sissib

sissib

Med/Surg, Rehab, Burn, dialys

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All Content by sissib

  1. Need Interview advise after terminated!!!

    sissib posted a topic in Job Search, Interview, Resume

    I need advise from seasoned nursing management regarding how to answer the dreaded question of, "Why were you terminated from your last job?" Grad LPN 2006 first job in skilled nursing facility, I was...

  2. 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

  3. 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...

  4. 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

  5. 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...

  6. 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,...

  7. 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...

  8. 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...

  9. 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...

  10. 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

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. LPN's in Dialysis ?

    sissib posted a topic in Dialysis, Renal, Urology

    Do any of you know if dialysis units hire LPN's? there is a Fresenius unit close to my home applied today. I have 2 yrs LPN experience in LTC but would like something more

  16. 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...

  17. 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...

  18. What Is It Like for An LPN working In a Dialysis Clinic?

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

    I am LPN in dialysis for 8 months. We do everything RN does except IV push meds (state regulation). And then we also do everything the techs do too. I think all this differs at each facility. Just ask...

  19. LPN mistreated in dialysis

    sissib replied to LPN30's topic in Dialysis, Renal, Urology

    Thanks, Delana, for your reply. Our managment staff seems to have problems too. I have seen 3 nurse managers and 2 clinical directors and last administrator leave in 7 months. I love dialysis the pt...

  20. LPN mistreated in dialysis

    sissib replied to LPN30's topic in Dialysis, Renal, Urology

    Sounds very typical for a dialysis unit. I see a lot of information on this specialty of techs running the unit. We have no unit clerk or janitor and our cleaning crew will not empty the hazardous...

  21. very nervous: Narc missing!!

    sissib replied to Ms.RN's topic in Geriatric, LTC

    I have gone thru similar situation x2 at same facility. I felt I was set up but they could not prove where the meds were taken. The RN who counted with me took home a 1/2 full bottle of Roxanol and...

  22. Help!!!! need to choose between Dialysis or LTC

    sissib replied to Faith25's topic in Dialysis, Renal, Urology

    After working in both, I will take dialysis anyday! We are busy all day and not always crazy but dialysis can keep you on your toes. Those patients can go bad very fast. Your nursing assessment skills...

  23. fired

    sissib replied to cccc's topic in Geriatric, LTC

    I had a similar situation, I was honest at all interviews but not specific about the details, they don't need details and most do not want details. I told them I was fired without any sort of formal...

  24. struggling with learning the dialysis job

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

    You are normal, don't give up yet, ask your manager if you can switch mentors before you decide you can't do this. I have a great trainer and have had a couple others fill in on her days off. There is...

  25. Is it like this in your facility?

    sissib replied to lexibear99's topic in Geriatric, LTC

    Sounds like a lot of undercurrent with upper management there that is not visible to staff. Good luck, but not all facilities are that bad. We got new DON and so far she fired one nurse, cause she did...