cannot see doing that as a new RN esp new to dialysis. I have done acutes, charge and manager before being a travel nurse, then started floating. Every unit does the same thing a little different. Just have to know what is required. As a new nurse you already have alot of self doubt and second guess yourself, THEN may have experienced techs take advantage of you. Not a good scene for you. I agree with fanfan8787rn, acutes was pretty interesting. Then you can handle almost anything!

I am seeing the CMs working the floor 3-4 days a wk, kick out the CCHTs and RNs as fast as you can just to meet TAP. Despite that one unit was still over by 6hrs. How can that be? That CM was there 7days trying to work the floor and managerial stuff. I don't see the CMs lasting too long. I see a disaster in the making. Wait til there is only 1 RN, 2CCHTs for 15pt (5:1) and all coming off, wanting off immediatley.. one bleeding out, another cramping, another with low bp standing, etc... no sec to answer calls of when is momma ready?... don't forget post assessment and fill out adverse advents/proton note for anything "not normal" Dang....and get off the clock ASAP! all to satisfy bottom dollar??? while we jeopardize lives d/t not enough hands!!!! or is it just my region?? And of course knowing the company will terminate you if you did not do it all despite not having the opportunity to do it. Gotta triage as to what is the most crucial event at that moment...aaarrrggghhhh

Expect a headache and belittling. Only the Davita way of things is the "right way" You will be looked down on. Just my experience, not nessarily others during the Gambro buyout a few years ago.

Davita used to when I worked with them years ago. We had a well paid tech from CA move to NC and kept it all! Let us all know what FMC does. They should and our area in NC needs RNs badly!

There should be an bone algorithm in your standing orders. Also, talk with your dietician. They will be an excellent resource person. Plus this is their area of expertise! Use them!

Our docs want Vit D held for phos greater than/equal to 7.0.

Have you tried Supplemental Healthcare?