Hi there APN, thank you for your response. My specific concerns are for those patients who, in fact, feel more comfortable with a loved one with them during treatment. what are your thoughts on this....
LPN2RNBSN replied to bucksandra's topic in Geriatric, LTC
State Surveyors, just as any other profession, depends on the individual. I have seen gross errors overlooked in SNF/LTC facilities due to a Surveyor's own agenda..i.e. wanting to be liked by the SNF...
My understanding the higher the K level the lower the dialysate due to amounts removed during dialysis. But did not understand you saying about the '1'. I would think the patient's K level would have...
Would the diabetic gastroparesis contribute to nausea 'after' dialysis about one hour? Although the other day there was a bit of nausea towards end.. just a little. What exactly is
Pretty discouraging. The nephrologist told one patient, with nausea post dialysis that it was not related to dialysis and to see her primary care physician and to possibly see a gastroenterologist....
I am curious if in reviewing labs and ordering medication what your findings are related to epogen considering there is much taaadooo in the media these days as well as the recent government hearings...
This sounds frightening. I am learning more and more how dangerous it is if someone does not know what they are doing. Even yesterday, again, a new RN did not change a transducer when it was wet wtih...
Is anyone following the Epogen issues - media attention - Amgen - guidelines - controversy with FDA warning being sent out to providers to stay within the designated numbers ... Wondering how many...
Just did a search 'liberty dialysis' and found out they own facilities all over the united states from california to new york.. and they use 'ultra pure'
If you do a search - liberty dialysis - you will see that they own dialysis facilities throughout the united states... they use 'ultra pure' water as one of their main statements. I just did a
This is quite disturbing what you are saying. I have been trying to follow the recent Epogen (in the media)... Even the House Ways and Means Committee met recently to discuss this issue of overusage...
Would like to hear from FMC nurses - What is your procedure for 2008K after medication administration. One of our machines blood pump stopped, after RN gave medication. The patient received almost...
Oh DeLana, you are ever-so accurate in your perception ab out assembly line nursing. I find is 'shameful' that the dialysis industry can not afford to have labs picked up in a timely fashion. If a...
Have I lost my mind? The situation is as follows. UF 2200. Pt pre wt 62.7 dry wt 60.5. Tech told pt he was 'not' using rinseback, set UF at 2200. Pt post wt 60.9. Hence 1.8 removed with .4...
I discussed this with one of the float RNs who is excellent. She said what I thought that no matter what the goal, RB, or not, there is ALWAYS RB used to return blood. These 2008K machines we use...
Seems that many patients provide information on how they feel, providing information on how much they want taken off. These are those patients who are educated, have been educated on s/s, EDW, etc....
My question was as yours. It seems that a few techs will take the UF Goal amount, to bring to dry weight, and tell the patient they will not add RB to the UF Goal. This FMC unit, does not practice...
After speaking with the RN she did not clamp off the saline and pt received the 600, or so. The pump stopped after administration of medication, alarm went off but more intervention needed than just...
Policy is for 600 but often patients are included when asked how much they want taken off. Taught to return blood (via saline return) until lines show pinkish color. My question would be, makes sense...
Yes, the unclamping caused patient to receive close to 600 or more saline. But, I was under the impression, from RN, that the lines needed to be changed when clotting occurred -The staff person who...
Can anyone explain why dialysis units to not routinely use sureseal bandaids of other types that help stop bleeding. It is awfully frustrating to see patients who bleed and have no basic intervention...
Many of our patients who have a K+ level of 5.1 or 5.2 and even 5 are on a 2K bath. Some of our patients whose K+ levels are 5.1 are on 3K bath. Although orders specify 2K the doctor has several...