Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Would you work in this environment?

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

    " There is no emergency button to press in times of trouble" Violation of CMS rule V.402.: No method for summoning immediate assistance (V402) "There is barely enough room to fit the beds" Violation...
  2. Chisca

    VA ICUs- How critical?

    Chisca replied to nursenancy27's topic in Government, Military

    Is it a teaching hospital with interns and residents? If so the pts will be very sick. Of course at the VA I worked in we never had enough staff, every day 3:1 assignments, so we just took to...
  3. Chisca

    Definition of Hemodynamically unstable...

    Chisca replied to FenRN's topic in MICU, SICU

    Allowing hospital management to set standards and criteria for 1:1 would be like letting the fox determine how secure the chicken house should be. This is a clear conflict of interest and the public...
  4. Chisca

    Sepsis Questions

    Chisca replied to kblalock6's topic in MICU, SICU

    One liter? Without some indication other than BP what their volume status is you are flying blind but if they are truly septic you might end up giving 10-15 liters. The first response to low BP is...
  5. Chisca

    Nursing jobs with a sign on bonus question

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

    If it's your dream place anyway the sign on bonus is gravy. Sign on bonuses are usually an act of desperation by management because they have chased off the staff with horrible working
  6. Chisca

    Pain meds during dialysis

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

    Alot of confusion on this subject but my understanding is that dialysis can only remove a drug that is small enough to pass through the dialysis membrane and is not bound to either protein or a...
  7. Chisca

    Would you work in this environment?

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

    Run a garden hose and an extention cord to the parking lot. It sounds safer to dialyze there than in the broom closet they want you to work
  8. Chisca

    dialysis question

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

    https://allnurses.com/dialysis-renal-urology/what-should-every-513867.html Read this and then post any questions you might
  9. Chisca

    Another spanish for nursing question

    Chisca replied to northmississippi's topic in General Nursing

    Beware the on line translator. I thought I was telling my post op surgical patient to deep breath but his daughter asked me why I kept telling her father that his breath smelled
  10. Chisca

    Do dialysis patients have an altered biological clock?

    Chisca posted a topic in Dialysis, Renal, Urology

    I have often been amazed at the time distortion some dialysis patients have when they are present for their treatments. I have been accused of setting clocks back, altering clocks on the wall, and...
  11. Chisca

    Interesting article about staffing ratios

    Chisca replied to bill4745's topic in General Nursing

    As Laura Gasparius Vonfrolio says, "You need a nurse to save your
  12. Chisca

    leg pain

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

    Dry weight is a pretty crude way to determine how much fluid to remove and a continuous hematocrit measurement during treatment would give a more accurate assessment of how much fluid removal this...
  13. Chisca

    Not Sure What to Do...Fresenius Nurses?

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

    If you like being independent and autonomous you will like it. If you don't like long hours, being on call, and adventures in plumbing you might not like it. Dialysis performed in a hospital is called...
  14. Chisca

    Switching from dialysis nurse to any other department

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

    The AACN considers acute dialysis experience as acceptable to sit for the CCRN certification. The transition form acute dialysis to a medical ICU would be no more difficult than going from Neuro ICU...
  15. Chisca

    Acutes

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

    Volunteer
  16. Chisca

    Acutes

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

    Acutes are different because they are sicker. You will need to be able to assess and react quicker than in chronics. You can't just call 911. And you will need to have plumbing skills for the portable...
  17. Chisca

    Volunteer to be a union rep or not?

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

    I would voulunteer for it if I were you just because you are not " a backstabbing shady piece of trash". Your role will be to serve as a point of contact for union members and to provide...
  18. Chisca

    Bill would require nurse-to-patient ratios in Michigan hospitals

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

    That's why it is important for the nurses in Michigan to use the publics approval of our profession to speak out on why this is a public health issue. Every nurse cast a wide shadow in the number of...
  19. Chisca

    Obamacare? How will it affect dialysis?

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

    If the recent testimony of David Nicholson, head of the NHS, is to be believed I think I know exactly where this is heading. Nicholson was called before Commons to give account as to why he shoudn't...
  20. Chisca

    D.C. Hospitals And Nurses Fight Over Staffing Ratios

    Chisca replied to jrsRN07's topic in Collective Bargaining, Union

    Not to mention the sanity of more than a few
  21. Chisca

    Starting Training for Acute In Patient RN this Monday

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

    4 weeks of class with 6 months precepted? Someone must really want you. My employer would have given you no classroom and 12 weeks with a preceptor. Sink or swim. Focus on assessment skills and...
  22. Chisca

    Mass exodus of staff

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

    Being short staffed means there is some care/treatments that are not being done. So what's not getting done? Document, document, document. It sounds as if the staff is being forced to ration and I'd...
  23. Chisca

    Acute HD nurse- training for CRRT, apheresis, etc

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

    Maybe 5 minutes. Smaller kidney, slower QB/QD and a slightly different screen on the
  24. Chisca

    Join ANNA?

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

    It's worth it to me just for the Renalweb biweekly nephrology news. Current news about nephrology issues and pending legislation with links to the articles every 2 weeks. Much better than the AACN...
  25. Chisca

    ICU nurses, Is 3:1 patient to nurse ratio a common occurence or am I just tripping?

    Chisca replied to Scrubs911's topic in MICU, SICU

    And yet California hospitals can still make a profit despite having mandatory staffing requirements. "The average operating margin for California hospitals was 3.4% at the end of last year, according...