kidneyhelper

HUh!,never heard of reused dialyser here in england and dont even mention coz everybody will react,, I know other countries aredoing the "re-used " practice.And I cant see any problem with this as long as the URR is maintained on its high percentage as possible, dialyser wont interchange with other patient, and or prevent cross-infection/contamination...And in the first place why do u need to re-used dialyser? are u on a cost cutting?I understand if the patient who pays for his/her dx and has his/her consent,but if the insurance or govt. I think its better to stay on single use to prevent court in the future if problem arise.I am quite happy with our unit coz we have certain protocol,we have named machine for pt. with Hep B, Hep C/HIV (although not need to) and patient gone for vacation and dialyse abroad they have to have isolated machine for 6 months.

I know I cant help with this,just wanted to share. I work in england in NHS dialysis unit our ratio is 2:5 (1RN+ renal assistant: 5patients) it is quite managable but since the FMC take over our ratio 1:4 for RN's and 1:8 for renal assistant, means 2 RN's are sharing for 1 renal assistant, and this is ridiculous. It is not our choice to go on private , its so happen that our NHS cutting down the budget, and we think everything FMC provided were cheap...We started as early as 6am for day shift coz our unit is running for 24 hours for 6 days

european regulation only allows to not more than 1L /hour. We have a patient who's a non compliant with his fluid restriction and often comes with 8-9l, what we do is we ask him to come back for certain day for ultrafiltration.Some pts are still on denial of their dse. eventhough they have this for ages. I think treat your patient individually ,you can ask your RN for dry wieght assessment for this patient and check his/her diet,obvious sign overload(edema) or maybe your pt gained weight.I work in a mother unit where we deal with chronic and acute,,its good to know and treat pt individually.Our oldest patient is 83 and been dialysing for almost 32 years.

Hi fiona ! I do appreciate the info. thank you so much,,yes I would like to move to toronto as most of my relatives were from there,but jobs offer is in edmonton alberta.Now my husband is not keen on my plans coz he's afraid he might not get a job there,(he's inline with IT), and working visa for spouse is not included in the contract.How is the job opportunity there?he doesnt know how to do carpentry nor plumbing ,he's useless in those field.lol and Do yuo know if u could easily get a working permit or they prioritize first the local.

hi garcab, i think we have the same dilema,, I am actually insterested to move to canada, and like you, I want to make sure that am making a right decision.I have check the property site which janfrn posted, and it looks like the houses has a reasonable price, unlike here in england (ulk)..Now I want to ask if you know already the benifits you could get in canadian health service as a nurse ,..er comparing to our NHS ?? or anybody please??? how many annual leave entitlement, maternity leave/pay? and for how long?

kaylesh are u employed by NHS or by fresinius?