DeLana_RN

DeLana_RN BSN, RN

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All Content by DeLana_RN

  1. nausea post dialysis

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    Frankly, I don't know - I don't recall any such c/o in my 5+ years in a chronic unit. Nausea due to excessive UF and/or hypotension is usually sudden-onset and relieved with NS and/or rinseback....

  2. Pick up Malpractice! They went after my license.

    DeLana_RN replied to SuesquatchRN's topic in General Nursing

    I can only add what others have already said: Your employer's insurance will only cover your employer (and you will become the sacrificial lamb if it helps your employer). Anybody can get sued, and...

  3. dialysis tech training

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    The company I worked for until 2 years ago had the same basic training for nurses (RNs and LPNs) and PCTs, and machine troubleshooting was part of it. However, it can take a while for new employees to...

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

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

    Gingbro, I have to agree (also see other threads on this topic), dialysis is very specialized and may well limit your options if you have had no prior acute care experience. As for the manager's...

  5. Removing needle from syringe

    DeLana_RN replied to GM1987's topic in General Nursing

    Regarding PEP, I would recommend that anyone take it after a needlestick, at least until the source pt has clearly tested negative (which doesn't cover the window period, but since the risk is so low...

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

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

    Gingbro, you live in Hawaii? Did you read the thread regarding Liberty Dialysis? Perhaps Fresenius will no longer own these clinics? (I may be wrong here, though, I may have my islands mixed up)....

  7. Epogen

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    All local clinics are owned by a very large, for-profit national company. We have just recently started tracking excessively high hgb data, the local nephrologists (there's only one group practice)...

  8. Breaking news: Liberty takes over the island of Hawaii!!!

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

    Interesting species according to their website... doesn't sound too bad, actually. At least nice for the patients As someone who has worked for a major for-profit company in the past (which has now...

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

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

    Having worked on a tele floor years ago, I can assure you that you don't have to worry about the position being gone - and if so, another one will surely be available (or soon, the hospital nursings...

  10. Epogen

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    Interesting topic. When I left outpt dialysis more than 2 years ago, hgb 13 was the absolute cut-off for giving Epo because Medicare wouldn't pay otherwise; we would get in big trouble if this was...

  11. blood pump stopping

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    Try inpatient/acute dialysis, it's a whole different world. We have only licensed staff (most are RNs), a 1:1 ratio (or better at times, if the pt is very sick), rarely do we need to rush. Of course,...

  12. blood pump stopping

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    If it's a routine K+ level, as in monthly labs, it's no different from the other delayed lab results and really shouldn't affect the pt's next dialysis. But if it's because of a missed tx due to...

  13. blood pump stopping

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    Our Saturday labs wouldn't get picked up 'till Monday - I guess that's how it's done everywhere (of course no routine labs, these were, for instance, CVC exit site cultures). In general, if they are...

  14. Uf Goal

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    It may be that our dinosaur 2008H machines aren't calibrated right... LOL

  15. Self inflicted

    DeLana_RN replied to SCRN1's topic in General Nursing

    that one takes the prize :rotfl:

  16. Why do so many of you hate working med/surg?

    DeLana_RN replied to jollyjenny's topic in General Nursing

    LOL (if It weren't so sad...) On the med/tele floor I worked right out of school, a doctor once found his pt in rigor mortis (well, not quite, but she had been dead for a while) - the best part, she...

  17. Anyone here in a "nursing couple"?

    DeLana_RN replied to heartlover07's topic in General Nursing

    I got my BSN late in life (35), and then my husband decided to go to nursing school! He got his ADN at age 41. I've been a nurse for almost 9 years, and he for almost 6 years; I work in acute...

  18. Uf Goal

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    It's of course OK for techs to discuss a pt's weight, but not adding RB, or not taking off as much as the current EDW suggests, is just avoiding the real issue: the pt's EDW needs to be changed, and...

  19. blood pump stopping

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    That's exactly what makes outpatient dialysis so challenging... and often frustrating. However, try to convince the large providers that they should hire more nurses

  20. Uf Goal

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    It sounds like your tech is not communicating well; there is no way you can return blood without RB! S/he didn't add the RB amount to the UF goal, which is why the pt left over EDW. But the tech...

  21. blood pump stopping

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    Apparently the saline bag ran empty and air infused... that's the likely reason why air needed to be removed from the lines. Or it may have happened during med administration. But I may be wrong....

  22. Uf Goal

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    Apparently, the tech meant that he would not add rinseback to the UF goal*. Therefore, the pt's post-tx weight was 0.4 kg more than his EDW, as would be expected. During your orientation, were you...

  23. blood pump stopping

    DeLana_RN replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    I'm not sure I understand. The patient received 600 cc NS because the nurse had tried to clear clotted lines with saline (this is sometimes done)? If so, you don't necessarily have to change the lines...

  24. Need advice on leaving nursing!

    DeLana_RN replied to HealthyRN's topic in General Nursing

    It sounds like you truly don't want to be a nurse, and are not just "burned out". Why did you pursue nursing as a career? That will give you important clues (money, prestige, ?). If it wasn't, at...

  25. Any new grad ever been let go after 6 month trial period?

    DeLana_RN replied to cjj0603's topic in General Nursing

    You have been given some powerful clues as to what's going on here... take it from someone in a similar situation who didn't pay attention - and ended up being forced to resign by an abusive,...