Chisca RN

Dialysis

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All Content by Chisca

  1. Because the United States has one of the highest incarceration rates in the world? 4.4 % of the worlds population but we have 22 % of the worlds prisoners. Comparison of United States incarceration...
  2. The employment opportunities for someone with a history degree is zilch. Work on your writing skills and use nursing to pay the bills. If you are a good writer it won't matter what degree you
  3. Chisca

    new to dialysis

    I remember a cardiologist who always advised the house staff "the patient didn't read the book". If ever there was a group of patients that didn't read the book it is dialysis patients. Welcome and...
  4. And start over again training a new nurse? They will keep you as long as they see you are willing to keep trying. You will fire yourself if they frustrate you any
  5. Don't start a new treatment until you have finished charting on the previous patient. This will upset a your charge nurse and maybe the next patient but you are a nurse not an assembly line robot....
  6. Chisca

    Why didn't K decrease?

    I guess I'm looking for any reason the patient might be acidotic causing a release of potassium from the cells into the blood stream. As the dialysis treatment removed the extracellular potassium from...
  7. Chisca

    Why didn't K decrease?

    What is the patient's primary reason for being in the
  8. Chisca

    Consents for inpatient acute hd

    Which begs the question, has there every been a successful lawsuit against a nurse for a hemodialysis treatment given without consent? In the state of TN the answer is
  9. Chisca

    Nurses Humilated - Illinois

    If you're going to make me wear googles and earplugs to simulate being elderly I need my cane. So I can bop you in the
  10. Chisca

    Shoes??

    Roller
  11. Sometimes all you know is that something just isn't right. Trust that
  12. Anything that blocks venous return (stenosis, tourniquet, body position compressing vein) can cause recirculation. If you see this patient again try letting 100cc of saline in on the arterial side and...
  13. Recirculation? What did the venous side access pressures on the machine look
  14. Chisca

    Please just go to your clinic!

    Shouldn't repeated suicide attempts require psychiatric
  15. At 10 pounds I'm not sure I would want to wear this but it is portable. Wearable Artificial Kidney Update: CKD Human Trial Successful Outcomes & Additional Positions Open —
  16. Chisca

    Problems with Preceptor

    Toxic environment. Consider it a blessing you don't work there anymore. Can you imagine being a patient there? You seem to have already mastered the most difficult thing in dialysis, working long...
  17. Chisca

    Problems with Preceptor

    Always remember accuracy is more important than speed. Speed only helps the company make more money. It doesn't provide the patient with safe passage through dangerous waters which is what a for...
  18. Chisca

    Clotted catheters

    If you are using TEGO caps on the ports they need a 20cc NS flush after use and will sometimes occlude if you only use
  19. Yet you were supposed to be defending a constitution that has a 4th amendment that specifically forbids such
  20. Chisca

    Any books for HD?

    Handbook of Dialysis 5th edition Daugirdas, Blake, Ing. Handbook of Dialysis: 9781451144291: Medicine & Health Science Books @ Amazon.com The Fluid, Electrolyte and Acid/Base companion for free....
  21. Chisca

    The future of hemodialysis?

    Especially true when you compare the first Kolff dialysis machine to a Fresenius 2008K. The first 16 patients connected to the Kolff died. The 17th lived and the rest is history. If even one patient...
  22. Chisca

    question about recirculation

    And pause the treatment on the machine which stops the treatment clock. On reconnect resume treatment and the clock starts rolling
  23. Chisca

    RRT vs ICU transfer

    He was in ICU. If you could have continued to provide that level of nursing care he would have remained in ICU. Or were you questioning whether or not to move him to a room with the title
  24. Chisca

    interested in dialysis

    At least in acutes I would not recommend working in dialysis with a small child. Lots of on call and 16+ hour shifts. Clinic dialysis might be a different