Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Bicarb Gtt

    Chisca replied to sleepy17's topic in MICU, SICU

    Bicarb drip for respiratory acidosis? Are you sure there isn't a metabolic component in addition to the respiratory problem? Either way a bicarb drip is a poor choice as the patient doesn't have a...
  2. Chisca

    Random Thoughts

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

    That's why I think home dialysis is the best option. If not that then a Fresenius 2008K in the back of my pick up truck. Will accept cash for
  3. Chisca

    stressful situations in dialysis

    Chisca replied to ffliper27's topic in Dialysis, Renal, Urology

    One quarter of all dialysis patients become hypotensive during a treatment. Some worse than others. Depending on how you respond you may rescue your patient from coding or not. Some will have...
  4. Chisca

    Variable staffing based on patient acuity & census in ICU

    Chisca replied to lcsmithrn's topic in MICU, SICU

    CRRT is for patients who are hemodynamically unstable. If they were stable they would receive hemodialysis. Measure their acuity and you will have a strong argument that they need 1:1 nursing
  5. Chisca

    Patient census in acute setting.

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

    2:1 for patients that are on med/surg or telemetry floors and can travel to us, 1:1 for ICU patients that we travel to. Given the limitations techs have I don't see the cost benefit they provide...
  6. Chisca

    Dialysis Staff Schedules

    Chisca replied to jlynn2303's topic in Dialysis, Renal, Urology

    Acute.
  7. Chisca

    Dialysis Staff Schedules

    Chisca replied to jlynn2303's topic in Dialysis, Renal, Urology

    2 week pay cycle. Choices for staffing are random days or a preset 3 days at beginning of pay cycle coupled with 3 days at end of pay cycle to create 6 out of 7 days worked. The reward is 7 days off....
  8. Chisca

    anxiety/desats when repositioning intubated patient

    Chisca replied to RNbethy's topic in MICU, SICU

    Oxygen supply must always meet demand or you will have desaturation. If you had a SVO2 monitor in addition to a SPO2 monitor you could see this in action. Bathing and turning a patient consume a...
  9. Chisca

    Can't stand dialysis

    Chisca replied to Tfunke25's topic in Dialysis, Renal, Urology

    I would get out if I were you. You risk becoming totally disenchanted with nursing and ending your career before it gets started. I would guess you aren't even being allowed to practice nursing as you...
  10. Chisca

    Communicating with Doctors

    Chisca replied to Stephrnpitt's topic in MICU, SICU

    I've witnessed an attending dress down a surgical resident at the nursing station because he refused to listen to a nurse who was concerned about swelling in a patient's arm after PICC placement. The...
  11. Chisca

    ICU RN thinking about doing Acute Dialysis

    Chisca replied to amyla008's topic in Dialysis, Renal, Urology

    At my hospital it would help if you had a plumbers license. Part of the dialysis machinery is a reverse osmosis machine and the there are different water connections depending on which part of the...
  12. Chisca

    Really interesting NYT article about Mississippi's health care system

    Chisca replied to pockunit's topic in Activism, Healthcare

    Thanks for posting that up, really interesting but I was left wondering why the health practitioners felt they couldn't enlist another resource available to them, churches? Religion is a central part...
  13. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    Malamud69 this question is for you. I'm detecting you favor open borders for cheap vegetables and human dignity but how far are you willing to go? Should we limit H1B visas? Because if not there are a...
  14. Chisca

    Recomend a basic dialysis text book?

    Chisca replied to jlynn2303's topic in Dialysis, Renal, Urology

    After all these years of wondering what the heck AACN was talking about with synergy I had to come to this forum to see it. Jynln2303 I think someone has a book for sale.
  15. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    Probably more often than it should but how does universal healthcare prevent this? Staffing by acuity would prevent this and some states have mandatory staffing laws, most do not. I have educated many...
  16. Chisca

    [Help a nursing student] What are those little stick-diagrams used to annotate labs?

    Chisca replied to azzurra29's topic in MICU, SICU

    Calculation
  17. Chisca

    Recomend a basic dialysis text book?

    Chisca replied to jlynn2303's topic in Dialysis, Renal, Urology

    I like Handbook of Dialysis by Daugirdas, Blake and Ing. Handbook of Dialysis: John T. Daugirdas,Peter G. Blake,Todd S. Ing: 9780781752534: Amazon.com:
  18. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    I think from the examples that follow that statement 37 was speaking of validating that knowledge with
  19. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    Not so sure about that. I follow Medicare rules on hemodialysis religously because those rules determine my practice on a daily basis. I've learned a huge amount from two dialysis blogs by patients...
  20. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    I have been here for the entire program. It has been tweaked since the democratic governor commisioned a study that found it was unsustainable. MCO's were responsibe for signing people up in the...
  21. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    Only if you have a job.
  22. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    Two states have experimented with trying to provide universal access to healthcare using medicare dollars. Oregon and Tennessee. The same arguments used to support Obamacare, lower costs and more...
  23. Chisca

    Trouble with understanding pH-related death

    Chisca replied to mlbdestined's topic in MICU, SICU

    At least from an electrolyte viewpoint the body can tolerate acidosis far better than alkalosis. Acidosis drives the potassium out of the cells leading to hyperkalemia and alkalosis drives the...
  24. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    I see you didn't get the memo. The Greeks invented democracy. The Greeks had slaves. Therefore everything they created is built on misery and suffering. PS- We live in a Republic not a
  25. Chisca

    Healthcare is NOT a basic human right.

    Chisca replied to Asystole RN's topic in Activism, Healthcare

    See post #86 Every one of the signers of the Declaration of Independence was an englishmen subject to the laws of the king. The penalty for treason in 1776 was hanging and had the revolution not been...