bluefabian

bluefabian

ER, Renal Dialysis

Member

  • Content

    105

  • Visitors

    3,203

  • Followers

    0

  • Likes

    2

All Content by bluefabian

  1. Help! Kabiven TPN administration during HD

    bluefabian replied to bluefabian's topic in Dialysis, Renal, Urology

    A bit late but thanks!!! I administered the Kabiven with the pt having BCF access. At first I was alarmed by that but was calmed down when I saw that it was made specially for peripheral...

  2. Suturing - Do you do it?

    bluefabian posted a topic in Emergency

    Nurses in my country don't do this (not applicable to Delivery of course), and any suturing will be done by the doctor. Well, the least that I have done is either Glue stitch or steri-strip and...

  3. Suturing - Do you do it?

    bluefabian replied to bluefabian's topic in Emergency

    Wow! Thanks for keeping an old thread alive. What about liability? Since most suturing done in ER are not emergency procedures, would they be some kind of an issue if the wound turned out unpretty. I...

  4. Writing down a (triage) report

    bluefabian posted a topic in Emergency

    I am currently switching back to ER and dialysis, and for the first time in almost two years, I am back to ER as a part timer. Back then being a newly graduated, and now having experienced quite a lot...

  5. Writing down a (triage) report

    bluefabian replied to bluefabian's topic in Emergency

    Thanks for all the replies. I too have the problem of whether I am crossing the boundary of the ER doc by asking and documenting too much. It's like, he/she will ask the exact same question as mine,...

  6. Writing down a (triage) report

    bluefabian replied to bluefabian's topic in Emergency

    Well, I can't really duplicate the entire form with all the sections. Just the way of where and what do we write. Of course, they are sections for documenting for the actions/procedures done on the...

  7. blood flow rate

    bluefabian replied to gone_mad's topic in Dialysis, Renal, Urology

    How does such blood flow affects the heart and patient's tolerance? I occasionally had patients asking to slow down the rate after quite some time when they complaint of chest

  8. Courage to change jobs

    bluefabian replied to chenoaspirit's topic in General Nursing

    Tell me about it. I am within five years of nursing and about to enter my third workplace and environment shift. The first time, it will be hard. But once you done it, it will be better from then on....

  9. Discrimination Against Men in Nursing

    bluefabian replied to Demonsthenes's topic in Men in Nursing

    Ha, ha, ha... Luckily I am mean enough to stay on the chair doing some of my job or none at all and let most of my female aides do their physical jobs. It's bad hearing that last sentence but I can't...

  10. ICU vs ER

    bluefabian replied to silentRN's topic in Men in Nursing

    Why not something else? ER and Critical Care is so typical male areas. I was placed there once out and didn't object because of it was my first job. It was great but I think I should experience more...

  11. Interested in Dialysis

    bluefabian replied to LTCRN4LIFE's topic in Dialysis, Renal, Urology

    New people are always welcomed. As much as mx tends to be selective, they will usually succumb went staffing woes arise. Just need to seek where the opportunity

  12. Need direction and encouragement

    bluefabian replied to RN/RDH's topic in Dialysis, Renal, Urology

    I say that's a dangerous place to work in. Nurse to patient ratio that is insane really bugs me. You can nourish your interest

  13. I am giving up

    bluefabian replied to tryingtobecome's topic in General Nursing

    Please don't. It's one thing to hear opinions. And another to be around negative people. Studying, is hard for everything. Same thing

  14. Does GPA matter in terms of getting a job?

    bluefabian replied to firstyearRN's topic in General Nursing

    No, it should matter. Getting a job now (at least in my place) is all about you passing the boards, diploma or degree and how all that gonna translate to your pay. Plus, experience. To some extremes,...

  15. Accessing chest catheter

    bluefabian replied to CoolhandHutch's topic in Dialysis, Renal, Urology

    Those catheter are 'locked' with pure heparin (ranging from 6000-10000 IU, my practice here - depending on type) to prevent the line from clotting. Imagine pushing that much into the body!!! People...

  16. Giving Calcijex (Calcitriol) IV during or at end of dialysis

    bluefabian replied to montreal2008's topic in Dialysis, Renal, Urology

    I agree with what you said Montreal2008. Us, nurses tend to stick to the safer side of things (not that, that is bad) sometimes with less rationale and reasoning. Here, I gave calcitriol IV about 20...

  17. new to dialysis

    bluefabian replied to shelbykel's topic in Dialysis, Renal, Urology

    Please be minded that if a staff, a new staff never tried on a patient... then how can he/she be able to get a good line? I am all in the way of letting newer staffs performing cannulation under my...

  18. Behavioral Problems:Patients in Outpatient Clinics

    bluefabian replied to amartin2516's topic in Dialysis, Renal, Urology

    starbin, I was reading a newspaper report last time where a newly admitted renal failure patient into HD was making a police report against a staff - because his hands were brusing all over due to...

  19. Behavioral Problems:Patients in Outpatient Clinics

    bluefabian replied to amartin2516's topic in Dialysis, Renal, Urology

    The problem is, sometimes patient think that we as nurses are just there to do our job, according to our job scope and get pay at month's end. But in reality, we strive hard to do the best that we can...

  20. Behavioral Problems:Patients in Outpatient Clinics

    bluefabian replied to amartin2516's topic in Dialysis, Renal, Urology

    May I cut in? Yes, I deal with lots of behavioral problems in chronic HDU and it drives me nuts most of the time. As much as I believe I am trying to comprehend the needs of the patients, who are...

  21. 20 Years Later...

    bluefabian replied to EnigmaticRN's topic in Nursing Career

    wow, it is scary that a veteran like you are feeling the pinch. I guess how does that translate to us, young ones. I am lucky to say that I've been burnt out twice during my years as a nurse. And that...

  22. blood flow rate

    bluefabian replied to gone_mad's topic in Dialysis, Renal, Urology

    Now I am confused and a little bit shocked. 600? 500? You mean the Qb? The fastest that have done is 350 mls/minute. I dunno if that is slow to you because the places that I worked in, despite being...

  23. To sell or to keep my AP book?

    bluefabian replied to Glina's topic in Nursing Student Assistance

    Ha, ha, ha... You never knew when you need them. I still have my old, trust ER medicine notes from 6 years ago and it is still relevant. Now, believe it or not, I am buying more books than I was a...

  24. Poor Management (Nurse Leaders)

    bluefabian replied to fairness's topic in General Nursing

    Don't we all work in the same place? I swear, in my years of nursing - the unit or department that gave me the most trouble is either the HR or management. Or the manager - any

  25. Are you paid less than new hires?

    bluefabian replied to jcaste's topic in General Nursing

    The thing is, HR are sometimes forced to increase the starting salary of new nurses in order to attract them to work there. Turnovers are so rapid and common these days that when new graduates earn a...