Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Help choosing-Home Health or Dialysis?

    Chisca replied to JennyMac's topic in Dialysis, Renal, Urology

    The "or later" needs clarification. Dialysis is noted for its long hours and is probably the number one reason people
  2. Chisca

    submit my intreview preparation questions

    Chisca replied to JNorment's topic in Dialysis, Renal, Urology

    So how did it
  3. Chisca

    Dialysate question

    Chisca replied to Loveyourkidneys's topic in Dialysis, Renal, Urology

    I think the danger to the patient comes from the volume of fluid rather than the compostion of the dialysate. The dialysate solution is diluted with large amounts of water from the r/o system and...
  4. Chisca

    Code during dialysis

    Chisca replied to producerRN's topic in CCU, Coronary, Cardiac

    All your efforts were to buy time for a liver transplant. Unless he received a transplant he was not going to
  5. Chisca

    Code during dialysis

    Chisca replied to producerRN's topic in CCU, Coronary, Cardiac

    Most likely could not tolerate the decrease in volume caused by dialysis. Any idea what the CVP was? Everyone is pushing for agressive fluid removal in these situations but the heart can not take...
  6. Chisca

    Nurses as Costs for Hospitals

    Chisca replied to advor's topic in Activism, Healthcare

    I have been repeatedly told through my career that nurses services are covered under the room charge. I am surprised how few nurses even know what the unit they work in charges per day for a room....
  7. Chisca

    when is enough, enough??

    Chisca replied to noelraquel's topic in Dialysis, Renal, Urology

    Largest growth in dialysis patients is in the > 70 age
  8. Chisca

    Dialysis I want OUT

    Chisca replied to TenderLoveNCare's topic in Dialysis, Renal, Urology

    I will only address this point as it is something I learned before working as a nurse in various dead end factory jobs. Talk sports. Even if you know only a little bit about the game or a team your co...
  9. Chisca

    newbie, need input

    Chisca replied to Kellili's topic in Dialysis, Renal, Urology

    If you haven't already I would recommend joining ANNA as this would give you access to their magazine Nephrology Nursing Journal. The Jan/Feb issue had articles that would directly relate to some of...
  10. Chisca

    newbie, need input

    Chisca replied to Kellili's topic in Dialysis, Renal, Urology

    How many chairs does your clinic have? Correct me if I'm wrong but don't you see the same patients over and over? I would try to learn as much as I could about each patients medical condition so I...
  11. Chisca

    Union Representative (humor)

    Chisca replied to No Stars In My Eyes's topic in Collective Bargaining, Union

    Laura Gasparis
  12. Chisca

    Fresenius 4K signon bonus inpatient

    Chisca replied to KatMSU's topic in Dialysis, Renal, Urology

    4K bonus equals desperation. You will have to be one tough cookie to survive in that
  13. Chisca

    K wars

    Chisca posted a topic in Dialysis, Renal, Urology

    Dr Joel Topf has posted a video of a lecture he prepared on the latest therapies for hyperkalemia. It is an hour and 17 minutes long but reviews the dangers of kayexalate and how little it was studied...
  14. Chisca

    Emergency meds through IJ

    Chisca replied to Kaysmom8's topic in Dialysis, Renal, Urology

    I would use it in an emergency which is what your patient was experiencing. Hate to have to testify that the pt died because hospital protocol only allowed dialysis nurses to access. It is a central...
  15. Chisca

    Critical pay at Fresenius Medical Care

    Chisca replied to nurseaudree's topic in Dialysis, Renal, Urology

    Consider it a lesson not to trust
  16. Chisca

    AVF

    Chisca replied to cpdialysisnurse's topic in Dialysis, Renal, Urology

    My post should read maximum 6mm from the surface. Some fistulas require a second surgery to bring them up to this depth. Any deeper and the needles will be sticking straight
  17. Chisca

    AVF

    Chisca replied to cpdialysisnurse's topic in Dialysis, Renal, Urology

    You are correct, a thrill and bruit should be present although if the BP is low it may be difficult to assess. The gold standard would be an ultrasound that would determine the minimum flow neccessary...
  18. Chisca

    San Francisco general RNs testifying about appalling staffing in their level 1 trauma

    Chisca replied to herring_RN's topic in Activism, Healthcare

    Is this hospital exempt from the staffing laws that are on the books? If the nurses are documenting the violations why isn't the California Department of Health citing them for the
  19. Chisca

    What is the politically correct term for "nurse"?

    Chisca replied to DanielCA's topic in Activism, Healthcare

    For a period of time my hospital insisted on calling everyone "associates". It got to the point patients couldn't tell who their nurse was. Now we have to wear color coded scrubs and each room has a...
  20. Chisca

    California Nurses Say They'll Strike, Without Talking Wages

    Chisca replied to herring_RN's topic in Collective Bargaining, Union

    These numbers are public so how can they negotiate in good faith when they are crying they are poor. They must think the nurses are stupid....
  21. Chisca

    California Nurses Say They'll Strike, Without Talking Wages

    Chisca replied to herring_RN's topic in Collective Bargaining, Union

    Cost neutral? Their 1st quarter profits were up 44%. Does anyone know what they are talking about? Kaiser Permanente's Q1 profits soar 44 percent, to $1.1 billion - San Francisco Business
  22. Chisca

    Frustrated

    Chisca replied to rscs92's topic in Dialysis, Renal, Urology

    Are any of the other nurses more efficent than you? Or are they quicker because they are taking shortcuts? If your clinic is one that the director is going to tolerate cutting corners to achieve...
  23. Chisca

    Acute First time alone!

    Chisca replied to ChicagoRN84's topic in Dialysis, Renal, Urology

    Like I was back home. Despite my ICU experience or because of it my orientation was primarily in the 15 bed acute unit. I discovered that my charge nurse delegated bedsides to those nurses who...
  24. Chisca

    Acute First time alone!

    Chisca replied to ChicagoRN84's topic in Dialysis, Renal, Urology

    I like to keep a couple of faucet washers in my backpack. They're cheap but if you don't have one very hard to keep a connection from leaking. Plumbers tape is nice too but you can get by without it....
  25. Chisca

    Michigan Religious Freedom Restoration Act

    Chisca replied to MoonlightIdle's topic in Spirituality, Religion

    I've been to a really good Rolling Stones