Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Discrimination in the workplace

    Are you the only aboriginal employee at your hospital? Try and reach out and see what others have experienced and see if it is a pattern or just this one individual in your unit. The fact you have...
  2. I wonder if ANA is also contributing to the advancements being made in robotics in Japan and South Korea. Japan is under great pressure due to the lack of young people to care for their old and think...
  3. Chisca

    Decreasing blood pump speed when UF off

    I think I didn't explain clearly but the blood flow through a mature fistula, without being connected to a dialysis machine, is 600 ml/mn and higher which is why I don't feel the dialysis machine flow...
  4. Chisca

    Decreasing blood pump speed when UF off

    I found this passage from the fourth edition of Handbook of Dialysis on pg 176. "Slowing the blood flow rate. In the past , part of the intitial therapy for dialysis hypotension was to slow the blood...
  5. When you say an isolated low diastolic pressure do you mean one instance? Remember that a non invasive BP cuff does not measure pressure the same way as when you listen to it with your stethoscope. A...
  6. Chisca

    Patient's PD Drainage

    We have had patients that wanted to do their own therapy while in hospital but management's opinion is that this exposes the hospital to legal risk and won't allow it. You don't need a nursing license...
  7. Chisca

    Pros/Cons of dialysis nursing

    Peritoneal dialysis is an added responsibilty in the acute setting where I work. We rotate assignments so if you are assigned PD you have anywhere between 2 to 10 patients you are responsible for...
  8. Chisca

    Help! Straight Cath Giving Blood Only.

    If a urologist was concerned enough to do a cysto it would seem you weren't the only one who was having issues with blood in the urine. Trauma causes inflammation and I would imagine there is still...
  9. Chisca

    Ultrafiltration Profiling

    While it may be interesting to understand the difference between sodium modeling and UF profiling ultimately they are nothing more than tricks that have no evidence based benefit on morbidity or...
  10. Chisca

    What car do you have?

    Saab. Front wheel drive so it's good on snow. They have a bad reputation from people not maintaining them but as long as the previous owner has service records and changed the oil every 3,000 miles...
  11. Chisca

    Ultrafiltration Profiling

    Dialysis works by passing blood through a semipermable membrane. Blood molecules are too big to pass through this membrane. Water passes through based on the hydrostatic pressure on the other side of...
  12. I would recommend reading this
  13. Chisca

    Solutions for Acutes?

    Shouldn't this thread be in the Collective Bargaining/ Nursing Union sub forum?
  14. Chisca

    Solutions for Acutes?

    If you find an answer I'd love to hear it. My former ICU colleagues are experiencing the same turnover so I don't think it's just dialysis. We recently had to swallow a cut in the on call pay and a...
  15. Chisca

    Nurses Being Made to Tech?

    We can't keep techs so it happens rather frequently. From a business standpoint I can't understand why retention of staff, nurses and techs, isn't a higher priority. Very expensive to keep training...
  16. Chisca

    VA problems are in most hospitals

    "In November 2013, he walked into the Memphis VA Medical Center complaining of chest pains. After waiting several hours in the emergency room with no help, Blakely left and was treated at nearby...
  17. Chisca

    VA problems are in most hospitals

    If nothing else the VA has proven they have a history of covering up problems and concealing the truth from those who would seek to find it. I have a feeling I was there and you were
  18. Chisca

    VA problems are in most hospitals

    Yes. One of the cardiologists on staff starting taking pts to the cath lab at a private hospital on the weekends but was told by the director he would be fired if he continued to do this. One of the...
  19. From the company website: " In several cases the Union has misrepresented our position, and has drawn a false comparison with executive compensation meant to inflame its members...
  20. Chisca

    VA problems are in most hospitals

    So was
  21. Chisca

    VA problems are in most hospitals

    I guess that would be comforting to the families of the three vets who I know that died over the weekend. Beyond what I witnessed I was good friends with one of the attending cardiologists who was...
  22. Chisca

    VA problems are in most hospitals

    The hospital I currently work at meets the national standard of door to balloon time of less than 90 minutes 24/7. From the fourth floor I can see the Memphis VA. “From where we were the first three...
  23. I suppose if you own a printing press you can never go bankrupt. But the math doesn't add up no matter what you want to call it. And to call it affordable is
  24. You could substitute any one of a number of synonyms for bankruptcy, insolvent, failed, ruined, in debt, owing money, in the red, in arrears, overleveraged. But hang on to your legal definition even...