Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    How to determine dehydration

    Chisca replied to motherinlaw's topic in General Nursing

    Sodium level. Elevated, dehydration. Decreased, fluid overload. And if you really want to impress your friends calculate the serum osmolality using the measured sodium, glucose, and BUN....
  2. Chisca

    Disappointed in myself and feel like a failure in nursing.

    Chisca replied to NocturneNrse's topic in General Nursing

    Get out of there ASAP. These nurses are adults and they developed that way of interacting long before you arrived. Start putting in applications, don't badmouth your employer, and don't look
  3. Chisca

    Is it legal for Davita to do these things??

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

    Every state in the union has a department of health. I would start there. It would also help to have names, dates, and
  4. Chisca

    Is it legal for Davita to do these things??

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

    You could always drop a dime and call the state. Every aspect of dialysis is governed by regulatory agencies and if the things he describes are truly happening there should be other witnesses than...
  5. Chisca

    BSN Required for Dialysis Nursing?

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

    2 different certifications for dialysis RN's, one for BSN, one for ADN. The ANNA website explains the differences. To me it seems silly as if you can pass the test and are a licensed RN why...
  6. Chisca

    Drugs To Give/Not Give Before Dialysis

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

    Many factors influence drug removal by dialysis, the major ones being the type of filter used in your facility, whether or not a drug is protein-bound or water-soluble, molecular size, and the sieving...
  7. Chisca

    What should EVERY nurse know about Dialysis

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

    The most dangerous day for a dialysis patient is Mondays. More dialysis patients code on Monday than any other day of the week. 2 days is a long time to go without dialysis. The most dangerous time...
  8. Chisca

    Bevel up, Bevel down???

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

    I never flip a needle. I "reposition" the
  9. Chisca

    New to HD

    Chisca replied to gigi2010's topic in Dialysis, Renal, Urology

    What you are bringing to the table is 20 years of ICU experience which will be invaluable in a chronic clinic. You may be working with nurses who have never even been in a code. If they are smart they...
  10. Chisca

    ICU ratios

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

    How about measuring the acuity of the patients and have a discussion based on how much nursing care the patients require. Relying on absolute ratios of 2:1 could still leave you short
  11. Chisca

    Bevel up, Bevel down???

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

    Has to be the calcium.
  12. Chisca

    You're On Stage

    Chisca replied to Blindsided's topic in General Nursing

    Are they making you wear a button yet? "Quality begins with me" or some other meaningless slogan. If you can't deliver good care I guess you can just pretend like you
  13. Chisca

    Male going into nursing (hopefully)

    Chisca replied to edwindelahiggins's topic in General Nursing

    Based on what you describe you are already a strong candidate due to previous college experience, employment in a related field, and the number of pre-reqs you have completed. I don't think any...
  14. Chisca

    Any ICUs or critical care settings where the standard ratio is 1:1?

    Chisca replied to edogs334's topic in MICU, SICU

    The time is long past that hospital management should ever be allowed to determine what is safe staffing. That needs to be driven by the nurses at the bedside. I would encourage those nurses that feel...
  15. Chisca

    VA Hospital Memphis

    Chisca replied to RiverNurse's topic in Tennessee Nursing

    Most applicants give up before the VA gets back to them. I would guess 3-4 months from application submitted to job offer. I worked at the Memphis VA for two years in the MICU and quit over the issue...
  16. Chisca

    Albumin/fluids and svr

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

    With PAD 15-18 the tank is full. At some point albumin might have helped but you would have pushed the filling pressures higher and off of Starling's curve. CO was OK so contractility isn't the issue....
  17. Chisca

    Albumin/fluids and svr

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

    Any PA numbers to throw into the equation?
  18. Chisca

    Cardiac drugs explanation or good books to read

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

    AACN has some apps that work with the Iphone if you're into that sort of thing.
  19. Chisca

    Does your unit do it's own CRRT?

    Chisca replied to WWRN's topic in MICU, SICU

    Acuity is the 400 lb gorilla in the corner that no one seems to want to talk about. I have never seen an acuity system that scores for CRRT but the times I have cared for CRRT patients just for fun I...
  20. Chisca

    Cardiac drugs explanation or good books to read

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

    I wouldn't buy this book unless you plan on working in ICU but the chapters on medications are really good. Your hospital library should have it....
  21. Chisca

    Memphis

    Chisca replied to Zaphod's topic in Tennessee Nursing

    Pure hyperbole. What nurse has been unable to find a job in this city? How many times have you been shot? The facts are unless you associate with criminals or engage in drug usage your chances of...
  22. Chisca

    Memphis

    Chisca replied to Zaphod's topic in Tennessee Nursing

    "Art is a great way to transform the ordinary into the interesting." The metal museum is another jewel this city has.
  23. Chisca

    Levo and pH

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

    Think like a cell. If your body reverts to anaerobic respiration you are producing alot of lactic acid. This causes vasodilation and the levophed cannot overcome this even with boluses of sodium...
  24. Chisca

    Memphis

    Chisca replied to Zaphod's topic in Tennessee Nursing

    :)
  25. Chisca

    Memphis

    Chisca replied to Zaphod's topic in Tennessee Nursing

    http://www.commercialappeal.com/news/2010/oct/08/tamales-looking-for-the-best-in-memphis/?partner=yahoo_feeds