jdethman

jdethman

Nephrology

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All Content by jdethman

  1. New to current facility, being asked to be team lead...

    Jump it take charge. You are in school for this, you don't turn it down are you insane.
  2. RNs with a Bachelor's in another field

    Do an MSN bridge. I started with an ASN and I would not have hired you. It not offensive to explain education expectations.
  3. Dialysis Nursing-New Grad

    Dialysis is a great field. The Internet is where people come to complain.
  4. "Male" nurse? Le sigh.

    Likely they will not use names in the artical.
  5. "Male" nurse? Le sigh.

    I believe your complain is silly. 90% of nurse are female they are describing something to their readers, if they didn't put male nurse the reader is likely to think they are female. They would be right 90% of the time.
  6. Nurse Manager Opportunity

    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...
  7. Charge nurse is a low performer!

    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?
  8. New to dialysis, need advice

    This is solid advice. The only thing I would add is review acid base balance, basic electrolytes, and BP meds, if you are rusty.
  9. Nurses Being Made to Tech?

    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.
  10. Any CM's doubling as floor RN?

    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 w...
  11. NE-BC Exam

    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.
  12. dress pants with danskos

    I where them.
  13. NE-BC Exam

    How did it go? Now that you have done it do you have any advice?
  14. VA Hiring Process

    opps this is super old
  15. Desiring to be a CNO

    I am not qualified to answer but congratulations!
  16. when an employee "tattles"

    I treat it like all information, consider the source and file it away.
  17. Unable to take fluid without cramping????

    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 w...
  18. New Grad who FINALLY has an offer (S)...

    This is a tough call. Here would be my thought process For an RN dialysis is ripe with opportunity, the sky is the limit. Do you ever want to be an NP. Psych NP make a great wage and are in very high demand. I have a simple mantra, work to learn n...
  19. Fresenius Training

    Fresenius training is very well done. If you want to get a lot out of it you will. If you don't like your preceptor say something early.
  20. Plasmapheresis pay salary

    You can make a lot in plasmapheresis in the right environment. There are many many 6 figure acute dialysis nurses, but that lots of hours and call. Plasmapheresis can be very well compensated per hour.
  21. How to get out of dialysis nursing?

    Move to an acute team and make friends with people in one of the hospital you will cover, then parlay that into a job. Any that already work acutes make some friends, impress some nurse mangers.
  22. Dialysis staff nurse salary in US

    That is a great start for a new grad, well done. Nephrology is ripe with opportunity to provide great care and build a career.
  23. Doctor owned practices will need a joint venture in the long run. If they don't sell off completely.
  24. I regret forever not going to medical school

    That is rough, full stop. This might not make you feel any better but many people at one time or another regret past decisions. I was quite the idiot before I went to the USMC, didn't get out until I was 25. I didn't finish my RN until 30. So you ...
  25. Transferability of skills learned in dialysis

    It's always hard to change specialty. That said assessment, patient communication management of technical staff are just a few skill that transfer into any nursing field.