sissib

sissib specializes in Med/Surg, Rehab, Burn, dialys.

Latest Activity

1. Fresenius medical care...taking over dialysis unit HELP!

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

   they are probably checking Hep B titer. Have you had the HepB vaccine series? Did you sign a consent for them to draw your

2. Do LPNs/LVNs have to give up their license to work in dialysis?

   sissib replied to Let's help out's topic in Dialysis, Renal, Urology

   Most places you do not have to "give up" your license to work as a tech. I would try other facilities. I assume if you work as a tech for over 1 yr your LPN license would become inactive unless you...

3. how low of BP is too low to run a pt in chronic unit

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

   Some pt's we would recommend they not take their BP meds on day of dialysis if they always come in with low BP. Our Dr's wrote standing orders to do that. I would not send anyone home with

4. Late minute calls for private duty work

   sissib replied to Blackcat99's topic in Private Duty

   This is certainly not what families need to be going through. I am starting my first HH private duty position next month with agency that does mostly peds. I have noticed about every 3 months they are...

5. too hot in the home

   sissib replied to tjmschet's topic in Private Duty

   Yes, speak to your supervisor. Most HH co's will assist families with getting room AC just for the patient. That must me hard on the patient also. If pt is ill enough to require private duty nurse,...

6. Fresenius medical care...taking over dialysis unit HELP!

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

   Keep in mind the new federal reg's for incenter chronic hemodialysis. That will now drive the "$ meaning more than Pt care" that is now happening all over the country now. Some units are encouraging...

7. Clinic not for me?

   sissib replied to erika.RN's topic in Ambulatory Care, Clinic

   The best advice I can give is stay there and tough it out. In this economy all other nursing jobs are so stressed out, feel like they are pulled in 10 directions at once. You have your whole career in...

8. Dialysis Staffing

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

   I feel for you. I worked in a Nonprofit facility. 28 pts, 4 rn/lpn's and 6 techs. There would also be a charge nurse to answer the phone and sit on her butt. I would have at least 2 UTI's per year. We...

9. What should EVERY nurse know about Dialysis

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

   How important pt compliance is with diet, fluid restriction, and taking their meds as

10. What should EVERY nurse know about Dialysis

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

    The best time to eat is not while on the dialysis machine. Some of pt's blood is in the bloodlines, while eating, a lot of blood goes to digestive system. That leaves brain and heart:redbeathe short...

11. Dialysis Staffing

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

    Try a non profit unit. The one I work in used to be pretty bad, but all new management has got us up to full staff. One Rn per 7 pts and one tech or lpn with the rn, then we usually have a float tech...

12. Dialysis Interview for LPN...HELP

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

    Dialysis is all this and more. Especially LPN. You will need your nursing skills and tech skills too. I too was LPN only 2 years when I went to dialysis and I do not regret one day I spend there. Sure...

13. Has anyone seen a pt involuntarily discharged???

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

    Yes, we had one pt that kept messing with her needles while on tx causing her to bleed all over, we documented verrrryyyyy well and the doc had her sent to psych for 96 hr hold and then she was not...

14. Feeding patients

    sissib replied to Mother Goose's topic in Dialysis, Renal, Urology

    Yep, the rolling coolers are great. They would fill them with ice from our ice machine until the machine "broke". No ice machine for 6 months and they are complaining, "when will we get our ice...

15. Feeding patients

    sissib replied to Mother Goose's topic in Dialysis, Renal, Urology

    I love your response, GeauxNursing! We have a guy who brings his roll up camping mattress to put in the chair, luck has it his loyal wife has to carry it in and out and roll it up. Next, they will...