Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    The Case for Compensation in Kidney Transplants-WSJ

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

    I think the various transplant foundations are the ones keeping the system the way it is. Our local foundation refused to be merged with a larger group out of Nashville when it was proven this would...
  2. Chisca

    If no union in right-to-work state, then what?

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

    You have to take a very long view and realise that until the groundwork is laid no union will ever form. That groundwork largely consists of educating fellow nurses to the issues and learning how to...
  3. Chisca

    administering medication via fistula needle...

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

    I'm confused. There is an injection port on the venous side of the dialysis circuit for this purpose. But you wouldn't have this unless the patient is connected to the dialysis machine and the...
  4. Chisca

    Acute HD units also doing PD

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

    Common. Our unit is trying to cross train all the hemo nurses to perform PD because we are seeing more patients who have chosen this therapy. No on call for PD at this point but the hemo on call is...
  5. Chisca

    Davita Acute Nurse Interview

    Chisca replied to five10fevr's topic in Dialysis, Renal, Urology

    Acutes are a mixture of patients, some who are stable enough to be dialized in an in-hospital clinic and others who are so sick they are in ICU and you bring all the equipment to their bedside. It is...
  6. Chisca

    Torn between Dialysis and med/surg for my first job

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

    Door number
  7. Chisca

    What should EVERY nurse know about Dialysis

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

    I remember an attending who would tell the house staff, after they were dumbfounded by some clinically challenging situation, that the patient "didn't read the book". You, sir, didn't read the book....
  8. Chisca

    Hyperkalemia a ticking time bomb?

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

    Dialysis patient? They can tolerate higher potassiums and be pretty asymptomatic. Does your crash cart have the calcium gluconate or bicarb because that's where I would look if needed. Break into the...
  9. Chisca

    Ca. Nurse Assn. has a new affilate...

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

    Thanks for the clarification. An affiliation not a merger. Sometimes I get lost in the alphabet
  10. Chisca

    Are all nurses overworked and underpaid?

    Chisca replied to bluebird2010's topic in Patient, Colleague Relations

    You came out of nursing school this way? The OP clearly stated she was a new nurse so I understand exactly where she's at. The past 30 years have seen a dramatic escalation of things that separate the...
  11. Chisca

    Ca. Nurse Assn. has a new affilate...

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

    Amen. SEIU is an example of what happens when low skilled uneducated workers are manipulated into forming a union. If you examine the shenanigans SEIU has been involved in in the last decade why would...
  12. Chisca

    Abuse in Nursing

    Chisca replied to stickit34's topic in Patient, Colleague Relations

    Tennessee has changed it's laws to make assault on a healthcare worker a felony. More states need to do this. Assaulting health care workers about to draw steeper fines in TN | The Tennessean |...
  13. Chisca

    Young CNA here: help me understand this union thing

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

    If I posted nonsense like that I would remain annonymous
  14. Chisca

    10 states with 30M uninsured hold key to ACA success

    Chisca replied to NRSKarenRN's topic in Activism, Healthcare

    Relax, the White House is using adorable cats to get people to sign up. White House Uses Adorable Cats to Make Us Buy Health Insurance (GIFS) | The
  15. Chisca

    What should EVERY nurse know about Dialysis

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

    Direction of flow. Important to know after the needles (2) are placed as the dialysis machine will pull blood from the arterial side and return to the venous side. Determined by applying pressure with...
  16. Chisca

    All medications to be given at least 4 hours before dialysis

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

    I would call the patients dialysis center and inquire as to how successful they are in meeting his UF goals. BP meds are not held because they are removed by dialysis but because they can limit water...
  17. Chisca

    Young CNA here: help me understand this union thing

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

    Substitute the word democracy for union and that explains alot. Anti union folks are very similar to anti democracy folks, they hate the idea that the will of the people trumps rule by an oligarchy....
  18. Chisca

    Top 10 Reasons We Get Fired: Sleeping on duty

    Chisca replied to madwife2002's topic in General Nursing

    California nurses are allowed to nap on their breaks although I don't know if this is by law or just a provision of contract negotiated by the California Nurses Association. Another reason to belong...
  19. Chisca

    Nurses of Local 97 Nova Scotia Union, say that mandatory ratios are necessary

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

    Somehow California hospitals continue to operate at a profit despite having to meet state staffing laws so maybe it is a question of replacing the current management. Do the board of directors know...
  20. Chisca

    No More Overtime!

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

    [h=1]I didn't realize the link requires registration so here is the article. "CMS to phase in controversial payment cut to dialysis providers[/h] By Beth Kutscher Posted: November 22, 2013 - 5:45...
  21. Chisca

    No More Overtime!

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

    Hmmm. CMS froze rates for dialysis for 2014 and both Fresenius and Davita stock rose in value at the news. Overtime is part of federal labor law and if your employer refuses to pay the NLRB has a nice...
  22. Chisca

    Is turning the utrafiltration off ok?

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

    I think one of the ways that Fresenius machines deal with backfiltration with high flux dialyzers is by altering the pressure on the dialysate side. The high flux dialyzers have larger pores....
  23. Chisca

    PA catheters/swan ganz

    Chisca replied to arl6's topic in MICU, SICU

    Preload, afterload, contractility. A PA catheter answers those
  24. Chisca

    Is turning the utrafiltration off ok?

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

    Even with the UF removal off solutes are removed because the concentration gradient is still there. 10 on one side and 3 on the other means that diffusion will want to balance the solutions whether...
  25. Chisca

    Best paid nursing jobs?

    Chisca replied to william1's topic in MICU, SICU

    San Francisco pays well due to 40 years of collective bargaining. Anywhere chattel slavery was ever legal won't pay as well.