Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    The Dreaded Death Bath and a Moral/Ethical Dilemma?

    Chisca replied to Be_Moore's topic in MICU, SICU

    Since the percentage increase from resting SVO2 in bathing is the same as in visitation (22% vs 23%) could an argument be made that limiting visitation is BENEFICIAL in some patients?...
  2. Chisca

    Chlohexidine bathing to reduce catheter-related blood stream infections

    Chisca replied to PICC ACE's topic in MICU, SICU

    Wash basins are also being implicated as they serve as a reservior for bacteria especially if they are stored so that moisture is left after
  3. Chisca

    Feeding patients

    Chisca replied to Mother Goose's topic in Dialysis, Renal, Urology

    As long as they are not hypotensive I leave the tube feedings on.
  4. Chisca

    Cardiac Preload and Afterload

    Chisca replied to orca1's topic in CCU, Coronary, Cardiac

    One of the factors affecting blood pressure is the relaxation and contraction of the smooth muscle inside the blood vessels. Other factors are blood volume, heart rate, and contractility of the heart...
  5. Chisca

    MICU vs SICU-why the rivalry? Can't we all just get along?

    Chisca replied to sassyrn333's topic in MICU, SICU

    Been there, done that, even got suckered into being the shop steward for my unit. My only advice is to not play the game, treat every nurse with the respect you would want. It may not change others...
  6. Chisca

    Pentobarb coma nurse to patient ratio

    Chisca replied to standout22's topic in MICU, SICU

    Without some sort of acuity system to measure how much nursing time is being spent on each patient I don't think you can automatically assume, based on one therapy alone, that a patient does or does...
  7. Chisca

    am i gonna fail ...cause of math nerves?

    Chisca replied to erin01's topic in CCU, Coronary, Cardiac

    The level of math you will need to survive isn't much beyond solving simple ratios. Heparin ordered 8,000u, vial supplied 10,000u in 2cc, how many mls do you need? Each ml has 5,000u, so 8,000 divided...
  8. Chisca

    SLED (Sustained Low Efficiency Dialysis)

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

    As the web site states "Aquapheresis Therapy with the Aquadex FlexFlow is not dialysis". My comments were specifically directed at nurses who may be led by management to think that SLED does not...
  9. Chisca

    SLED (Sustained Low Efficiency Dialysis)

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

    Don't kid yourself if your unit isn't staffing these patients as 1:1 that it's without risk. It is an extracorporeal circuit with at least 300 ml of blood in it, it can clot and it can become...
  10. Chisca

    How will I make it through?

    Chisca replied to rikashade04RN's topic in Tennessee Nursing

    "Nursing school is not easy. It is about making choices. Some people make good choices, and some people make poor choices. If you make poor choices then you only have yourself to blame in the end."...
  11. Chisca

    so much hypokalaemia?

    Chisca replied to sister s's topic in MICU, SICU

    The renal patients are stealing
  12. Chisca

    ICU nurses please respond!!!

    Chisca replied to jamieousn's topic in MICU, SICU

    Preceptorship implies there is a preceptor. I would share with your preceptor your misgivings and fears. A good preceptor is not going to let you sink and will structure your assignment so that you...
  13. Chisca

    Saint Agnes Medical Center Fresno California says "GO AWAY CNA"

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

    I work in Tennessee. What are these "unions" you speak
  14. Chisca

    Evidenced Based Staffing

    Chisca replied to sollyhue's topic in General Nursing

    "The nursing shortage decreases the nurse-to-patient ratio, increasing workload for nurses and decreasing time for infection control precautions. Float and agency nurses temporarily solve the gaps in...
  15. Chisca

    troponin question!

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

    Excellent article,
  16. Chisca

    which memphis hospital would you be a patient?

    Chisca replied to hbgwan's topic in Tennessee Nursing

    The only one I would avoid is the VA. Most of us are prisoners of our insurance companies and their preferred providers. If that were not a problem I would rank Baptist first with Methodist a close...
  17. Chisca

    Why is it nurses put up with such poor conditions?

    Chisca replied to scared'o'needles!'s topic in General Nursing

    At least once a week there is either a patient or family member that reminds me why I keep doing this. Sometimes you just have to survive to fight another
  18. Chisca

    Charting

    Chisca replied to rentalnurse's topic in MICU, SICU

    Since he has gone to the trouble of putting in writing I would talk to your supervisor about it. What exactly is on page three of the assessment? If it were social data and I had time I would have...
  19. Chisca

    Poor wipedown -> HepC -> Closed facility

    Chisca replied to 3rdcareerRN's topic in Dialysis, Renal, Urology

    I saw that article today and it sort of confused me. Is the CDC saying the screening for Hep C is MANDATORY or just "recommended". If medicare isn't reimbursing for this, in addition to no money for...
  20. Chisca

    RA pressure vs CVP

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

    Before there were monitors that would give a digital display you used a glass tube connected inline to the venous catheter. A CVP manometer would measure in centimeters how high the water in the tube...
  21. Chisca

    Acute HD by ICU staff

    Chisca replied to prwd2bRN's topic in Dialysis, Renal, Urology

    I suppose it is theoretically possible but I don't see it as practical. SLED and hemodialysis are two different animals even if the machine is the same. Sort of like non-invasive ventilation verses...
  22. Chisca

    Hespan

    Chisca replied to Aneroo's topic in MICU, SICU

    Hespan has polyvinyl chlorides which inhibits platelet aggregation.. If kidneys aren't working well or not at all these PVCs are not eliminated leading to coagulopathy. I think some doctors like it...
  23. Chisca

    ICU nurse to pt ratio "norm" on your unit?

    Chisca replied to Natef26's topic in MICU, SICU

    Chani, I have read where this is also the practice in England. Could you explain how this came about? I'm especially interested if it was established from the "top down" in that legislative bodies...
  24. Chisca

    Acute dialysis nurse/patient ratio

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

    Thank you for your replies. Management has floated the idea we should go to 4:1 but I don't see how this can be considered
  25. Chisca

    Making a pt 1:1

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

    Not sure if this is what you're after but what makes a patient a 1:1 is the acuity of the patient. You have to measure the patient's acuity to know how much nursing care they need. I would recommend...