DeLana_RN

DeLana_RN BSN, RN

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All Content by DeLana_RN

  1. Do Rns Clean The Urine And Bowels

    DeLana_RN replied to Dashing's topic in General Nursing

    Yes, there are (e.g., management), however to get there you will have to make it through nursing school and most likely other areas of nursing that require total patient care. Pp have given you good...

  2. CONTINUED IN WHAT IS THE MAJOR REASON Why are they all leaving?

    DeLana_RN replied to artistnurse's topic in General Nursing

    Amen. DeLana

  3. CONTINUED IN WHAT IS THE MAJOR REASON Why are they all leaving?

    DeLana_RN replied to artistnurse's topic in General Nursing

    When I worked med-surg/PCU as a new grad with impossible ratios (1:8 on day shift!) I did this all the time; I can use the BR very quickly - you don't have to actually sit on it! - but use it I would....

  4. advice on using TPA for catheters?

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

    I have to agree with pp, the patient needs to be sent back to the vascular surgeon. Frequently, they don't test the perm cath at all after placement and depend on the dialysis nurses to let them know...

  5. Man, I blew it

    DeLana_RN replied to willdgate's topic in First Year After Licensure

    How are you scheduled? The only reason I hated working nights (7-7) on a PCU was because of the horrible scheduling - one, off, on, off - which means that I had to constantly switch back and forth...

  6. Organ Donation and Homosexuals

    DeLana_RN replied to mysticalwaters1's topic in General Nursing

    I used to donate blood and platelets on a regular basis; in 2002 I was banned due to risk of "mad cow disease". Why? Having been a military dependant in Europe for more than 6 months in the early...

  7. Deeply saddened.....

    DeLana_RN replied to TXNurseBSN's topic in First Year After Licensure

    Isn't it ironic - this is how it used to be, with the old diploma programs. These nurses were truly prepared to start out running because they had already done it - in school. Alas, no such thing...

  8. So overwhelmed! I can't do this

    DeLana_RN replied to Bluestem's topic in First Year After Licensure

    That's a very heavy load, even for an experienced PCU nurse. For a new grad, it would be overwhelming. I've worked cardiac step-down as a new grad and I know. That said, I think it's way too early to...

  9. Catheter care

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

    Yes, I was aware of the CDC guidelines regarding alcohol-based hand disinfectants; therefore I bought and brought my own, which I used in addition to washing my hands whenever I could. I was shown...

  10. What to do with noncompliant patients???

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

    That sounds like a great incentive! Miss x tx's, lose your spot. I think this would work (and how can they argue with that?) DeLana

  11. Monthly progress notes on dialysis patients

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

    That's great! We actually had to do these incidental notes in addition to the "official" progress notes, most of which were really unnecessary because all of the info could easily be derived from labs...

  12. Giving meds that another nurse has drawn up??

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

    As you obviously realize, the center(s) have no business letting the patients give their own meds (hmm... why can't they do their own assessments as well?!)! But this is how some centers try to "get...

  13. What to do with noncompliant patients???

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

    Typically, noncompliant patients are not interested in stopping dialysis. The reasons for their noncompliance are simply the many problems in their life - addiction, poverty, etc. They will certainly...

  14. How much do your PCT's do?

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

    Angelnurse, I see your point, but if the BON allows that UAPs in chronic dialysis units draw and give hep and/or lido*, among other things (such as accessing central lines and even - in some states -...

  15. Nurses Eat Their Young

    DeLana_RN replied to texaschick's topic in First Year After Licensure

    Did you report this sorry "preceptor" to the manager? Nurses like the one you describe should never be preceptors, because they obviously resent it and let their frustration out on the new grad or...

  16. short term careplans?

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

    .

  17. short term careplans?

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

    .

  18. Catheter care

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

    The company I worked for changed P&P to use chlorhexidine instead of Betadine for catheter care (and peripheral access prep as well). Chlorhexidine does not require a lengthy soak time (which was...

  19. Giving meds that another nurse has drawn up??

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

    Please don't get this wrong, and this has come up because in my state it is illegal for UAPs to give heparin (so the patient excuse was sometimes used by nurses who could not be bothered to do this...

  20. Giving meds that another nurse has drawn up??

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

    Coming to clinic dialysis from hospital nursing I found out quickly that things can be very different in an outpatient setting - all regulated (or at least tolerated) by the BON*. According to my...

  21. shy girl

    DeLana_RN replied to iluvmynavyman's topic in General Nursing

    Please don't let this stop you from pursuing your dream, if that's what nursing is for you! I should know, I'm an introvert myself, and that's OK. In fact, when I told my mother that I wanted to go...

  22. How much do your PCT's do?

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

    That's why I'm going to a hospital inpatient unit staffed by nurses only. DeLana

  23. Job interview question

    DeLana_RN replied to needrn's topic in General Nursing

    Daytonite, thank you so much for this valuable info from a manager's perspective; I've been wondering about this since I'm also currently in a new-hire position. BTW, does anyone know if it's really...

  24. Hospital (Inpatient) v. Clinic (Outpatient) Dialysis

    DeLana_RN posted a topic in Dialysis, Renal, Urology

    Hi, everyone! I've been away from dialysis - and nursing - for almost 2 years and am now ready to get back into it on a PRN or part-time basis. Although I've done some med/surg and cardiac stepdown in...

  25. Hospital (Inpatient) v. Clinic (Outpatient) Dialysis

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

    Steve, thanks for the words of wisdom. Now if I could only get over the new job jitters - well, I haven't started one in 7 years! But I have 3 weeks to get ready