Chisca RN

Dialysis

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All Content by Chisca

  1. All the states that set up exchanges read the law as it was written. We are a nation comprised of 50 states, not that hard to understand. The word state is not hard to understand. Maybe the NYT can...
  2. The supreme court has decided that words don't really mean what they
  3. Chisca

    Question Hyperactive reflexes

    The question may have fooled you because you are reading right sided weakness and thinking you should see less responsiveness on the right side. You will if the patient is initiating the nerve impulse...
  4. Chisca

    Potassium baths- dialysate

    Since you're thinking about the potassium in the bath you should also consider the other chemicals and their effect. The sodium of 138. The bicarbonate of 33. The glucose of 100. For example running a...
  5. Chisca

    Fluid overload with low Bp

    Only every other treatment. Other than that it's not a
  6. Chisca

    Dialysis Nursing-New Grad

    If you think we're negative check out this site.
  7. Chisca

    Hemodialysis Troubleshooting

    They're called hansens. Cross flow of dialysate current with blood flow maximizes the concentration difference of waste products in all parts of the dialyzer. Not sure if you would see an immediate...
  8. Chisca

    Pirate busted.

    I guess we now know why Kent Thiry loves dressing up as a pirate. He really is one! DaVita to pay $389 million to settle federal allegations - Denver Business Journal 5 states to get $22 million in...
  9. Chisca

    Pirate busted.

    Nearly 1 billion in fines since 2012 over 3 whistleblower cases. Yet no one is in
  10. Chisca

    Pirate busted.

    How long before Kent Thiry is wearing an orange jumpsuit? DaVita sets aside $495M for settlement of whistle-blower case - Denver Business
  11. Chisca

    Correcting low sodium too quickly

    Rule of 6's. The recommend correction of no faster than 6mEq/day for patients with severe chronic hyponatremia, with 6mEq in 6 hours on the first day if symptoms are severe. This has led to the...
  12. Chisca

    Blue Pigtail on Nasogastric Tube

    Infection source more related to the container you are using to gather the water rather than the water coming from a city water supply. How long has that container been sitting there? A few years ago...
  13. Chisca

    CNN

    You already have the knowledge base to pass this test. After you pass offer a review course and charge 100 bucks per person. If you were local I would
  14. Chisca

    CNN

    Is your employer requiring it? I was somewhat interested in taking it but there are no review courses that I have found, ANNA sells a very thin (46 pages) review book that is essentially useless, and...
  15. Chisca

    Tag teaming with a tech in acutes

    One of the reasons cited for Japanese dialysis patients having half the mortality rate of American renal patients is no techs. Every single treatment in Japan is administered by a registered nurse....
  16. A/V pressures are going to indicate flow through the circuit. If there is a clot in either the venous or arterial chamber then yes you would see this reflected in A/V pressures as this is impeding...
  17. Chisca

    How can I hate my job?

    Welcome to the delusional world of ESRD patients. The patient is the one alleging that foot checks are related to company profitability. Some also think that lengthened treatment times are done to...
  18. Chisca

    How can I hate my job?

    The patients are the ones refusing assessment not the
  19. Chisca

    Traveling vehicle

    I prefer anything that's paid
  20. Chisca

    How can I hate my job?

    I think the correct term is "seasoned", you are a seasoned nurse, not an "older"
  21. Chisca

    Are you a PD nurse?

    Much happier and engaged patients. Unlike most hemo patients they are interested in what you have to share and want to be involved in the
  22. Chisca

    Never ending lice!!

  23. Chisca

    Tag teaming with a tech in acutes

    If you stop and think about it there is no reason for this behaviour. My hospital charges $2,300 for a bedside. The chemicals and tubing are less than $100, the machine is paid for and my labor cost...
  24. Chisca

    AWD vehicle for nurses

    Or you could live within 1 mile of where you work. That way walking is an option no matter what the weather. Public transportation is the way to go in bad weather unless you enjoy the headache of...
  25. Chisca

    Tag teaming with a tech in acutes

    It is not common and you were wise to refuse. When I have been asked it was with the caveat if I didn't then I would have to stay and do them one at a time which meant staying to midnight. I always...