Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    Low Diastolic Pressure - I mean REALLy Low

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

    Is this low diastolic by your ears and a stethoscope or
  2. Chisca

    Ethics: "Every minute counts..." or not?

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

    Fact: During any month, each time you shorten your treatment by 10 minutes or more, you have an 11% increased risk of dying....
  3. Chisca

    How to cannulate without pain?

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

    Use a tourniquet. Also see if you can get your provider to give you a prescription for ethyl chloride spray, Fast acting topical that numbs the skin. If you can't access the fistula take him to the...
  4. Chisca

    Rookie mistakes in dialysis

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

    It sounds as if you have the tech part down, what about the nursing part? What is frequently lost in the dialysis factory is the nursing assessment. Can you tell if a patient has an S3 heart sound?...
  5. Chisca

    why can't nurses get safe staffing laws passed

    Chisca replied to lee1's topic in Activism, Healthcare

    California nurses continue to be punished for speaking out for safe staffing. Something is seriously wrong if we continue to allow this to happen. California Assembly Speaker Urges Dialysis Company to...
  6. Chisca

    Tips for Cannulation?

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

    We shouldn't be blindly sticking fistulas without ultrasound confirmation that the fistula is at least 6 mm in diameter, 6 mm from the surface, and have a flow of 600ml/min. Renal Fellow Network: Rule...
  7. Chisca

    NEW RN: Need recommendations

    Chisca replied to Emilyyredd's topic in Critical Care

    Fluid, Electrolyte and Acid-Base Companion by Joel Topf. And it's free. Precious Bodily Fluids: The Fluid, Electrolyte and Acid-Base Companion for
  8. Chisca

    Told to fake vital signs

    Chisca replied to gypsierose's topic in Geriatric, LTC

    You might want to increase your malpractice
  9. Chisca

    Dialysis training

    Chisca replied to pennylane2's topic in Dialysis, Renal, Urology

    Tell them your lawyer has advised you that the current situation places your nursing license at risk. They would not withstand any state or federal inspection because if they pull your file there...
  10. Chisca

    CDN---certification question:

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

    I thought the exam was 300 dollars plus the cost of 20 CEU's. If the CEU's are available through advancedrenaleducation.com I might have to
  11. Chisca

    ARDS patient, dialysis

    Chisca replied to zzyzx's topic in Critical Care

    RIFLE criteria places this patient in the failure category which will move to loss of renal function if the underlying cause is not corrected....
  12. Chisca

    ARDS patient, dialysis

    Chisca replied to zzyzx's topic in Critical Care

    Early verses late initiation of CRRT is a continuing controversy among nephrologists with studies to back both approaches. At this point it is physician preference with evidence to support both...
  13. Chisca

    California Senate Bill 349

    Chisca replied to reatta89's topic in Dialysis, Renal, Urology

    The opposition to this bill boils down to if we eliminate slavery who will pick our
  14. Chisca

    Watches

    Chisca replied to alwaysdreaming's topic in Scrubs, Uniforms, Gear

    Seiko 5 automatic.
  15. Chisca

    ICU to Home Dialysis, eek!

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

    The pace of PD therapy is the pace of watching paint dry. Which is good for your body and tends to lead to happier patients. All the mean and angry dialysis patients I encounter tend to be on blood...
  16. Chisca

    California Senate Bill 349

    Chisca replied to reatta89's topic in Dialysis, Renal, Urology

    If Kent Thiry is against it I am for
  17. Chisca

    CDN worth going for?

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

    Only if your employer will compensate you. We get 1 dollar an hour raise for the first year then it drops off. It works out to be about 2,000 dollars so I would say
  18. Chisca

    Tips for Cannulation?

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

    http://fistulafirst.esrdncc.org/wp-content/uploads/2014/06/cannulation_of_the_AVF_Ch6.pdf
  19. Chisca

    Is it customary where you work to recheck BPs manually?

    Chisca replied to klone's topic in General Nursing

    Auto BP machines don't measure BP the same way as human ears. They take the strongest impulse and calculate a systolic and diastolic number. Ears hear Korotkoff sounds that the heart valves make...
  20. Chisca

    Dialysate Temperature and Sodium Modeling/Profile

    Chisca replied to southernbelle07's topic in Dialysis, Renal, Urology

    Some benefits of dialyzing against a higher sodium bath. "The observed benefits of higher dialysate Na may be due to improved intradialytic cardiovascular stability, which may reduce the risks...
  21. Chisca

    Dialysis nursing, continuing ed for dialysis

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

    Join ANNA, the electronic version of their magazine is worth the price of admission and they offer free CEU's. The link below is from the latest edition. They also have an open forum to ask questions...
  22. Chisca

    Dialysate Temperature and Sodium Modeling/Profile

    Chisca replied to southernbelle07's topic in Dialysis, Renal, Urology

    Only in the case of neuro patients do I consider sodium modification to have any value for the patient. Ask yourself what happens when the patient is off dialysis? The sodium is going to equilibrate...
  23. Chisca

    Dialysate Temperature and Sodium Modeling/Profile

    Chisca replied to southernbelle07's topic in Dialysis, Renal, Urology

    1. Temperature. Cooling the dialysate causes vasoconstriction and an increase in BP. Our units policy is there must be an order for anything less than 36 degrees. 2. Sodium modeling. Water follows...
  24. Chisca

    day in life of dialysis RN? please describe

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

    [video=youtube;HnbNcQlzV-4]
  25. Chisca

    Administering Vancomycin via venous chamber

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

    Correction. Vancomycin is 40% protein bound but that other 60% is easily removed by high flux filters. The molecular size is actually large at 1448