Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Solutions for Acutes?

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

    Honeymoon period. A timespan during which problems known to exist are either not manifest or ignored, much like the newlywed period during which spouses are most cordial and passionate with each...
  2. Chisca

    Shortened TXs, elevated HRs and Hypertension - what to do?

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

    And after having the patient sign AMA his neighbor says "I want one of those
  3. Chisca

    Union Intent on Improving the Lot of Nurses Nationwide

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

    I can see you have never worked in
  4. Chisca

    Union Intent on Improving the Lot of Nurses Nationwide

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

    I am listed at 3 12's a week but I report to work at 06:45, don't get paid for a lunch break I can't take due to understaffing, can't leave before 19:15, but it doesn't matter because I work beyond...
  5. Chisca

    Shortened TXs, elevated HRs and Hypertension - what to do?

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

    The patient doesn't have an immediate negative consequence from shortening their treatment but in the long term they are shortening their life. You're the bad guy if you try to explain this. The techs...
  6. Chisca

    Hemopurifier- have you heard of it?

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

    I think the technology is the same that is being used to develop a wearable kidney using adsorbtion into the filter to remove solutes. In this case the viruses are stuck to the filter and thrown away...
  7. Chisca

    dialysis nursing...i want to run fast and far away

    Chisca replied to RN yogi's topic in Dialysis, Renal, Urology

    One of the things I hate about a tech driven dialysis model is the lack of education patients receive when they are in the dialysis unit. They do absolutely no education when they are with the...
  8. Chisca

    dialysis nursing...i want to run fast and far away

    Chisca replied to RN yogi's topic in Dialysis, Renal, Urology

    Kent Thiry succeeds in an environment where productivity trumps quality. As long as his model dominates the practice of dialysis in the United States we can expect high mortality as the cost of...
  9. Chisca

    dialysis nursing...i want to run fast and far away

    Chisca replied to RN yogi's topic in Dialysis, Renal, Urology

    Let's not kid ourselves as to why there are any techs in a dialysis clinic. It is not to improve the quality and it's not because they possess skills that a nurse doesn't have. It is so Kent Thiry can...
  10. Chisca

    dialysis nursing...i want to run fast and far away

    Chisca replied to RN yogi's topic in Dialysis, Renal, Urology

    The OP describes a clinic where techs are making clinical judgements as to whether or not patients are stable enough to tolerate a dialysis treatment and whether or not they are stable enough to leave...
  11. Chisca

    dialysis nursing...i want to run fast and far away

    Chisca replied to RN yogi's topic in Dialysis, Renal, Urology

    You are being oriented by a tech? There's your problem. A tech cannot teach you how to assess a dialysis
  12. Chisca

    Fearbola: Irrational Fear Now Sweeping U.S.

    Chisca replied to mariebailey's topic in Disaster Preparation

    .....
  13. Chisca

    Can a nurse legally refuse to treat an Ebola patient?

    Chisca replied to adboudy's topic in Disaster Preparation

    Fools rush in where angels fear to tread. Nurses are not being allowed the protective gear they need by management and that has to be
  14. Chisca

    Can a nurse legally refuse to treat an Ebola patient?

    Chisca replied to adboudy's topic in Disaster Preparation

    Does your hospital unit look like this? If not, you would be prudent to
  15. Chisca

    Fearbola: Irrational Fear Now Sweeping U.S.

    Chisca replied to mariebailey's topic in Disaster Preparation

    Who knew the CDC was so irrational treating Ebola as a level 4 pathogen? "Almost all of these viruses are classified as a Biosafety Level 4 (BSL-4) pathogens and as such must be handled in special...
  16. Chisca

    Ebola patient is on dialysis

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

    I think back in my nursing career when I have spoken out about safety concerns to management and it has always been the patient that paid the price. When they asked us to take three patients in ICU,...
  17. Chisca

    Ebola patient is on dialysis

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

    We had a staff meeting this week asking for "volunteers" if we need to dialize a patient with ebola. The hospital has space in an older part of the building that they are trying to convert into a ICU...
  18. Chisca

    URGENT: Are CDC Ebola Guidelines 'Good Enough'?

    Chisca replied to MissyWrite's topic in Disaster Preparation

    Doctors without borders, who have the most experience in dealing with ebola, have had 16 of their staff infected with 9 dying. Even with all the precautions this is risky business but the CDC's...
  19. Chisca

    Ebola patient is on dialysis

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

    Not only is the circuit filled with blood it is under pressure caused by the dialysis machine pump. On the circuits we use there are no less than 7 connections or ports where blood can escape. On the...
  20. Chisca

    Ebola patient is on dialysis

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

    I think we are going to have to rethink how we disinfect dialysis machines. Current practice is the nurse or tech manualy wiping down the machine with bleach or hydrogen peroxide. Internal cleaning...
  21. Chisca

    Ebola patient is on dialysis

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

    Now they're blaming the Dallas nurse for a "breach of protocol" for contracting the virus after caring for patient zero. This make me mad as hell because I frequently encounter gloves that tear, gowns...
  22. Chisca

    Ebola patient is on dialysis

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

    Do we need a level 4 biohazard suit or not? There doesn't seem to be a reliable source of information on what is needed to protect yourself. The nurse in Spain did everything right and still became...
  23. Chisca

    What should EVERY nurse know about Dialysis

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

    Wealth of information on transplant centers in the U.S. SRTR -- Scientific Registry of Transplant
  24. Chisca

    Crozer approves strike vote, informational picketting June 2

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

    Thanks for the update. Those of us working in the wilderness appreciate news from the
  25. Chisca

    CEO's/Hosp.'s making millions off of our work:(

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

    Robots.