kdhnursern

kdhnursern

LTC, WCC, MDS Coordinator

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All Content by kdhnursern

  1. Hypotension post Dialysis

    kdhnursern replied to AnnieOaklyRN's topic in Dialysis, Renal, Urology

    I would guess fluids since both times happened post-tx. That's one reason I like chronic hemo, we see the same people all the time 3X/wk and know their history well. But when we have a new patient, we...

  2. Hypotension post Dialysis

    kdhnursern replied to AnnieOaklyRN's topic in Dialysis, Renal, Urology

    If you only gave her 200c bolus, you did okay. I've seen the ER give 1000cc and up saying we got them too dry. But in the dialysis clinic, we give them fluid in 200cc increments if their BP is low...

  3. Being a Charge Nurse

    kdhnursern replied to Chipola's topic in Dialysis, Renal, Urology

    Charge Nurse?? We're not allowed to call ourselves Charge Nurse. We are "team leaders" who can "make suggestions". We have PCTs working under our license, but we have no authority over them. I call...

  4. Question about leg cramps

    kdhnursern replied to nurscee's topic in Dialysis, Renal, Urology

    Having my share of non-compliant patients, leg cramps are a common complaint. When a patient comes in 10 kg over their target weight and the doctor wants that fluid worked off, we sometimes have to...

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

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

    My preceptor for stringing machines, learning to stick, and all other technical aspects was a PCT who had 7 yrs of experience and was great. That lasted the first couple of weeks and then the RN...

  6. Monthly progress notes on dialysis patients

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

    As a clinic which has recently gone from one owner to another one, we are just learning what the requirements are. We were doing monthly short term care plans (multidisciplines) and we had done...

  7. New to HD & equipment--learning curve??

    kdhnursern replied to wordsmith's topic in Dialysis, Renal, Urology

    When I started 3 1/2 years ago, the company was Renal Care Group but now it's Fresenius Medical Care. In training, we were given 3 x 5 note cards with the machine stringing sequence typed on them....

  8. Infiltration

    kdhnursern replied to BJZMom's topic in Dialysis, Renal, Urology

    When I was new at dialysis, I had a patient come in and show me the biggest discoloration over his fistula and angrily say "If you ever do this to me again, you won't ever stick me again!" I had only...

  9. Renal care/dialysis jobs - what are they like?

    kdhnursern replied to Serenyd's topic in Dialysis, Renal, Urology

    I currently work for Renal Care Group (which was taken over by Fresenius) and I love my job. I work in a smaller unit where I know all the patients and usually it's an RN in charge with 2 PCTs working...

  10. Renal Care Group??

    kdhnursern replied to Curious1alwys's topic in Dialysis, Renal, Urology

    I have been working for RCG for 2 1/2 yrs as an RN and love the company. I don't feel like a little fish in a big ocean; they really make you feel like they know you personally. Fresenius bought us...

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

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

    I'm like you. I've worked for RCG for 2 yrs and really liked the personal aspect of the company. When I joined RCG, it was impressive how big the comany was but how I felt management was not distant,...

  12. access flow question

    kdhnursern replied to imperial's topic in Dialysis, Renal, Urology

    Thank you so much for the information you have given me. At the facility I work at, we have one pt who three nurses have tried to use the flow meter on and all three of us have not been able to get a...

  13. Dressing Change Supplies/How Often

    kdhnursern replied to Robbilin's topic in Dialysis, Renal, Urology

    Yes, the little single dose packets do real well, just the right amount. We actually had some irritations showing up under the Tegaderm but those are history

  14. Physicians v. Gun Owners

    kdhnursern replied to TiffyRN's topic in Nursing Humor

    I thought it was funny, too, and read it as a very funny joke. I'm just very into self-protection and the Second Amendment and felt I needed to clear up what was said about guns not saving lives....

  15. Physicians v. Gun Owners

    kdhnursern replied to TiffyRN's topic in Nursing Humor

    I beg to differ. Guns prevent an estimated 2.5million crimes a year, or 6,849 every day. (Targeting Guns by Dr. Gary Kleck, Criminologist, Florida State University, 1997). Often the gun is never fired...

  16. A question for dialysis nurses

    kdhnursern replied to GLDLPN's topic in Dialysis, Renal, Urology

    I go with talaxandra on this. The dialysis patient's permacath is a life-line and ONLY used for dialysis except during a code with no other option. And only the dialysis unit should do the heparin...

  17. Dressing Change Supplies/How Often

    kdhnursern replied to Robbilin's topic in Dialysis, Renal, Urology

    At our facility, we have been changing IJ dressings every tx and using ExCept to cleanse the site, TAO on guaze, then Tegaderm over all. But we are starting to do away with the Tegaderm and just use...

  18. adl coding, section G & significant changes

    kdhnursern replied to MDSinNE's topic in Geriatric, LTC

    When doing MDSs, you use RAPs to justify whether there was a significant change or not and how you dealt with it. When one MDS Coordinator takes the place of another, they will not see things the...

  19. Female nurses earn less than male nurses

    kdhnursern replied to Hellllllo Nurse's topic in General Nursing

    When I was in an administrative position, I knew what others in the company made. Men did make more than women with the same experience. The problem with our profession is that wages are and we can...

  20. A few ?'s for Dialysis Nurses from LTC RN

    kdhnursern replied to burger914's topic in Dialysis, Renal, Urology

    At our facility, we're not allowed to take orders from any doctor other than our nephrologists. We do fax lab results to nursing facilities if they request them and we fax them to primary care doctors...

  21. What a Day (*rant*)

    kdhnursern replied to AmyLiz's topic in Dialysis, Renal, Urology

    Hi, We've got 8 chairs, 2 shifts, 6 days a week and we are full. We also don't have any downtime, we just work like crazy during turnaround. My favorite is when I'm the only RN with 2 PCTs and we have...

  22. Sick call policy

    kdhnursern replied to goldgram's topic in Nurse Management

    At our facility, if staff calls in sick on the weekend, they have to work the next weekend, which would be their days off. We still have trouble with call-ins, but I don't know of anything that would...

  23. Two Nurses dead in North Texas

    kdhnursern replied to old-master's topic in Texas Nursing

    Like so many of you, my prayers are with the families of those nurses. And I was SO impressed with the intelligent responses I have read on this forum. I am a competitive handgunner and also like to...

  24. Feeling incompetent

    kdhnursern replied to AnotherRN's topic in Geriatric, LTC

    Whatever you do, don't give up. I think aimeee had the right idea, if you could work one unit most of the time instead of floating. When you float, you never really know the residents and their...

  25. What is your net take home pay every two weeks?

    kdhnursern replied to JMP's topic in General Nursing

    I work in LTC in Kansas as MDS Coordinator. My pay is about $1300 after taxes q2wks. I do work 4-10hr shifts, no weekends, but on call every 5th weekend. I have 7 yrs experience as RN. Hey,...