Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    ADN vs. BSN - patient mortality rates

    Chisca replied to Katniss88's topic in Diploma, ADN, BSN

    Amen, from an ADN who is also a
  2. Chisca

    Difference between night and day nurses

    Chisca replied to Joe V's topic in Nurses Rock

    The studies point to an interruption in circadian rhythm as the cause. Maybe that interuption leads to increased alcohol consumption, poor eating, poor sleeping and miserability. I'm suspicious of...
  3. Chisca

    Difference between night and day nurses

    Chisca replied to Joe V's topic in Nurses Rock

    Life
  4. Chisca

    Obamacare? How will it affect dialysis?

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

    C'mon, you can't expect Kent Thiry to get by on just 26 million dollars a
  5. Chisca

    Catheter care

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

    I'll assume you are talking about a hemodialysis catheter and not a PD catheter. For a hemodialysis catheter there are two types, a temporary vas cath or a more long term called a permacath which is...
  6. Chisca

    Helpful links for nurses and dialysis patients

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

    My favorite, The Renal Fellow Network. Where else can you find a discussion on why bears don't go into renal failure when they hibernate? Renal Fellow Network Renal Fellow Network: Do hibernating...
  7. Chisca

    PAWP

    Chisca replied to LNRN11's topic in CCU, Coronary, Cardiac

    My bad. Our study suggested that the incidence of Swan-Ganz catheter-associated PA rupture is 0.031%... CHEST Journal |
  8. Chisca

    PAWP

    Chisca replied to LNRN11's topic in CCU, Coronary, Cardiac

    Incidence of balloon rupture is 0.03–0.2% of all PA cannulations. Iatrogenic pulmonary artery rupture during Swanâ€"Ganz catheter placementâ€"A novel therapeutic approach - Kalra - 2012 -...
  9. Chisca

    PAWP

    Chisca replied to LNRN11's topic in CCU, Coronary, Cardiac

    Wedging a PA catheter requires a degree of nursing skill that most nurses don't want to bother with. You have to know the waveforms and where in the EKG and respiratory cycle to measure, preferably...
  10. Chisca

    Obamacare? How will it affect dialysis?

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

    Well that didn't take very long. CMS Releases the Proposed Rule for Changes to the ESRD Prospective Payment System | American Nephrology Nurses
  11. Chisca

    Dialysis Travel Nurse in California

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

    Are you talking about crossing a picket line or are contracts so uncertain they can be cancelled at any time? If it's the former I can't really help
  12. Chisca

    2 EKG strip questions

    Chisca replied to LaceyRN12's topic in General Nursing

    FTA discussing P waves : " If it is in the preceding T wave it will distort the appearance of the T wave .' I'm obviously not seeing the distortion in the T wave because it looks exactly like the P...
  13. Chisca

    2 EKG strip questions

    Chisca replied to LaceyRN12's topic in General Nursing

    Not trying to engage in a urination contest but what is your measurement of the PR interval in the first and second QRS complex on strip #
  14. Chisca

    2 EKG strip questions

    Chisca replied to LaceyRN12's topic in General Nursing

    I diasagree. The PR interval in QRS #1 is 0.12. QRS #2 is 0.16. The next wave is either a T wave or a P wave. If it's a P wave the there is a block, if it is a T wave then there is something else...
  15. Chisca

    2 EKG strip questions

    Chisca replied to LaceyRN12's topic in General Nursing

    Are you guessing or have you really analyzed each strip? Always do the same thing with every EKG strip. What is the atrial rate? What is the ventricular rate? Is there a P wave for every QRS? What is...
  16. Chisca

    Employer's Negative Response to Teaching Hospital Experience

    Chisca replied to slr0610's topic in Job Search, Interview, Resume

    Maybe they're afraid you will be outspoken and challenge the way they do things. Teaching hospitals emphasize evidence based practice while private hospitals will tolerate a doctor whose practice...
  17. Chisca

    Manual for dialysis machine?

    Chisca replied to Turtles2's topic in Dialysis, Renal, Urology

    I applaud your enthusiasm but remember the dialysis machine handbook won't explain osmosis, diffusion, or convection. It also won't discuss the different body spaces that fluid resides, the...
  18. Chisca

    Sharpies to label transparent dressing

    Chisca posted a topic in Infectious Disease

    Any contraindications to using a sharpie marker to label a transparent dressing on a central line? The supplied label that comes with our kits falls off and without a date we have to change the...
  19. Chisca

    Sharpies to label transparent dressing

    Chisca replied to Chisca's topic in Infectious Disease

    The company rep that supplies our central line dressings paid us a visit last week and stated there was no way that sharpie ink could penetrate the occlusive dressing. Infection control nurse has...
  20. Chisca

    Obamacare? How will it affect dialysis?

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

    Fresenius employs lobbyists who actively engage in trying to reduce funding for kidney transplants. Talk about conflict of interest! 31 million people in the US are currently on dialysis and they vote...
  21. Chisca

    access flows

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

    Too many variables in play here and I'm not quite sure what you mean by "sometimes we get a >2000 that we have to retake". Establish which side of the fistula is arterial and which side is venous...
  22. Chisca

    Will I Ever Get This?

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

    I remember reading somewhere that it takes 10,000 hours doing something to rewire your brain so that you would be considered an expert. At 40 hours a week that would be 5 years. Part of this involves...
  23. Chisca

    Be a renal nurse and not work a day in your life

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

    Very fulfilling when you make that connection with a patient and they thank you for caring. Unfulfilling when a nurse who is not in dialysis makes the comment "you're just a dialysis nurse". If...
  24. Chisca

    Dialysis Infection Control

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

    Computer charting. On a COW. (Computer on wheels) But if you call the IT department with a problem don't call it a COW. Someone was offended. It's a "mobile computer
  25. Chisca

    A word to the wise about CEU's

    Chisca replied to Isabelle49's topic in Home Health

    So glad Tennessee does not require this foolishness. I have practiced in two other states that did require CEU's and the nurses didn't seem any more competent for having taken them. Instead there were...