bluefabian

bluefabian

ER, Renal Dialysis

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All Content by bluefabian

  1. Ring Cutter used in Your ER

    bluefabian posted a topic in Emergency

    I am in the midst of ordering a new set of ring cutter for my department. Currently I am considering the 'GEM Ring Cutting System' - the battery operated cutter and the spreader. We have never used...

  2. Ring Cutter used in Your ER

    bluefabian replied to bluefabian's topic in Emergency

    Sorry for the late reply. I have decided to order for an electrical battery operated cutter. And a ring cracker for tungsten and ceramic rings. Took me some time to search for the models/supplier but...

  3. Being a Head Nurse

    bluefabian replied to bluefabian's topic in Nurse Management

    Thanks for the reply. And sorry for the late reply of my own. I started to think back on my experience working under a manager and try putting myself in her/his situation. What I wanted from a leader,...

  4. Being a Head Nurse

    bluefabian posted a topic in Nurse Management

    Very recently, I astonishingly went for an interview and passed! It was never in my dream to finally being 'that' high up and went in just for the sake of trying out. I do fit their paper...

  5. Nursing Shortage: when is it going to happen??

    bluefabian replied to rnintwo's topic in General Nursing

    Actually nursing shortage is real. I've worked many places and there was never a time when we really had excess staffs or not being called for yet another overtime. I have survived as a temp for...

  6. Job hopping...

    bluefabian replied to voraciousj's topic in General Nursing

    Just to say this - you are not alone. At least you take action and move out from a situation that bothers you. The least that I wanna see is a half-hearted nurse who calls off every three days with an...

  7. How much notice?

    bluefabian replied to erin01's topic in General Nursing

    I think I have once served a 3 months notice. Which is a looooooooooooong time. A lot could have happened. I could have changed my mind, but I stick with it in the end. I am happy that you make it in...

  8. Nurses, have you been been spit on, pushed, scratched and verbally or assaulted?

    bluefabian replied to Brian's topic in Patient, Colleague Relations

    I just have to comment on this because it hits home. I've been verbally assaulted so many times that I lost count. And I've seen a fellow Dr being assaulted by a patient and his relative. I have no...

  9. Does being called a male nurse annoy you?

    bluefabian replied to freefalle's topic in Men in Nursing

    I am annoyed but usually let it pass. Unless I want to make a statement. Calling us as 'male nurses' is like describing another species of nursing. I was once suggested by a friend to share my...

  10. Handovers - Dialysis

    bluefabian replied to jmmiller1s's topic in Dialysis, Renal, Urology

    We used to have a round table discussion everyday when all the pts are settled and all the nurses discuss about their pt of the shift. Anything out of the ordinary was discussed. The charge nurse of...

  11. Question for the fellas....

    bluefabian replied to RNYC's topic in Men in Nursing

    You will get noticed as a male, but it won't affect much how the hiring process will be. If they like you, they'll hire you. The recent trend of employment that I noticed (at least where I am ) seems...

  12. management of pre/eclampsia with magnesium sulphate.

    bluefabian replied to bluefabian's topic in Emergency

    I am working tomorrow, so I'll pester the pharmacy. So far no Mg for torsades de pointes at least in my experience (Although it is taught in ACLS). Thanks for the reply. That's why I love these...

  13. management of pre/eclampsia with magnesium sulphate.

    bluefabian posted a topic in Emergency

    I need help in the management of pre/eclampsia with magnesium sulphate. Our stock came in 2.47g/5ml at concentration of 49.3%. The leaflet stated that a dilution of 50% needs to be further diluted...

  14. management of pre/eclampsia with magnesium sulphate.

    bluefabian replied to bluefabian's topic in Emergency

    Since this is an ER and not a labour suite, the administration is to be given in the time frame of 10 - 15 minutes. 30 minutes max - solely for the management of pre-eclampsia or eclampsia. A 2 gram...

  15. management of pre/eclampsia with magnesium sulphate.

    bluefabian replied to bluefabian's topic in Emergency

    I did actually and hoping to hear their

  16. management of pre/eclampsia with magnesium sulphate.

    bluefabian replied to bluefabian's topic in Emergency

    The leaflet said that a minimum diluent of 7.5ml needs to be added up to the 5 ml stock, to make up of a total of 12.5ml solution. A breakdown though - 50% = 1 : 2 20% = 1 : 5 So, if 50% (or 1 : 2...

  17. I Hate Dialysis

    bluefabian replied to MizzDo~LPN's topic in Dialysis, Renal, Urology

    You got to understand that centre based hemodialysis job versus hospital based renal dialysis, while similar - is world's apart. I've experienced both. And guess what? The first one made most of my...

  18. Acute Dialysis - CRRT : Role of Critical Care Nurses or Renal Nurses?

    bluefabian posted a topic in MICU, SICU

    I guess the trend nowadays is that CVVH or any other CRRT is being taken care of by ICU nurses. Depending on facility, some Renal nurses are wholly responsible for most renal/dialysis cases. What do...

  19. i feel trapped. i need help!

    bluefabian replied to mashamontago's topic in General Nursing

    This is the problem that we young people have when we came into nursing: the realization of having to grow up way fast, assuming responsibility and fitting in with people who has been in the...

  20. I Hate Dialysis

    bluefabian replied to MizzDo~LPN's topic in Dialysis, Renal, Urology

    Ha, ha, ha... After beating boredom, and accepting the routineness of the job... I learned of something about this job that makes it less appealing: the feeling that you can't do much for the patient...

  21. Anyone here feeling bored with their Job?

    bluefabian posted a topic in Dialysis, Renal, Urology

    I dunno about you people, but I found chronic haemodialysis to be terribly routine and boring, after quite some time. It was tough when I first starting up - the anxiety and overwhelming flood of...

  22. Clamps

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

    I've worked in situation where clamps were used and one which forbids it. My take? Clamps don't fail a fistula ever in my experience. New or old. Well at least not that I know of immediately. Some...

  23. Povidone-Iodine breaking down CVCs

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

    That never happened to me. And yes, I do soaked them, at least in the last place that I worked with. The catheter and the tubing stayed intact until disconnection. Might be the solution or the quality...

  24. Epogen SC administration

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

    Depending on types, I have given both routes. To the bloodlines, via venous port during blood return. SC either to the upper arm or stomach post HD. From dosage as low as 2000 IU to 5000IU (I know, I...

  25. Help! Kabiven TPN administration during HD

    bluefabian posted a topic in Dialysis, Renal, Urology

    My next shift tomorrow requires me to give a TPN by the name of Kabiven to a patient during HD and I never done it before. Since I will be the only nurse working there tomorrow (it's a part time job),...