Juanay

Juanay

Acute/Chronic hemodialysis

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All Content by Juanay

  1. Question about leg cramps

    Juanay replied to nurscee's topic in Dialysis, Renal, Urology

    Our nephrologist is now encouraging our pt to use OTC Vitamin E 400u bid and OTC Carnitine as directed daily especially pre

  2. HD access security

    Juanay replied to auntiedebe's topic in Dialysis, Renal, Urology

    The tape goes under the needle then criss cross over the top. I, then, always add a piece over the top of the criss

  3. potassium/dialysate bath

    Juanay replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    I am a travel dialysis nurse and have worked in units where 3K was standard and other units where 2K was standard. Most of the units standard have been

  4. Shunt care policy?

    Juanay replied to moonlynx's topic in Dialysis, Renal, Urology

    You should also protect the arm (if it is in the arm). No tight sleeves, no watch, bracelet, nothing to hinder circulaiton. Pt should not sleep on that arm. Assess for bruising /infiltration. If...

  5. Patient hostility...HELP!

    Juanay replied to shannon8282's topic in Dialysis, Renal, Urology

    shannon8232 Sounds like this pt needs to be on a behavior contract. If he refuses to comply with the contract he should be discharged as a pt from your facility. Unfortunately in the times we live in...

  6. Anyone doing any travel dialysis nursing?

    Juanay replied to theresa_b's topic in Dialysis, Renal, Urology

    Here's the web address: http://foundationenterprises.com/ I've been traveling with them for 2 1/2 years.

  7. 16.50 Starting Wage for a Grad Nurse???? Oh No! Say it Ain't So.....

    Juanay replied to chattypattyCRNA2B's topic in General Nursing

    I graduated from JCJC in 2001 and started out making 14/hr. I worked 18 months at that wage before I got a 4 dollar/hr raise. Worked another year while going to USM for my BSN then decided to travel....

  8. muscle cramping/pain

    Juanay replied to student60's topic in Dialysis, Renal, Urology

    Yeah, Lots of colors, some have holes ( not for use in clinic ) Around $30.00 here and @ home. I have actually had a N ask me what I think I should do in a situation and they reply "Sounds good to me,...

  9. Sodium Profile

    Juanay replied to SugarHanie's topic in Dialysis, Renal, Urology

    What a difference the 2 of us could make in a unit!!! Too much for most places to handle I'm sure! I have been asked to extend here again. Since this is the closest thing to home I probably will...

  10. Sodium Profile

    Juanay replied to SugarHanie's topic in Dialysis, Renal, Urology

    The toe's fine. Still aches occassionally when the weather changes or when I've been on it all day in tight shoes. Got some Crocks and absolutely LOVE them. Best shoe I've ever worked in is a garden...

  11. Sodium Profile

    Juanay replied to SugarHanie's topic in Dialysis, Renal, Urology

    We have had greater success in decreasing time with N's orders fro larger dialyzers and larger needles for well established accesses. 14 Gauge on several clients now. Labs are positively reflecting!...

  12. IV antibiotic infusions

    Juanay replied to kafo's topic in Dialysis, Renal, Urology

    We are 24.7 miles from the nearest hosp and have no courier service for labs or blood. We (the staff) have to physically go pick up the blood and take any labs ie...BC's for fever, culture swabs, 24...

  13. muscle cramping/pain

    Juanay replied to student60's topic in Dialysis, Renal, Urology

    Sometimes you gotta wonder about these N's and what they are thinking!!!

  14. IV antibiotic infusions

    Juanay replied to kafo's topic in Dialysis, Renal, Urology

    Being a traveler "When in Rome" Protocols are different in every unit. Every state. Vanc 2 G over 2 hours, burp bag through arterial. Same situation through venous with pump. I've seen Gent given...

  15. muscle cramping/pain

    Juanay replied to student60's topic in Dialysis, Renal, Urology

    When I started in dialysis our units used only NS or Min UF, Decreased UF goal for Cramps. (Pushing on the foot, allowing the STABLE pt to stand as well) The facilities I am in currently DO use...

  16. Sodium Profile

    Juanay replied to SugarHanie's topic in Dialysis, Renal, Urology

    hi nephrobsn! i totally agree concerning na profiles. i am traveler too and sure we know each other! the unit i am in currently has had 6 units on blanket modeling and uf profiles for years. i agree...

  17. Agency owners getting rich off the backs of nurses?

    Juanay replied to -jt's topic in Agency Nurses

    Go to Delphi Forums at this addy http://forums.delphiforums.com/ICNurse/start Lots of great info on IC. Hope this helps

  18. Dialysis rn looking for change - possibly travel

    Juanay replied to theresa_b's topic in Dialysis, Renal, Urology

    Hi Theresa, I am a dialysis travel nurse. I work with Foundation Medical Staffing. Joe Hill is my recruiter. He is great! No high pressure. I have recently started my 3rd contract with them. They work...

  19. You Know you are a Dialysis Nurse if

    Juanay replied to gwenith's topic in Dialysis, Renal, Urology

    :chuckle Good ones! How about: "Well, I didn't drink a lot of water! I only had my pot of coffee and tea, that doesn't count does it?" 10 kg over! Recently had a pt complete scheduled tx and call...

  20. Pseudomyxoma Peritoni

    Juanay posted a topic in Oncology

    Hi, My mother-in-law died 3 years ago from this rare type of cancer. It's a gelatenous tumor that disentegrated most of her bowel, parts of her liver, bladder. Just wondering if anyone out there has...

  21. Pseudomyxoma Peritoni

    Juanay replied to Juanay's topic in Oncology

    Thanks Memphispanda, I wrote a term paper on the subject 2 years ago. This info is still pretty standard for the disease. Sugarbaker's, I believe, is formost in the tx. Very radical. We were told that...

  22. 5 year old on Methotrexate for ALL with High BUN

    Juanay replied to Juanay's topic in Oncology

    Leslie, Thanks sooo much for the reply. She is being very closely monitored and is loved dearly by all the staff. She brightens any room and is always concerned about other children who are having a...

  23. 5 year old on Methotrexate for ALL with High BUN

    Juanay posted a topic in Oncology

    I have a question about my small cousin with ALL on methotrexate. Her recent labs showed BUN of 47 and 50. I am not an oncology nurse but work in dialysis and concerned because I know these are very...

  24. VRE and MRSA

    Juanay posted a topic in Dialysis, Renal, Urology

    :uhoh21: Where do your units place pt's with VRE, MRSA? Do you bleach behind them? In previous units it was a really big deal. They were placed at the end of the loop, bleached behind, all staff...

  25. IV placement in 4 week old Fistula! AAARGHHH!

    Juanay posted a topic in Dialysis, Renal, Urology

    :angryfire I am sooooo mad I had to vent! Have you ever heard of such a thing??. We have a new pt (6 weeks on dialysis) had a fistula and tunneled cath placed 6 weeks ago. Had a hypoglycemic episode...