DeLana_RN

DeLana_RN BSN, RN

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All Content by DeLana_RN

  1. Dialysis RN seeking staffing info

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

    That's a lot! Do they have to put 5 permcath pts on one team with only one RN? And the RN has to give all heparins and, I assume, do all assessments before the pts are put on? I can only imagine...

  2. dialyzer streaking

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

    Of course, I don't know who told you, but I have found in 5+ years of working outpatient dialysis that there are some nurses who would rather not be bothered with doing their job - well, let me...

  3. K+ bath

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

    I doubt that, since it wouldn't be a good idea if they already have a high K+ - and in an outpatient setting, how would you know? DeLana

  4. sureseal bandaids

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

    They used to pay for it - Gambro did until 2004 (I believe), and then it became a casualty of cost cutting. All our pleading (staff and patients alike) did no good to convince them that they were not...

  5. differences in dialysis between UK and US

    DeLana_RN replied to suzanne7575's topic in Dialysis, Renal, Urology

    You're describing what is probably a worst-case scenario. Work conditions and pay vary widely, you have to choose carefully - but that's true with any job. At my former clinic I used to start at 5:00...

  6. backstabbers, 2-faced coworkers

    DeLana_RN replied to chenoaspirit's topic in General Nursing

    Some people hate you because they think you are bad (compared to them - in their opinion, of course), others because you are good (threat). Some even dislike you because you help them - because they...

  7. SENIOR IN NURSING SCHOOL FACING HUGE PROBLEM...please help

    DeLana_RN replied to JNogueira95's topic in General Nursing

    No advice (I'm sure others have it), I just wanted to say that this is so wrong!!!! And yes, they could have certainly grandfathered in all remaining classes, the policy will still be implemented. I...

  8. RN- Is This common practice in Dialysis Training?

    DeLana_RN replied to jen75RN's topic in Dialysis, Renal, Urology

    calla, sorry if I implied anything, I knew my post could be misunderstood. But you are right, it sounds like this nurse had some serious problems if she failed to find out why the machine kept...

  9. LTC 2 Dialysis

    DeLana_RN replied to Schmoo1022's topic in Dialysis, Renal, Urology

    Although most companies and hospitals prefer prior acute care (even ICU - they don't ask for much ) experience, and may post that in their ads, don't be fooled by that. They will hire nurses from...

  10. differences in dialysis between UK and US

    DeLana_RN replied to suzanne7575's topic in Dialysis, Renal, Urology

    I've done both outpatient dialysis and now inpatient/acute; the outpatient unit did pay about $2/hr more than the hospital (I had to fight to get the same pay I made two years ago in outpatient!), but...

  11. RN- Is This common practice in Dialysis Training?

    DeLana_RN replied to jen75RN's topic in Dialysis, Renal, Urology

    Do you know why it took so long? Perhaps the permcath was clotted, and the nurse had to instill TPA; this can take a long time. This is a typical example of techs not really understanding a nurse's...

  12. dialyzer streaking

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

    Clotting of fibers in the dialyzer usually indicates that not enough heparin was used during the tx. Or, if heparin is not advised, that the dialyzer was not regularly flushed with saline during...

  13. K+ bath

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

    Good question. 2K is the "standard" dialysis bath, for the obvious reason that most patients need to have their K+ level reduced; however, there are a few exceptions, and the nephrologist will usually...

  14. fistula info for the non dialysis RN

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

    A doctor's order will allow you to use a dialysis access, especially in an emergency. But even floors and ICUs often use permcaths (the double-lumen central lines you mentioned) if they have trouble...

  15. RN- Is This common practice in Dialysis Training?

    DeLana_RN replied to jen75RN's topic in Dialysis, Renal, Urology

    I don't understand this. Does your state not require that each and every pt be assessed for heart and lung sounds, edema, neuro status and other problems? Usually, this has to be done by and RN or...

  16. RN- Is This common practice in Dialysis Training?

    DeLana_RN replied to jen75RN's topic in Dialysis, Renal, Urology

    Are you the only nurse in the early morning, or do you have experienced LPNs with you? If you're the only RN with techs, then I would say the answer is a clear NO. After 6 months - and everyone knows...

  17. How do you know when it is time to quit your job

    DeLana_RN replied to CCURN's topic in General Nursing

    I think you already know. I know I did in each of the jobs I finally quit, but - like many people - I made excuses for the things that I didn't like and/or were bad. Humans, and especially women, just...

  18. Dialysis RN seeking staffing info

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

    Wow, an RN having to put on 4 pts and work with a PCT (which I assume means assessing all their pts and giving their heparin, although this varies from state to state) sounds excessive. When I worked...

  19. What is the silliest complaint someone has ever made aboutyou?

    DeLana_RN replied to SharonH, RN's topic in Patient, Colleague Relations

    Hmm... let's see... which one? How about the black agency CNA who showed up with a major attitude and didn't like that I politely (which is my way) asked her to do her job... so she told all my black...

  20. incident reports punitive?

    DeLana_RN replied to wrkoutgirl's topic in General Nursing

    Never heard of this, but I thought that sharps are no longer allowed in hospitals if something safer is available? In any case (and I know how it is, when I worked in a dialysis clinic we had nothing...

  21. Deathbed visions

    DeLana_RN replied to SCRN1's topic in General Nursing

    I know exactly what you mean. Although I haven't personally witnessed a pt have such a vision, my husband - an ICU nurse - has. A friend also recently told me that her dying grandmother looked at...

  22. Oh God, A NURSE is my pt!!!!

    DeLana_RN replied to CaLLaCoDe's topic in General Nursing

    I'm currently orienting in an acute dialysis unit (I have 5 years chronic HD experience but hadn't worked in a hospital in 7 years!) To my horror, one of my first patients' sitter told me she was a...

  23. Does anyone know ?????

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

    If you work for a large dialysis provider, such as DaVita, your employer is well aware of what LPNs and PCTs are allowed to do in each indiviual state*; your manager should know and advise you...

  24. differences in dialysis between UK and US

    DeLana_RN replied to suzanne7575's topic in Dialysis, Renal, Urology

    Hi, there, you're probably aware that the U.S. has quite a different health care system, mostly private, but not all hospitals are for profit (although most are private). ESRD is the only disease...

  25. Leaving your first nursing job, how hard was it?

    DeLana_RN replied to chenoaspirit's topic in General Nursing

    Not hard at all, considering that my evil head nurse forced me to quit after only 11 weeks (none of the things she wrote me up for was even remotely true, I guess I just didn't fit into her little...