koyeh

The rep. just says per your hospital policy. I think they fear lawsuits etc if they recomend anything. Thanks

Thats my problem, I'm soppose to develop a policy & "train" everyone. It's simplistic to use, turn it own, set temp. apply to tubing. The doctors will not answere any of my questions regarding temp. etc... They have said, its a doctors order ...

I've worked 23 years in nursing and have done trauma, SICU and now MSICU. What I've learned is that there are challenges at all of them. What makes the biggest difference is who you work with. If your a tight crew and help each other out the job i...

CRRT & Hypothermia: What temp. do you consider cold and start trying to warm the patient with either a heating blanket or some other warming device? The reason why is our renal doctors want to run the patient cold so they vasoconstrict and requ...

Our hospital propofol is 24 hours. started out every 6 hours then went to 12 hours and now 24 hours. This all came from a study someone did. Our infections rates are unchanged with the 24 hour change.

Tubing 72 hours, TPN,propofol, ativan, and antibiotic tubing 24 hours

We are getting new prismaflex machines with an external heater. The heater can ge set up to 40 C. Does anyone have a policy regarding the heater regarding what to set the temperature at? Thanks

Our hospital went with Gambro and prismaflex, looks like a good move. They provide education and answere questions quickly.

We do quite a bit of CRRT and they are starting to do it earlier and the sucess rate has improved. Yes people make it.

Hi, I know its been months since your question but I felt like a response is in order. It seem most hospitals have very poor education regarding CRRT. At our hosp. Get 4 hours training with the machine (set up, trouble shoot etc.) Thinking about ...

Hi, yes I work at Mission. I am a diploma nurse, worked a couple of years and went back to college to get my BSN. Thought about a masters etc... really don't see the advantage yet. I like the idea of working in the ICU and coming home and forgettin...

You are correct, I have no clue how they handle it in Aussie/canada. So I'll keep my big mouth shut on that subject. Continue, to talk w your preceptor. She/He has been there and will be able to give you advice on how to handle rolling eyes without...

When our floor went to computerised charting even the family commented how much time the nurses spent on the computer. Heaven forbid, your patient crashed. Now you don't think about it( year later). Click check the vitals and if there right, hit s...

Tried the dialysis nurse being responsible for prisma at first and it failed miserably. The ICU nurse wants control. Crrt: no matter what method is here to stay. I see a huge learning curve in the future. Thanks for the info.

I precept alot and I would rather you ask, then do something & find out it that it was a major mistake. I don't trust people who try to force there way thru. My advice keep asking, talk to your clinical educator, maybe u need a new peceptor. NOt ...

Baxter users: Is there good support? Clinical and technical? I know there is an FDA hold but there is on gambro also.

Any SLED users? Is a dialysis nurse responsible for the machine and rotating b/t patients? Nurse for care only.

Thanks, for the answere. There is a huge difference in costs b/t prismaflex/ Fresenius and that seems to be running the negotiations at this point.

Yes they have an IV team.

Our hospital is currently looking at the Fersenius machine for crrt and sled. Are there any other major concerns besides the large blood loss if the filter clots?

Wow, I really like the idea of nurses adjusting per intake and would miss the freedom to adjust. Actually we just had a new nephrologist that wouldn't let us adjust and learned very quickly the nurses were unhappy with his style and now lets us do t...

Our Patients 1:1, This causes staffing shortage. Is anyone doing a call sheet for CRRT? How does it work?

What product are you using and are there any issues? We are currently using prisamflex: Had a lot of issues when we changed from prisma to prismaflex. The machines suddenly malfunctioned- pumps going crazy and the machine had to be taken for servi...

What machine are you using? Are they User freindly? Our nephrologist are looking and we want a nursing freindly machine.

I do mine at the top of the hour. You add up all the fluids going in and set that #as fluid removal if running even. 50 less if negative, 50+ if running positive. You usually know if your going to hang an antibiotic and can calculate that in, etc.....