fragino

fragino

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All Content by fragino

  1. New Grad Dialysis RN seeking advice

    fragino replied to affablyeaseful's topic in Dialysis, Renal, Urology

    Chronic clinics can be so different from each other, even with the same company, even in the same city/town. It all depends on the staffing and management. While most people with positive experience...

  2. Dialysis Technician

    fragino replied to jeancarreon04's topic in Dialysis, Renal, Urology

    In California, all you need is a high school diploma and I've seen techs be hired with just that

  3. getting trained in dialysis

    fragino replied to Macedonia9's topic in Dialysis, Renal, Urology

    Timing is everything. A few years ago, the big 2 would not even talk to you unless you have experience. Now they are hiring straight out of school. It may change again later but I don't see that...

  4. Working in an outpatient vs in-hospital dialysis

    fragino replied to reginalin's topic in Dialysis, Renal, Urology

    Do you have friends/family that depend on you enough that you need a semi-dependable schedule? Then acutes is definitely not for you. If you like unpredictability and constant change, then acutes is...

  5. DIALYSIS! I am new in the field and feeling very discouraged

    fragino replied to angelmp228's topic in Dialysis, Renal, Urology

    angelmp228, what state are you in where you can sign off the

  6. DIALYSIS! I am new in the field and feeling very discouraged

    fragino replied to angelmp228's topic in Dialysis, Renal, Urology

    It does take a couple of years to finally get out of the task mode. My rule of thumb when I'm talking to new nurses and PCTs is that when in doubt, clamp it. If it's clamped in error, the machine...

  7. Why do nurses work chronic dialysis if the companies/hours are so bad?

    fragino replied to Marshall1's topic in Dialysis, Renal, Urology

    That's because, like most others, those who like their jobs don't usually seek a forum to complain. I worked in cardiac telemetry for four years and have now worked in chronic outpatient dialysis for...

  8. Unable to take fluid without cramping????

    fragino replied to mxems's topic in Dialysis, Renal, Urology

    Yes, some clinics run extra treatment days on Mondays and Saturdays. Yes Mondays sometimes got

  9. Interviewing for dialysis with no dialysis experience???

    fragino replied to bajj78's topic in Dialysis, Renal, Urology

    That's it. Almost anyone can be trained but are they someone we want to hang around with for most of our waking

  10. Unable to take fluid without cramping????

    fragino replied to mxems's topic in Dialysis, Renal, Urology

    Sodium modeling is gone for

  11. Interviewing for dialysis with no dialysis experience???

    fragino replied to bajj78's topic in Dialysis, Renal, Urology

    Med/surg nurses are the bomb. Others may get more notice and glamour but like coleebee said..."mad respect" to all y'alls. westieluv is right on with the

  12. Interviewing for dialysis with no dialysis experience???

    fragino replied to bajj78's topic in Dialysis, Renal, Urology

    With your work history and with enough dialysis experience there is no reason why you can't work both acutes and chronics. With chronics you may be taking care of up to 12 patients at a time (maybe...

  13. How to get out of dialysis nursing?

    fragino replied to Marisette's topic in Dialysis, Renal, Urology

    It sounds like you work in acutes since you take weekend calls. Try working in a chronic facility. The hours may be more predictable although they generally work Monday-Saturday. I went from tele to...

  14. Interviewing for dialysis with no dialysis experience???

    fragino replied to bajj78's topic in Dialysis, Renal, Urology

    Since you came from med-surg/tele, you've probably worked a lot with heart failure patients and their chronic fluid overload problems. It helped me a lot to have that experience. Your experience...

  15. LPN's in dialysis?

    fragino replied to nursegreene's topic in Dialysis, Renal, Urology

    Most chronic facilities run their patients as scheduled. Your hours should be very predictable. On the other hand, I've heard that acutes are feast or famine. Sometimes you may not have enough...

  16. Switching Roles?

    fragino replied to DialysisRN34's topic in Dialysis, Renal, Urology

    I have no personal experience. But since no one else has answered yet, the only think I've heard is the word "boring." So it may be less stressful but the day may

  17. starting Acutes dialysis without experience.

    fragino replied to ffliper27's topic in Dialysis, Renal, Urology

    The 12 weeks may be your orientation and initial training period. After that you may have your own patient workload but will not be working alone for at least 6 months. I would clarify that. It may...

  18. Unable to take fluid without cramping????

    fragino replied to mxems's topic in Dialysis, Renal, Urology

    Sometimes despite all the strategies employed that's all that some can take off unless we can increase the time to 5 hours or nocturnal. I know, and you know that 4-8kg is way too much to even gain...

  19. Burn out at Davita

    fragino replied to cn2007rn's topic in Dialysis, Renal, Urology

    Although the big two are very big companies that virtually monopolize the industry in the U.S., individual clinics can sometimes vary very wildly in their work environment. Transferring is a good...

  20. Salary vs per hour for floor nurses

    fragino replied to embradsmom's topic in Nursing Career

    Salary is just the bean counter's way of controlling cost. Why should THEY hire more workers to make up for an increased workload? Just make US work longer hours and more days. Unless someone is in...

  21. Indiana University Nursing vs Davita Management of Nursing

    fragino replied to NDXUFan's topic in Dialysis, Renal, Urology

    Heck I'm also angry, at what healthcare has turned into, at what I've seen happen, at what I've allowed to happen, and what I've had to do myself. I've slid into the protective cocoon of pragmatism...

  22. Indiana University Nursing vs Davita Management of Nursing

    fragino replied to NDXUFan's topic in Dialysis, Renal, Urology

    No, they cannot tell you you have to hold your BM. You have a right to the time slot that you have. I would talk to the boss of the center and tell them that it's abusive to the patient. Patient...

  23. Indiana University Nursing vs Davita Management of Nursing

    fragino replied to NDXUFan's topic in Dialysis, Renal, Urology

    Getting food EVERY DAY from drug reps? Really? Staff bringing food out to the dialysis floor for the patients? Really? Not allowed to go to the bathroom? Really? I would like to hear from ANY...

  24. Indiana University Nursing vs Davita Management of Nursing

    fragino replied to NDXUFan's topic in Dialysis, Renal, Urology

    Comparing how things are done at a non-profit state University Hospital to a for-profit company is like trying to run Apple under United States Postal Service management concepts. It's great as long...

  25. New Grad who FINALLY has an offer (S)...

    fragino replied to HDRNrlc's topic in Dialysis, Renal, Urology

    The nice thing about dialysis nursing is that your patients are scheduled (for the most part). The days are frequently longer than 12 hours but they do have a rhythm to them. However unless you will...