Chisca
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Negative or positive not so important as stability. A fluctuating TMP that won't stay stable is your clue. Wet transducers, either from blood or saline are also going to give you unstable TMP.
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In Tennessee it is as Muno describes. Procedurally necessary.
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It would help for about 2 hours. You are dealing with a nutritional problem.
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If you have a pulse and are a warm body they will hire you. No problem.
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Might want to think about plan b.
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You have to be pretty independent to do acutes as you are called out to do ICU patients. The ICU nurse will still be responsible for patient care but it can be daunting to walk into the ICU setting with no critical care experience. The problem with dialysis, as a nurse, is the lack of any balance between your personal life and the requirements of the job. I frequently have to do 12-16 hour shifts and no one understands that you don't know exactly when you will be home. Clinics at least offer some balance. Acutes offer long hours and lots of call. Pay may be low but you will make up for it by all the overtime. Whether you want it or not.
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Dialysis solutions used to have 200 mg/dl sugar in the dialysate bath that would somewhat protect the patient but now it is 100 mg/dl. For some patients that is not enough to protect them during a treatment. Tell me you gave insulin before a treatment and i will be checking their blood sugars hourly.
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Glucose molecule slightly bigger than water molecule so sugar is easily removed during dialysis treatment. I would recommend NEVER give a patient insulin before a dialysis treatment.
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They won't ask you any anatomy/physio questions. More along the lines of how long can you work without any sleep? How many days of call in a row can you take? How do you feel about caring for 12 patients? If you are up for the abuse and can convince them, bingo! you're hired.
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And would they have blamed you if you fluid overloaded the patient by giving a volume expander with no way to remove the fluid? ALWAYS safer for blood to be administered during dialysis treatment to pull excess fluid. There was a delay in getting the patient blood but they were stable enough to tranfuse the next day. No harm done. Except to you.
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It is a blessing you were fired because it sounds toxic where you were working. I am quite aware of my patients lab work and this dialysis knew the labs. I am also aware of any IV access or lack thereof. What happens where i work is the dialysis nurse calls the nephrologist to extend the treatment time so the blood can be given. You were left holding the bag that the dialysis nurse created by their negligence. Handoff from dialysis nurse should have covered lack of transfusion and you should have called whoever ordered the transfusion and informed them of no IV access. Not your fault and if anyone should have been fired it was the dialysis nurse. Hang in there, it will get better. One door closes and another will open.
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How else can you run a factory if you don't measure productivity?
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So in your facility only dialysis units can give blood? No IV access is a MD problem and should have been dealt with earlier in course of stay. Don't see how you are at fault.
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