bluefabian

bluefabian

ER, Renal Dialysis

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All Content by bluefabian

  1. Ways I have heard Metoprolol pronounced...by medical personnel.

    bluefabian replied to stillpressingon's topic in General Nursing

    One of my professors (Dr) who taught us Cardiology said ventricle as 'Vun-thru-kel' and SA Node as snort. I kid you

  2. do specialized fields make more money?

    bluefabian replied to shortlittleRN's topic in General Nursing

    I was wondering about these too. As much as people wants to specialize, there will always be the factor of 'waiting-in-line', opportunity and seniority. Some people I know worked 5 years in an area...

  3. After 15 years - I may be one more nurse to add to the shortage

    bluefabian replied to BrokenRNheart's topic in General Nursing

    If a person with 15 years have said it, what it is for us with less to say. Truthfully, I've seen young, fresh graduates - my junior in school actually complaining and already burnt out by the...

  4. am i getting burnt out?? long one!

    bluefabian replied to sweetsmiles2007's topic in MICU, SICU

    I've seen bad things and deaths in both of my two fields and it still haunts me. If you think acute is bad, wait until you deal with chronic patients. I hate the feeling that I make less to no...

  5. After 15 years - I may be one more nurse to add to the shortage

    bluefabian replied to BrokenRNheart's topic in General Nursing

    Well, I am into my four years of nursing and I am already burnt out beyond recognition, ashes to the ground. Even as I type this, I am in the midst of looking for other employment opportunities...

  6. Dr mad at me/I am upset, dont know hat to think

    bluefabian replied to hollyberry678's topic in General Nursing

    Hmm... Staying up late for charting is not really something I would do now. Maybe then when I first started out. I don't really know what it is that you need to do, but I hope you can do it faster by...

  7. Suturing - Do you do it?

    bluefabian replied to bluefabian's topic in Emergency

    Gee, thanks for the replies!!! I am just worried about this post that I applied in a foreign contry where I might be placed in ER. Having to do suturing, which is something I have not done ever is...

  8. Reuse

    bluefabian replied to penem10's topic in Dialysis, Renal, Urology

    We are reusing here (or rather reprocessed). Done maximum of 13 times, with label and documentation charted. In my experience of working in HD, I have not seen any reaction or cross infection from...

  9. UF Profiling & Sodium Modelling

    bluefabian replied to nu2dialysis's topic in Dialysis, Renal, Urology

    I guess it all depends on where you work. I am based in a non profit community centre that runs independently without doctors. Our MO comes a few times in a month for visits and will see the need for...

  10. UF Profiling & Sodium Modelling

    bluefabian replied to nu2dialysis's topic in Dialysis, Renal, Urology

    Wow! 7-8 kilos? My cut off limit for extraction is 3.5 kg. Above that in special cases when: they are overloaded, it's their last dialysis day and sometimes when I am kind enough. I don't really do...

  11. Epoetin Question

    bluefabian replied to pagandeva2000's topic in Patient Medications

    Reading all these clinical research and reports really make me wonder if some of them are valid because my experience tells otherwise. Working with lots of Chronic renal failure patient, I am more...

  12. Epoetin Question

    bluefabian replied to pagandeva2000's topic in Patient Medications

    Second that. I've been administering epo for patients with BP as high as 180/100 with no visible effects so far - not that I don't care. These patients have already had their kidney failed due to HPT...

  13. Nursing and then Medicine: Wrong profession?

    bluefabian replied to Apollorn's topic in Men in Nursing

    I am so over that stage and now I am loving my job as a nurse more than ever. I don't care about prestige anymore because if I do, then I am living my life for other people. And as for independence in...

  14. Career Redirection

    bluefabian posted a topic in Nursing Career

    Come April this year (wow, it's that near. Can't believe it!!! ), it will be a full four years that I have become a clinical nurse (actually qualified earlier than that. Just not working in hospital...

  15. Really bad at Starting IVs

    bluefabian replied to Lady_Bing's topic in Medical-Surgical

    Working in ER gave me lots of experience in starting IVs. Like it or not, doctors present or not, I just have to do it. Understaffed most of the time, either me or the other nurse. My experience: pop...

  16. Resume, Cover Letter, New Job...

    bluefabian replied to Anjeleyes214's topic in General Nursing

    I know this is funny to ask, but... Shouldn't you be over the blood-terrified stage by now? I can't really think of any hospital based unit that doesn't deal with blood, well maybe psychiatry. Anyway,...

  17. No-Heparin Patients - Bolus vs. Constant Infusion NS

    bluefabian replied to happybunny1970's topic in Dialysis, Renal, Urology

    Work in chronic dialysis. For pt just undergoing any operation of any kind, I usually deliver the first bolus dose and follow up with saline flushes every 30 mins or so. This usually does the trick...

  18. How back friendly is Dialysis Nursing?

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

    Not really. 1. DM patients with amputated leg, oftenly obese and wheel chair bound. Sometimes you even had to transfer them to taxi or whatever vehicle after treatment. 2. Older patients, particularly...

  19. Doing away with 12 hour shifts?

    bluefabian replied to nckdl's topic in General Nursing

    Oh... I've worked 9-5, 8 hours and 12. Not much change because I end up doing overtime to cover for staff shortage, sometimes doing nights 5-6 times in a row or only two days off within two weeks....

  20. What do I do if I don't like direct patient care?

    bluefabian replied to BridgetJones's topic in Nursing Career

    I am surprised that some people dislike direct patient contact at all, especially being a nurse. But I can understand why. I am working with 70+ patients in a chronic haemodialysis setting and much...

  21. How do you deal with female patients?

    bluefabian replied to Dr.Nurse2b's topic in Men in Nursing

    In some ways, I found it hard to be a nurse who is a male trying to do his job like every other people. For one part, I discover that for any procedures that is deemed sensitive and personal where a...

  22. Polling our male nurses: What area of nursing are you currently in right now?

    bluefabian replied to Thunderwolf's topic in Men in Nursing

    Hemodialysis baby!!! Planning to become a Renal Nurse specialist in the future. Now trying to expand my experience and skill in acute renal failure (so see you guys in ICU!), peritoneal dialysis and...

  23. new to dialysis

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

    Well, we don't administer any pain medication at all here. Some new patients do came in with ethyl chloride sprays or EMLA creams at first, but none of that now. Although this is rather hard to say:...

  24. Chronic or Acute dialysis experience before doing traveling

    bluefabian replied to chill598's topic in Dialysis, Renal, Urology

    Well, since I am not from US.. I can't really understand what travel means. I read about that a lot here. Anyone care to explain? First of all, I really think that people trying dialysis should at...