mxems

mxems

Renal

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About mxems

mxems specializes in Renal.


Latest Activity

  1. songs that describe the work day

    The Roots - Good Day (in the morning a the beginning of the day) DMX - Lose my Mind (end of day)
  2. I have seen 3 or 4 different patients that I have that are fluid overloaded that I am unable to take a decent amount of fluid off of. Blood Pressures are great and sometimes hypertensive. 4-8kg fluid overload Common theme is diabetes and neuropathy. ...
  3. Do any nurses out there use an elevated diastolic pressure as a sign of fluid overload? I know that's not your only tool to assess but I was wondering who else might use that as a sign. I had a NP mention that to me when I was notifying her of an ele...
  4. Anyone have their CDN?

    I have yet to meet someone in dialysis that actually has their CDN or CNN. Do employers or managers even look at that when considering pay raises or hiring? I mean honestly, who here has one of these titles relating to dialysis or nephrology?
  5. Anyone have their CDN?

    So I have in the back of my mind that I want to start working toward my CDN. Does anyone have any recomendations for study guides? Is the test pretty intense?
  6. PCT'S training nurses?

    I was a new grad nurse hired at an out-patient dialysis clinic and did 8months on the clinic floor as a PCT. The normal training time was 4months but because we were so short staffed I continued to work as a PCT. At the time I just wanted to get into...
  7. I work at an out patient clinic in Mesa, AZ and we are constantly short-staffed on PCT's. When I was fortunate enough to be hired as a new grad nurse I worked the floor for 8 months as a PCT because we were so short staffed. At the time I loathed it ...
  8. So why would someone accept an offer to take over a dialysis clinic? Tons of responsibility, but what are the advantages that make it worth while? Are there decent bonuses? Stock options? What? Or is it a desire to succeed? Why would you do it?
  9. So, Tell Me About Dialysis...

    As a new grad, if you get to talk to the clinical manager or the charge nurse about a position there I recommend showing a lot energy and a lot of enthusiasm. You move all day long, you get to sit down at the end of the day. The majority of the days ...
  10. Sequential Ultrafiltration

    We do 3 hour runs on an extra tx. Never have inverted the dialyzer so the venous end is up though.
  11. Nurse Nessa Awesome ideas. I've been hit up by the clinical manager and Regional manager on ways to make our clinic a place our patients would not think twice about staying. I think out clinic excels greatly in our nursing and tech staff, but we lack...
  12. I'm curious what different clinics do to try and keep their patients at their unit? I'm a firm believer that the first part is the people. The techs and nurses. But I'm talking about the little things that are unique that maybe not everyone has done....
  13. Fresenius Zemplar Policy Question

    And knowing is half the battle.
  14. Dialysis RN training with dialysis4career

    I got a job at dialysis clinic as a new grad rn with no dialysisis or hospital experience. I was an EMT-B on a 911 ambulance for 5 years though. Maybe they thought that was enough. And I was trained and worked as a tech for about 7 months befire I m...
  15. Fresenius Zemplar Policy Question

    Do you really think that someone will come on this message board and say yes exposing themselves, their company, and their license to tell you that? I would imagine that whoever told you that is the person doing it. FMC uses 10mcg multi-dose Zemplar...