Juanay

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

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

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 2K.

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 infiltration had occured from tx, extremity should be e...

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 we should take all verbal abuse as assault and not...

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

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. I'm making twice that now. Kinda hard to go back t...

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, lets do it." The N's here are all very approachab...

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 unless this THING that WILL go down this week backfires...

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 shoe. Imagine that! As far as 14's... This is the ...

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! The pts are sooo proud to have their times cut! Jua...

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 hour urines. If we have a code we have to run it wi...

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

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 with RB and shudder since it is ototoxic. I've seen A...

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 hypertonic, Bicarb, D50 as well as Na modeling and UF p...

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 with you though that if a pt comes in with 220/111...

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

Hi Nursing 04, Just to let you know, it took me a good 6 months to really feel comfortable with the machines and all of the responsibilities. There is soooo much to learn in dialysis, but once you learn it, it's mostly repitition. Don't give up! We r...

Hi Nursing 04, I have been a dialysis nurse for 3 years, 1 year as travel. Dialysis nurses should have a wide variety of knowledge that includes set-up, breakdown, troubleshooting machines. I have worked in units where the tech's setup/breakdown the ...

Hi all, I am a fellow Mississippian! :) Got my ADN from Jones County Jr College and my BSN from USM. Live in a small town near Laurel. Have been traveling for a year in dialysis and love it! Would love to come home but pay rates leave much to be di...

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 hard to place you where you want to go. Please fe...

: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 back the same day to be hemo'd b/c sob. We worked him...

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 heard of this and if any new treatments have develo...

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 chemo and radiation are ineffective treatments. H...

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 high numbers. Her parents are not familiar with the...