Staragate ADN, ASN, RN

Dialysis

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All Content by Staragate

  1. So, I'm an acute HD nurse. I work crazy shifts where 16-18 hour days are common. I have been doing this for 3 years, but I can't keep this up. I had C4/5 spinal fusion and the radiculopathy is already coming back post op. It's worse when I'm fatig...
  2. Staragate

    RN patient ratio in dialysis

    It's regulated by medicare. Generally: 12 patients per nurse. 4 patients per CCHT(tech) The techs handle most of the hands on stuff. The nurse does in/out assessments, med checks, foot checks, admissions, care plans, trouble shooting, medications,...
  3. Staragate

    Over-tightened blood line connection and sterile caps

    Wiggle the cap back and forth. Perhaps putting ice around it to get the plastic to shrink a bit. Make sure your gloves are dry.
  4. I'm starting this thread because students (like me) are always freaking out about the exam, NCLEX, quiz, whatever. A lot of this is mirroring what the NCLEX study guides say and some of it doesn't. These are my strategies that work. I'm a high B/low...
  5. Staragate

    Be a Nursing Home Nurse or Dialysis Nurse

    I did both. Dialysis is better, hands down. SNF gives you an unreasonable workload, understaffed, under trained and under supplied situation. ...and I worked at one of the better ones! In dialysis, you have the same patients all the time, about a ...
  6. :) :) :) New nurse on the unit, getting kudos from both patients and the Sgt Nurse.
  7. Staragate

    Medical surgical nursing Lewis textbook

    It's a separate book... med surg study guide. Check your college library, they might have it. Mine did
  8. Staragate

    Watch with sweeping second hand

    I got a kid's Timex watch for $20. Analog watches are hard to find and much more common in the kid section. The one I have looks very grown up and fits my small wrist. If the strap is too small, you can buy a new strap.
  9. Staragate

    Starting Salary [new grad]?

    Arizona ADN. LTC job full time $29.50/hr Quit for low census. home health $36/hr... limited hours. Dialysis. $28/hr. Full time. Only doing this now. It seems the salaries go up if you aren't in a hospital and specialize.
  10. Staragate

    The sight of blood makes me pass out.

    Better not work in dialysis then!!!
  11. Staragate

    New Grad Resume

    1 page, no more unless you are going for CM or higher. Remember, resumes are Cliff's Notes for your career. Keep it relevant. Include departments and hospitals for school, GPA if higher than 3.5. Include all health care employment for the last 5 y...
  12. Way too many grumpy pants lately. Besides, I'm proud of myself. I landed in a specialty as a new grad. Job hunt has been real feast or famine. Most of the 'feast' has been mediocre.
  13. I quit my LTC job, which I hated. Now I'm hired into a dialysis clinic, have a long orientation and love my new boss! ... and I am a new grad.
  14. Staragate

    Fresenius Training

    I've been hired as a new grad, but I get a 10 week orientation. They are training me as a tech and then learn the RN part of it. I love it so far. Classroom training with clinical days, like in nursing school. I'm 4 weeks in now. Be prepared for lot...
  15. Staragate

    Dialysis staff nurse salary in US

    New nurse, no experience $28 AZ
  16. With a new nurse, you line your purse. A bargain you have made! Load up the boat with easy scapegoats. A bully has it made in the shade!
  17. Staragate

    What to do after a rough shift?

    Chocolate milkshake.
  18. I was a CNA for the SNF that I interviewed at for a year and a half. I know the place and I know the people. The CNAs burn out and leave quite often, for good reason. The RNs, hardly ever leave. Anyway, I interviewed yesterday for a charge nurse posi...
  19. Staragate

    Your take on actors playing "nurse"...

    I love Carla from Scrubs. The show is hilarious, but don't mess with Carla!
  20. Staragate

    Side rail stories

    My facility has itty bitty "grab bars". It helps the patient grip the bar so she can turn and repostion by herself or with help. Otherwise, we don't have them. In my LTC, side rails are considered a restraint, but grab bars are not. *shrug*
  21. You need to do better than a C+ average. College courses are more difficult and in depth than high school. That means really focusing and getting INTERESTED in it. I recommend the BSN route and try to take as many courses at your community college t...
  22. Staragate

    Patient fx hip after family refused alarm

    Generally, the alarms are put on when the patient is shown an inability to judge. Like dementia or confusion. If someone has an altered LOC, then they can't judge as well if they can walk safely. You can educate, but you can't rely on the retention o...
  23. Staragate

    Saunders Comp NCLEX Book?

    Use it to help study for exams, it's really helpful! Use it to review points that are unclear. The practice questions are excellent.
  24. Staragate

    Interview for LTC Charge.... new grad

    We take opportunities where we can get them.
  25. Staragate

    Interview for LTC Charge.... new grad

    Ha! Yesterday, I got all my assessments done in the morning. I'm still really thorough, so it takes me a while. I got charting done midshift and got out in time. No emergencies, no admissions.... just the LOL who pulled out her PICC after it had ...