Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Nursing in the UK from America: Really that impossible?

    Chisca replied to rjf13d's topic in General World

    They are the 5th largest employer in the world (1.7 million employees) so I wouldn't think it would be hard. Unless 1.6 million are in
  2. Chisca

    Obamacare vs. The Affordable Care Act

    Chisca replied to Elizabeth Renee's topic in Activism, Healthcare

    War is peace. Freedom is slavery. Ignorance is strength. Just remember in the end Winston loved big
  3. Chisca

    I didn't burnout, I went up in a great big ball of flames...

    Chisca replied to Gamecock73's topic in General Nursing

    You quit a crappy job. You didn't give up your license. I think every one of us has been in a nursing job that we wanted to run screaming out of the building at the end of our shift. I wouldn't give...
  4. Chisca

    CRRT training, how much is enough?

    Chisca posted a topic in MICU, SICU

    For those ICU nurses that manage CRRT in a shared role with dialysis staff ( dialysis sets up and takes down, ICU nurse manages therapy) how much training, in hours, did you receive? My institution...
  5. Chisca

    Acutes to Chronic?

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

    I have never worked in chronics but from my fellow nurses that have say the techs either make or break you. I don't know if you could interview the techs at the clinic you are considering but you...
  6. Chisca

    You think the "Nursing Glut" is bad now?

    Chisca replied to Guttercat's topic in General Nursing

    One third of the nurses in the US are over 50. There is going to be a huge shortage as these nurses leave the workforce and there aren't enough replacements....
  7. Chisca

    Point of View From a Dialysis Tech=No, not Me......

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

    This is a cut and paste from a site called i hate dialysis. Someone snuck into a Davita corporate meeting and took some pictures. Please NDXUFan, have a discussion about whatever dialysis topics you...
  8. Chisca

    IM injection

    Chisca replied to Titanium888's topic in Dialysis, Renal, Urology

    Which reminds me of the old joke " What do they call the person who finishes last in medical school?"
  9. Chisca

    IM injection

    Chisca replied to Titanium888's topic in Dialysis, Renal, Urology

    I have never met a nephrologist who would allow this practice and they would certainly be speaking to your supervisor if they knew. Mention it to them the next time they round and see what
  10. Chisca

    Indiana University Nursing vs Davita Management of Nursing

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

    Davita's sole purpose is to obtain a return for shareholders. When that model is applied to healthcare it can get ugly, fast. While Indiana U provides a high quality service you know there has to be...
  11. Chisca

    I have a question concerning Arteriovenous Fistula's.

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

    The right artery has to be matched up to the right vein and this is determined by doppler studies. The minimal arterial size is 2.0mm and the minimal vein size is 2.5 mm. The vein is tested for...
  12. Chisca

    Fluid bolus for patient with end stage renal disease?

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

    After a little research it appears hemofiltration can remove ammonia. I found a Japanese study where they came up with a system where the blood is passed through three filters. The diagram doesn't...
  13. Chisca

    Fluid bolus for patient with end stage renal disease?

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

    My thought would be it might be theoretically possible to dilute out the ammonia with fluid but that it would require so much fluid that you would drown the patient, even if they weren't a renal...
  14. Chisca

    Vanderbilt Medical Center to have nurses cleaning up

    Chisca replied to DidiRN's topic in General Nursing

    So tell me again why Unions are such a bad
  15. Chisca

    Dialysis unit in Nsg Home for a new Grad, any tips?

    Chisca replied to missnoc360's topic in Dialysis, Renal, Urology

    Palliative dialysis. The prevalence of CKD is growing most rapidly in people ages 60 and older. Could be an opportunity for you to learn
  16. Chisca

    Fluid bolus for patient with end stage renal disease?

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

    The patient has plenty of fluid it's just in the wrong space. Fluid bolus will be a temporary measure to increase vascular volume and hopefully blood pressure. A CVP would be nice. The fluid is not...
  17. Chisca

    Management hate

    Chisca replied to beckster_01's topic in General Nursing

    So management doesn't staff by acuity, causes chaos in the unit from understaffing and it's your fault? You are right in seeing that it is a chain of events that caused this error but what's to...
  18. Chisca

    Wise nurses please give me advice, from med surg to dialysis

    Chisca replied to Mrs.B-'s topic in Dialysis, Renal, Urology

    I know how you feel about nights as I am not a night person either. I'm glad some are. I would ask about call because most dialysis positions involve some call. You might not sleep very well with the...
  19. Chisca

    Tattoos are taboo at work. Yes? No?

    Chisca replied to Joe V's topic in Nurses Rock

    My hospital is adopting a policy that we have to have the corporate logo embroidered our uniforms. Maybe their next bright idea will be for us to all have the logo tattooed on our
  20. Chisca

    A bid to undo dialysis cuts, new article says.

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

    Dialysis patients vote too and are expressing their opinion. The government created this monster and are unhappy with how much of their budget it is consuming. Well, if you build it they will come....
  21. Chisca

    People sure do have some nasty opinions about nursing

    Chisca replied to seconddegreebsn's topic in General Students

    You certainly like flogging a dead horse. A quarter of all sentinel events involve understaffing and your dream of making BSN the entry level to nursing would only worsen the shortage. I've seen some...
  22. Chisca

    Acute Dialysis patients arriving to unit with no orders

    Chisca replied to Dialysis101's topic in Dialysis, Renal, Urology

    Always act as if you would have to testify in court to explain your actions because if something goes wrong guess who they will hang? A jury will not have any sympathy for the nurse that fabricated...
  23. Chisca

    Patients were exposed to hepatitis B because nurses lacked access to electronic medic

    Chisca posted a topic in Dialysis, Renal, Urology

    Appalling story out of Boston about patients exposed to Hep B because staff did not follow basic procedures in screening and cleaning machines. Do hospitals abrogate their responsibilities to patients...
  24. Chisca

    ICU RNs running CRRT?

    Chisca replied to liz0105's topic in MICU, SICU

    Try and get that in writing because they will change their minds. Also try and involve the medical director of Nephrology as he/she will support the necessity of 1:1 staffing. There is no such thing...
  25. Chisca

    Patients were exposed to hepatitis B because nurses lacked access to electronic medic

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

    It amazes me that so many links were broken in this event. What kind of unit culture exists where you are knowingly breaking so many rules that a machine can go almost two weeks without proper...