DeLana_RN

DeLana_RN BSN, RN

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  1. Write-Ups & Disciplinary Action

    DeLana_RN replied to TheCommuter's topic in General Nursing

    But what if the facts are misstated or incomplete (from the perspective of the backstabber who is of course CHA)? Should you not write the facts as you see them as a response to the write-up? Would...

  2. So How Long Does the Misery Last?

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

    Wow, that chair must have had good venous pressures... fortunately, if this happens with the arterial needle, the AP alarm should immediately go off - unless it's one of our dinosaur Fresenius H...

  3. So How Long Does the Misery Last?

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

    Indeed... do you have any further info on these cases? A quick Google search turned up nothing (of course it might not). Of course, arterial bleeding that cannot be stopped (as from a dialysis access...

  4. Good Bye to Nursing for me...

    DeLana_RN replied to healer27's topic in General Nursing

    Healer, It seems that preceptors from hell are the norm in nursing - believe me, you're not alone. The first year out of school is hard, no matter where you are; it's nice to have a nice preceptor (I...

  5. What makes you nervous about or irritated with a new grad or orientee?

    DeLana_RN replied to GardenDove's topic in General Nursing

    ... and I appreciate your input. I'm not new to dialysis (having done it for 5+ years in an outpatient/chronic clinic), but I'm new to a hospital inpatient/acute unit. My preceptor is pretty...

  6. Can you live without Kidney's?

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

    Agree with pp, living without kidneys is indeed possible. Some dialysis patients actually have their kidneys removed after developing ESRD because they cause certain problems (as in a recent pt of...

  7. So How Long Does the Misery Last?

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

    I agree that trainees and inexperienced staff should not attempt to flip needles as a feel for the vessel or graft is needed and it takes time to develop that. If done incorrectly, graft coring is a...

  8. So How Long Does the Misery Last?

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

    You have my respect. When I worked in chronics (5 1/2 years), I had to get up at 4:00 and it just about killed me - but then again, I'm not a morning person. I agree with you, HD is very challenging...

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

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

    jen, I'm sorry to hear this. I'm not surprised, though; like I said before, the only time a PCT with a major attitude (unfortunately, not unusual in this setting) acted as preceptor in the clinic...

  10. Why are nurses such back-stabbers?

    DeLana_RN replied to RNforLongTime's topic in Patient, Colleague Relations

    So wrong - in the dialysis clinic where I worked for 5 years we had a male LPN who put women to shame with his backstabbing and passive aggressiveness; as my husband (an ICU RN) confirms, men like to...

  11. Why are nurses such back-stabbers?

    DeLana_RN replied to RNforLongTime's topic in Patient, Colleague Relations

    .....

  12. What age were you when you went to nursing school?

    DeLana_RN replied to Imissthefall's topic in General Nursing

    I got my BSN at age 35. DeLana

  13. Advanced Practice Nurses in Chronic Dialysis Units? Anybody else have them?

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

    The outpatient clinic where I worked for 5+ years did not have APNs, although I think it would be an excellent addition to the nephrology practice. In my area, 5 nephrologists cover 6 clinics; they...

  14. salary rate

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

    I had to take a pay cut (basically, the same hourly pay I made with a large national dialysis company two years ago - which I had to fight for as the hospital initially did not even want to match...

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

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

    I'm sure the final sign-offs will be with an RN (often the nurse manager). However, if this is not the case, run!!! (I doubt it though.) Good luck, let us know how it is going. DeLana

  16. bevel up or down?

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

    The buttonhole technique is the best method for cannulating a fistula, which has been used in Europe for years. However, too few units currently teach or practice it in the U.S. In a nutshell, with...

  17. Nursing intervention?

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

    I'm an RN who worked in an outpatient dialysis clinic for 5+ years; our standing orders/protocols included giving Vancomycin 1 gram for up to 3 doses while culture results were pending for presumed...

  18. bevel up or down?

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

    I'm currently training in an inpatient/acute hospital setting; my preceptor is doing some things that I don't agree with or even know are incorrect. But I'm not about to disagree with her or challenge...

  19. Nursing intervention?

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

    I should have added to my reply (and almost did) that many clinics have standing orders or protocols for such a scenario; in this case, you might still call the doc as a courtesy, or mention it if...

  20. Nursing intervention?

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

    Agree with pp, chills usually indicate an infection (often, the perm cath is the source). Call the MD, who will usually order blood cultures and antibx. Of course, make sure the A/C isn't on deep...

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

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

    Yes, PCTs can be preceptors for part of the training; however, these should be very good, mature, experienced PCTs who know their limitations and don't have an "attitude". When I worked in a clinic,...

  22. So How Long Does the Misery Last?

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

    I'm certainly no expert, but after 5 years I do get a few sticks In general, we were taught to always stick bevel up, and I normally do this. After entering the fistula/graft you may carefully flip...

  23. So How Long Does the Misery Last?

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

    Flyingsolo, I'm not trying to discourage you by any means, but in general it's best for dialysis nurses to have at least 6 months to a year of hospital experience; the reason for this is not the...

  24. "I don't want to do bed side nursing"...SAY WHAT!

    DeLana_RN replied to lauralassie's topic in General Nursing

    LOL - dh works in CCU and he sure wipes a lot more butts than he charts or passes meds (at least it seems that way to him). DeLana

  25. So How Long Does the Misery Last?

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

    Thanks, I needed that - I'm starting tomorrow!