DeLana_RN

DeLana_RN BSN, RN

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  1. Reuse

    DeLana_RN replied to penem10's topic in Dialysis, Renal, Urology

    The clinic where I used to work did reuse; I'm not sure exactly what kind of log you refer to, but I do know that extensive records were kept. Each dialyzer had the pt's name and other info...

  2. Dialysis Staffing

    DeLana_RN replied to CocoaGirl's topic in Dialysis, Renal, Urology

    It seems that most clinics use the 1:4 ratio. I agree, that's a lot. Been there, done that (even RNs occasionally had to do a "pod" of 4 stations in my former clinic - oh, my, turnover was a...

  3. Quit or get fired?

    DeLana_RN replied to GGCC's topic in General Nursing

    I have to agree with Leslie here, I smell a rat. Why? It happened to me. First job, oncology unit, head nurse had a bad reputation, but I was so naive. I thought just doing my job as well as I could...

  4. Fellow RN died this morning.

    DeLana_RN replied to Ali_Oop07's topic in General Nursing

    I'm so sorry for your loss. ((( Hugs )))

  5. What should be done about this? Unbelievable backstabbing...

    DeLana_RN posted a topic in General Nursing

    I'm still shocked about something that happened two days ago. A good friend of mine works in a department where we sometimes dialyze pts. Well, we have basically a good unit except for one...

  6. What should be done about this? Unbelievable backstabbing...

    DeLana_RN replied to DeLana_RN's topic in General Nursing

    Believe me, there's a lot I would like to tell the bully, or my manager, about this. But after calming down and thinking this through, I - and my friend - decided that the best course of action would...

  7. In nursing uniform during a traffic copstop!

    DeLana_RN replied to Suninmyheart's topic in General Nursing

    It seems that in general cops are lenient on nurses; however, not always. I had an unfortunate encounter with a rookie cop (who obviously hadn't learned that yet who accused me of driving drunk - on...

  8. I had just had it with my job!!!(long)

    DeLana_RN replied to OklaLPN's topic in General Nursing

    Ughhh... poor time management - the standard excuse Good for you for quitting, she didn't deserve any notice! I'm sure you will find something much better (haha, when will they finally understand...

  9. What should be done about this? Unbelievable backstabbing...

    DeLana_RN replied to DeLana_RN's topic in General Nursing

    Again, thanks to all of you for your support; it means a lot. I still think about this a lot and feel like I've been beaten up! This alternates with thoughts of "she's finally going to get what she's...

  10. What should be done about this? Unbelievable backstabbing...

    DeLana_RN replied to DeLana_RN's topic in General Nursing

    My friend was defending me, although she should have probably ended the conversation when it began; she was just taken by surprise, not having suspected anything like this (she often tells my...

  11. What should be done about this? Unbelievable backstabbing...

    DeLana_RN replied to DeLana_RN's topic in General Nursing

    Thanks to all for the suggestions and comments. Just to summarize the facts, "Bully" is the usual charge nurse in my acute dialysis unit; she has been harrassing coworkers for years, but nobody has...

  12. Peritoneal Dialysis monthly Clinic visits

    DeLana_RN replied to chatty-rn's topic in Dialysis, Renal, Urology

    The company that runs the local dialysis clinics (DaVita) has a separate PD clinic staffed by 2 RNs who do nothing but PD. I think your set-up is unmanageable, and it sounds like you are getting no...

  13. No-Heparin Patients - Bolus vs. Constant Infusion NS

    DeLana_RN replied to happybunny1970's topic in Dialysis, Renal, Urology

    Hi, I know what you mean about the no heparin tx's, we have quite a few of those in my acute unit. Our protocol calls for priming the system with an NS bag that has 5000 U of heparin added to it; I...

  14. How back friendly is Dialysis Nursing?

    DeLana_RN replied to nurswiss's topic in Dialysis, Renal, Urology

    I'd say, not very. In chronics (outpatient dialysis), you have to transfer pts from w/c to dialysis chair, lots of bending, stooping, lifting (I was required to lift 40-50 lb bags of brine for the...

  15. Doctor Practices that Dump Patients

    DeLana_RN replied to FireStarterRN's topic in General Nursing

    Are you sure you want to be a pt in such a practice? What if you have to change your insurance (and what kind of a reason for dismissing pts is that anyway)?

  16. The field of Nursing is wicked to CENAs..the ugly side no one talks about

    DeLana_RN replied to Ms. Nurse Assistant's topic in General Nursing

    It's possible this LPN is picking on you because you're in RN school (and could be her boss one day. For this same reason, her behavior is pretty stupid). When I was in nursing school, I worked as a...

  17. does Ultrafiltration causes hyperkalemia?

    DeLana_RN replied to elmatador_68's topic in Dialysis, Renal, Urology

    If you are just ultrafiltrating the pt (i.e., running him/her in bypass), you would not remove any K+ (or other substances), just fluid. Of course, the total body K+ would not change, but due to...

  18. What time does your shift begin? 7? 8?

    DeLana_RN replied to amy0123's topic in General Nursing

    My acute dialysis unit is open from 0630-2000, we work various 8- or 10-hour shifts. Mine is 0930-2000 (I would prefer to get out sooner, but if I wanted to work 8's it would be 1130-2000, which is...

  19. "You put me and my unborn child's life at risk"

    DeLana_RN replied to TigerGalLE's topic in General Nursing

    What an incompetent [unprintable] - if she really didn't know (a) that nurses don't diagnose, and (b) that she is responsible for protecting herself. I would have been furious too, and probably stewed...

  20. I don't want to come to work on my days off.

    DeLana_RN replied to Wheaties's topic in General Nursing

    At least they're asking you, where caller ID can be very helpful (I never pick up my phone if I don't know who's calling!) When I worked med/surg-tele as a new grad, the hospital had the nerve to...

  21. What skills do Dialysis nurses use?

    DeLana_RN replied to JillRNColorado's topic in Dialysis, Renal, Urology

    Hi, pp has summarized the clinical skills in the outpatient/clinic setting it very well. In acutes/hospital dialysis, we may do much more, including Foleys, NGTs (those of us who dare, LOL), and other...

  22. Possible Complication

    DeLana_RN replied to PLTSGT's topic in Dialysis, Renal, Urology

    Agree with pps, this is vascular access steal syndrome. I'm just surprised that the neph is not concerned... I'm sure the vascular surgeon will be!

  23. is dialysis less stressful than med surg

    DeLana_RN replied to lillady1225's topic in Dialysis, Renal, Urology

    Yes, fluctuating pt census is our biggest problem as well. Since I'm PRN (I have toddler twins and don't want to work more than 1-2 days/week at this time), I'm the first to get called off when the...

  24. Chronic vs Acute

    DeLana_RN replied to nursejllrn's topic in Dialysis, Renal, Urology

    Agree with pp, I would strongly recommend experience in med/surg or critical care and chronic dialysis before doing acutes. Few hospitals still have an acute unit (mine is one of the few that does)...

  25. Advice needed please

    DeLana_RN replied to JillRNColorado's topic in Dialysis, Renal, Urology

    I have to agree with others, although I love dialysis I did not love the chronic, outpatient environment. The reasons have been mentioned before and include a lot of responsibility (on Saturdays, I...