jdethman

Jump it take charge. You are in school for this, you don't turn it down are you insane.

Do an MSN bridge. I started with an ASN and I would not have hired you. It not offensive to explain education expectations.

Dialysis is a great field. The Internet is where people come to complain.

By your avatar you are male so to make your desire known schedule a meeting with the manger (if they are respected) and director same day different times (assuming they are the hiring manager). Say "I am very interested in the management position and will be applying when it is posted" "I would like to know what you believe the units biggest problems are, so I can begin to work on the solution". Some women will slam another women for being so bold but men can get away with it. To take that further it is expected. They opened the door for you, walk through it. MBARNBSN is right "On the other hand, who cares? Do you want the position or not? If so, do your research." As far as my story it is roughly the same as RNTX34. Good luck and tell us how it goes. PS Clearly my answer is not taking into consideration unit or organization politics, but my view tents to be Audaces fortuna iuvat - fortune favors the bold

You are lucky that is an easy one. You have a clear mission they must go. Every day ask your self "what have I done today to help her move on?

This is solid advice. The only thing I would add is review acid base balance, basic electrolytes, and BP meds, if you are rusty.

It is better to do that then run the unit short. it also keeps the RN's up on the basics. It is not a bad practice at all.

You learn a lot as a CM, but the situation you describe could end up being brutal. I would also recommended having a good out (another job that's a lock). There are many factors that you could consider in the instance, but the big one is "why do I want to do this"? In most cases I believe the only reason to become a CM is to get into management. It is a stepping stone and learning journey not a destination.

Do not believe they are correct. That does not match the information on the ANCC site. The only thing waived is the 30 CE's. You need 24 months as midlevel management.

I where them.

How did it go? Now that you have done it do you have any advice?

opps this is super old

I am not qualified to answer but congratulations!

I treat it like all information, consider the source and file it away.

If you have a Crit line establish a hematocrit threshold, and never go above it If not consider weight for overall fluid removal, ask MD for 30 ml per kilo per treatment take it all in the first three and then reduce NA to 135 for last hour so they will not be thirsty UF to 300 hr, temp to 35 last hour for BP support if needed. The problem might be their plasma refill is to low, when you are crashing their blood volume you are stimulating thirst via high plasma NA even if corrected before tx DC it is still stimulated, telling them to not drink after that is less effective then telling a heroin addict to go cold turkey.