Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Lawsuit Claims Nurse Was 'Worked to Death'

    Chisca replied to Brian's topic in General Nursing

    It sounds as if she was a dialysis nurse, if so there is no scheduled shift as you have to stay until every patient that needs dialysis is done. It is easy to rack up 80 hours in one week whether you...
  2. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    Fresenius and Davita are examples of rent seeking rather than competition in a free marketplace. Rent-seeking - Wikipedia, the free
  3. Chisca

    Preventing Extracorporeal Clotting in the Acute Setting

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

    I was looking at the web page for Rexeed filters as we use these when a patient is allergic to the Fresenius F180. Came across this interesting statement: "If platelets directly touch a membrane...
  4. Chisca

    How to get out of dialysis nursing?

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

    Anyone that thinks that dialysis nursing limits them in employment opportunities is undervaluing what dialysis nurses do. Many nurse managers and too many non dialysis nurses do not understand what we...
  5. Chisca

    Plasmapheresis pay salary

    Chisca replied to jdsp87's topic in Dialysis, Renal, Urology

    Time and a half after 8 hours too. I miss
  6. Chisca

    New Grad who FINALLY has an offer (S)...

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

    I don't what a COTA/L is but my advice is to ask yourself do you prefer hands on, working with machinery, solving technical problems, in an adrenaline charged atmosphere? Because that's alot of what...
  7. Chisca

    Taxpayers help pay for organ donor groups' parties, Rose Parade expenses

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

    Not enough zeros. 150,000 here, 32,000 there, that's just chump change. You have to have at least millions in fraud to get anyone's attention. We could take these organ donor groups out of the loop if...
  8. Chisca

    New Grad who FINALLY has an offer (S)...

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

    I'm confused. Are you an RN or about to become an
  9. Chisca

    Flu shot or Masks or Termination

    Chisca replied to madwife2002's topic in Dialysis, Renal, Urology

    Tennessee is a right to work state so you can be fired at will, no cause needed. Everyone in my unit took the shot as they made it mandatory. Sure you could wear the mask but let them catch you once...
  10. Chisca

    Access on right...machine on left

    Chisca replied to dmapp63's topic in Dialysis, Renal, Urology

    Try to have it on the side of the patient's access because the tubing only reaches so far and I don't like it across the patient. However a portable RO machine has to be connected to the water box in...
  11. Chisca

    Helpful links for nurses and dialysis patients

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

    Dr Joel Topf's blog Precious Bodily Fluids. He is very interested in sharing infromation and embraces the new forms of social media to educate those interested in nephrology. He also has a wicked...
  12. Chisca

    Preventing Extracorporeal Clotting in the Acute Setting

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

    Both of those articles on argatroban reference patients with known HIT, one in the setting of CRRT. CRRT treatments run continuously, ie 24 hours unlike hemodialysis where the treatment is 3-4 hours....
  13. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    I can remember when TPA was invented and it was going to be the next thing in treatment in acute coronary syndrome. If you owned stock in Genentech you were going to be rich. 5 years later and studies...
  14. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    Tassin, France. Renal Fellow Network: The Secrets of
  15. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    Despite making a profit Indiana University is laying off 800 employees. Any opinion on how this will affect quality of care? Worried about the future, IU Health cuts 800 jobs, even as income soars |...
  16. Chisca

    Preventing Extracorporeal Clotting in the Acute Setting

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

    One of the first problems Dr Georg Haas faced in 1924 was how to prevent blood from clotting when removed from the body. His technique involved removing 400cc of blood, cleaning and then returning it...
  17. Chisca

    Preventing Extracorporeal Clotting in the Acute Setting

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

    And many times it is just in the venous chamber. I've tried to think of ways to avoid this, cardiac stents are coated with tacrolimus to prevent clotting but this would be expensive to do for a...
  18. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    Very interesting. When I first developed an interest in dialysis I wanted to know the history of ESRD and it is very fascinating how the federal government became involved. But once they were the...
  19. Chisca

    Increased nurse staff levels tied to lower odds of Medicare readmissions penalties, s

    Chisca replied to herring_RN's topic in Activism, Healthcare

    Which is why we, as nurses, need to give up on trying to convince a group of people whose behaviour towards safe staffing is that of a sociopath. Unless staffing is mandated by law with penalites for...
  20. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    Do you have any numbers on per treatment cost? John Hopkins gets a huge amount of funding from the federal government so how can you compare costs against a private company providing the same therapy?...
  21. Chisca

    Preventing Extracorporeal Clotting in the Acute Setting

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

    My current medical director is adamantly opposed to heparin because of HIT. The environment I work in is a teaching hospital and he is instructing the fellows and residents not to use it. We still...
  22. Chisca

    Hypotension

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

    Do you know when the midodrine was taken by the patient? Peak effect of midodrine is one hour and the half life is 3 hours. You could just be seeing the effects of this medication. Other factors would...
  23. Chisca

    When patients and visitors are rude

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

    I like reminding verbally agressive patients that Tennessee recently changed the law for assault on healthcare workers, this after a patient broke a nurse's jaw in the ER. It is the same penalty as...
  24. Chisca

    Nursing in the UK from America: Really that impossible?

    Chisca replied to rjf13d's topic in General World

    OP stated she's looking for a job in the UK 4 years from now and alot can change in that time. The article noted that the demand for nursing care hasn't diminished just that budget problems are being...
  25. Chisca

    Preventing Extracorporeal Clotting in the Acute Setting

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

    You've got the saline flush angle covered, if you know beforehand the patient has a history of clotting you could suggest a citrasate solution to the nephrologist. Citrasate in the acid bath prevents...