Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Memphis

    You have to look at your reference point when comparing Memphis to anywhere else. I moved here from the Bay area (California) and yes the traffic is not a problem. People ARE friendly here. Housing is...
  2. Chisca

    Memphis

    Memphis is urban and has alot of crime but I know of no urban area in the US that doesn't. It is unique in that housing is reasonable, traffic is not a problem, and people are friendly. If you have a...
  3. Chisca

    Does your unit do it's own CRRT?

    Yes, I've always found that term misleading, the "stable" CRRT patient. Only someone in management would use that phrase because if you really were hemodynamically stable you wouldn't need CRRT, you...
  4. I'm seeking information on what the nurse patient ratio is in the acute unit you work in. My unit currently is 1:2 but we only have one tech for a 14 bed unit and she is also responsible for setting...
  5. Part of my training for acute dialysis involved following a tech around for two weeks. Really good experience as far as setting up and troubleshooting the equipment and water system. I think it will...
  6. Chisca

    CCRN test: how bad is it really?

    From the AACN website as an example of "synergy". "If the gestalt of a patient were stable, but unpredictable, minimally resilient and vulnerable, the primary competencies of the nurse would be...
  7. Chisca

    CCRN test: how bad is it really?

    That's because it's an 80/20 split with 80 precent being clinical judgement and 20 percent being the "synergy" kool-aid. I think the AACN corporation (operative word here being corporation) figured...
  8. Chisca

    Should I let this stop me?

    Are they offensive? Political? Gang affiliation? Depends on what message you are trying to convey. Not sure how I would feel about having a nurse with the grim reaper tatooed on her arm. Again, what...
  9. Chisca

    ICU to Dialysis advice please

    If you are an ICU nurse and liked that pace you would probably find acute dialysis more enjoyable. There is tremendous pressure in dialysis to reduce the time between treatments and it is worse in the...
  10. Chisca

    Jobs in Memphis, surrounding areas

    I know of three new grads recently hired into the transplant ICU at Methodist
  11. Chisca

    ICU to Dialysis advice please

    Acute or chronic? Two different animals in my
  12. You can't become certified until you have a year's worth of dialysis experience so I don't think you need to worry about studying at this point. Alot of the material will make more sense after you...
  13. Chisca

    Normal CVP?

  14. Chisca

    Suspended

    Repeated medication errors by different nurses with the same medication? As others have stated it sounds like a system problem. And if management wants to blame nurses instead of fixing the problem...
  15. Chisca

    Do you use 2 Bags of NS or 1?

    I think it takes about 5 years full time working to be a master at this. Dialysis is one of those things that looks fairly easy to the casual observer but alot is happening while your patient is...
  16. Chisca

    New Grad in ICU?

    Or an attending who commented to me more than once "don't let the house staff kill my
  17. Chisca

    Nurses-Read this and respond to Dr. Ablow

    And witchcraft has the same success rate as
  18. I went to the MNA website and signed the petition but at this point it does not appear MNA is asking for more than that. If there is a strike fund that outsiders can contribute to I would be willing...
  19. Chisca

    New Grad in ICU?

    Fraught with danger but it is possible. Do not let them shortchange you on education or training. You should not be included in any staffing pattern until your orientation is finished. I would get it...
  20. Chisca

    titrating pressors

    It may be that particular nurse titrates drugs in 5 ml increments. If this is the way all the nurses there practice be afraid, be very afraid.
  21. Will the teamsters honor the picket line? The story I heard was that the 84' strike continued until the teamsters refused to make deliveries to the
  22. Chisca

    Budget-Cuts my Butt!

    I think you may have seen Norma Rae one too many times. Even if you were to go on strike you would quickly be replaced as the market is saturated with nurses. The market determines your wage and...
  23. Chisca

    Room Temperature

    Not only heat but a massage!
  24. We used to have a clinical ladder. Then the economy got tight and we all became "associates". The "associate" director of nursing makes a bit more than me but we are still all
  25. Post code reviews where everyone is allowed to critique the code are also helpful. Takes no more than 5