Chisca RN

Dialysis

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All Content by Chisca

  1. Chisca

    CNN vs CDN

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

    It's 300 dollars for each exam and I think they only offer it twice a year. If your employer is willing to pay I guess you could take both. The CNN has more transplant questions so if you are not...
  2. Chisca

    CNN vs CDN

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

    CDN for nurses with associate's degree. CNN for nurses with bachelor's degree. ANNA thinks there is a
  3. Chisca

    Ask A Hemodialysis Nurse (Questions about how to become one of us)

    Chisca replied to madwife2002's topic in Dialysis, Renal, Urology

    If you page me at 2am to change a dressing I'll talk you through it. It is EXACTLY the same as any other central line
  4. Chisca

    patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

    Chisca replied to uae808's topic in Dialysis, Renal, Urology

    It's about 250 dollars to prime a circuit with a 250cc 5% albumin solution. As to whether or not it is too expensive it could save you from a clotting circuit and the loss of
  5. Chisca

    patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

    Chisca replied to uae808's topic in Dialysis, Renal, Urology

    You could also try priming the circuit with albumin. Albumin is a highly negative charged protein and will adhere to the surface of the tubing in the dialysis circuit helping to reduce contact of...
  6. Chisca

    Davita Ddialysis Nurse

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

    The beatings will continue until morale
  7. Chisca

    New to Dialysis-Please enlighten me

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

    I blame Kent Thiry. And
  8. Chisca

    Acute Dialysis Nurse:Patient Ratios

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

    NurseRies could give you an informed answer. I have only worked acute dialysis in one city in Tennessee and as you know this is a big country. 1:1 in the ICU, 2:1 in the acute unit, 15 bed unit with...
  9. Chisca

    Funny Ad

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

    But it's new and
  10. Chisca

    Wide open fistulas that don't work

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

    Just the numbers, please. If you can't tell me, in millimeters, what the size of the vessel is then you have no business telling me to attempt to place a 15g needle in it. 2D ultrasound can easily...
  11. Chisca

    Wide open fistulas that don't work

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

    Ask for flow numbers. What is the actual flow, in ml/ minute, that you documented that you measured? Injecting dye and seeing it whiz by under fluoroscopy doesn't work for me. Also, what is the...
  12. Chisca

    "Why are you here?"

    Chisca replied to foxy1112's topic in Dialysis, Renal, Urology

    Price, quality or speed. Pick any
  13. Chisca

    "Why are you here?"

    Chisca replied to foxy1112's topic in Dialysis, Renal, Urology

    Perhaps the low opinion dialysis patients have for the whole experience is, in the US, hemodialysis is delivered by low paid barely trained techs. You don't think you could tell the difference between...
  14. Chisca

    Chronic HD in the Acute Clinic?

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

    The ER screens them and they have to wait until we have a spot. Lab values determine priority. Medicare covers dialysis therapy but you have to have a social security number. Illegal aliens do not...
  15. Chisca

    What would you do if this was your patient?

    Chisca replied to foxy1112's topic in Dialysis, Renal, Urology

    You could give him a brochure on headstones and ask him if he's selected one
  16. Chisca

    Drawing labs from CVC locked with heparin

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

    All of this discussion begs the question of why more point of care testing, using a drop of blood, isn't used instead of filling a tube and sending it to a different department. If the lab department...
  17. Chisca

    Water Chlorine Check

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

    Had a chance to talk with our biomed guy and Minncare, a disinfectant, is placed in the water loop downstream of the two carbon tanks. A positive chlorine at either S1 or S2 reflects the functioning...
  18. Chisca

    Water Chlorine Check

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

    My biomed person isn't here today but I'll ask them. I do know that once a month a chemical called mincare is instilled and recirculated through the portable r/o's we use. Our tech is of the opinion...
  19. Chisca

    Water Chlorine Check

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

    Yes, 0.1 is the standard. The disinfectant was used on a portable r/o and tested positive at S1 after 6 hours of rinsing. I would think your pre r/o water would be positive too depending on how much...
  20. Chisca

    Water Chlorine Check

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

    If the strip shows greater than 0.01 for chloramine then it's positive and a risk to run a treatment. As to whether you obtain that result 2 minutes or twenty minutes into rinsing, the patient still...
  21. Chisca

    Water Chlorine Check

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

    It would be a real positive as the carbon tanks wouldn't have had enough time to remove the chloramines from the city water. The carbon removes chloramines by adsorption and each tank requires at...
  22. Chisca

    Heparin pump

    Chisca replied to trulyblessed2's topic in Dialysis, Renal, Urology

    Acutealan is right, don't administer heparin through the machine without knowing your unit's policy. On a Fresenius 2008K our biomed has set the machine up for use with 10cc syringes. Our supplied...
  23. Chisca

    What should EVERY nurse know about Dialysis

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

    The biggest limitation to transplantation in the US isn't financial. It is lack of donor organs. People die on waiting lists due to lack of donors. The answer is to move toward a presumed consent for...
  24. Chisca

    Nurses Fight Back! Why Some Hospitals are Despicable

    Chisca replied to allnurses's topic in General Nursing

    [h=1]If you want a picture of the future of nursing, imagine a boot stamping on a human face—for ever.” George Orwell
  25. Chisca

    New Grad RN job offer !

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

    Make a committment to stay a year for the increase in salary. Always remember there is a reason that experienced nurses are leaving the particular clinic you are interested in. I would want to know...