Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    D50 vial via venous fistula needle

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

    D50W can be safely given through venous line. Glucose is highly dialyzable as it's molecular size is 180 daltons. (very small molecule) Diabetics make me very nervous if they are on the machine and...
  2. Chisca

    How has dialysis changed over time? Is it a worse job than it used to be?

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

    Just judging by staff turnover it is worse than it used to be. If you stay in my unit longer than a year you are on old timer. Not sure where the grass is greener,
  3. Chisca

    Can someone who knows PA cath's dumb this down for me?

    Chisca replied to chefjaxx's topic in MICU, SICU

    [ATTACH=CONFIG]27046[/ATTACH]
  4. Chisca

    Which nurse do you want for your Little Johnny?

    Chisca replied to Pirate RN's topic in General Nursing

    Awaiting to be replaced by a
  5. Chisca

    Acute Inpatient Dialysis Patient-to-Nurse Ratios

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

    2:1 in unit, 1:1 if at bedside. No techs. 600 bed big city hospital in Tennessee. Management tried 3:1 but too many staff quit. 4:1 sounds unsafe to
  6. Chisca

    Acute Dialysis job nitemare

    Chisca replied to Lilone20's topic in Dialysis, Renal, Urology

    13th amendment. Section 1. Neither slavery nor involuntary servitude, except as a punishment for crime whereof the party shall have been duly convicted, shall exist within the United States, or any...
  7. Chisca

    Treating Dehydration DT Physical Exertion

    Chisca replied to NurseNurseNurseNurse's topic in General Nursing

    Hypovolemia vs dehydration. "It is important to realize the difference between HYPOVOLEMIA and DEHYDRATION, two terms which are often used interchangeably but in fact reflect different things. Read...
  8. Chisca

    Acute Dialysis job nitemare

    Chisca replied to Lilone20's topic in Dialysis, Renal, Urology

    That is the correct
  9. Chisca

    Non compliance?

    Chisca replied to Glycerine82's topic in Patient Education

    After more than one dialysis patient argued with me that ice was not water I've decided you can have a 55 gallon drum of water if you want. And a salt
  10. Chisca

    Why I would tell you to stay out of nursing

    Chisca replied to KalipsoRed21's topic in General Nursing

    I've learned to try and convince the patient it's me and you against "the system". Easy to do since dialysis in the US is not patient driven and there is so much information out there from other...
  11. Chisca

    Messy coworkers

    Chisca replied to trulyblessed2's topic in Dialysis, Renal, Urology

    I'm guessing you have resigned by
  12. Chisca

    Drawing labs from CVC locked with heparin

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

    Point of care is an issue for nursing because we can't charge for our services unlike other departments. When point of care came about to monitor blood sugars nursing did the work but lab billed the...
  13. Chisca

    Drawing labs from CVC locked with heparin

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

    Your job security should be the least of a patients concern. Point of care is accurate, safe and used daily in the hospital to make clinical
  14. Chisca

    Techs vs. RNs in Outpatient Dialysis

    Chisca replied to MrsRN86's topic in Dialysis, Renal, Urology

    The training period is difficult because you aren't doing any nursing, Dialysis clinics are assembly line factories designed to profit two large companies. Patient care be damned. Learn as much as you...
  15. Chisca

    Federal Nurse Staffing Bill Comparison

    Chisca replied to NursesTakeDC's topic in General Nursing

    The ANA would have us depend on the kindness of
  16. Chisca

    Noncompliance

    Chisca replied to Twinmom06's topic in Dialysis, Renal, Urology

    At least some part of "non compliance" may be untreated mental health issues. If the voices in your head are telling you not to go to dialysis are you going to
  17. Chisca

    Unsafe Nurse Staffing Ratios - Not Just in the U.S.

    Chisca replied to tnbutterfly - Mary's topic in General Nursing

    I don't mind going by a grid as long as it's the right
  18. Chisca

    UFR Goal questions

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

    Rapid fluid removal during dialysis is associated with cardiovascular morbidity and
  19. Chisca

    UFR Goal questions

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

    1. Act as if every action you do will have to be explained before a jury. 2. UF removal rate no more than 10cc per KG per hour. Want more fluid removal? You need a longer treatment
  20. Chisca

    Unsafe Nurse Staffing Ratios - Not Just in the U.S.

    Chisca replied to tnbutterfly - Mary's topic in General Nursing

    Living in a right to work state without a ballot initiative process I will never see ratios except that they be imposed by a federal entity. CMS guidelines mandating staffing by acuity? That's the...
  21. Chisca

    Thinking about getting a gun for safety

    Chisca replied to MotoRN34's topic in Home Health

    Krav Maga all the way. This is real world survival combat training and will greatly improve your confidence to deal with people who would harm you. Even if you don't take the home health job learn to...
  22. Chisca

    Labs after dialysis

    Chisca replied to kristin10's topic in Dialysis, Renal, Urology

    Need to specify acute or chronic. In the hospital labs can be drawn 2 hours after the end of treatment. An Australian study that claims accurate labs can be drawn one hour after treatment. Preparation...
  23. Chisca

    Balance of Electrolytes during Dialysis

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

    Whatever bath you choose the sodium level is predetermined by the dialysis machine. 2K bath at my hospital will give you a sodium of 138 and a bicarb of 33. You can adjust these but these are the...
  24. Chisca

    New to renal

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

    Despite what a patient may argue ice IS
  25. Chisca

    Low Diastolic Pressure - I mean REALLy Low

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

    I think the damage to the heart has already occurred and the doc is focused on reducing the work of the heart by pulling fluid. UAB - The UAB Mix - Diastolic blood pressure: How low is too