nursingisok

thank you all for your comments. I wrote JCAHO so they could investigate into it:)

I don't have an issue. I'll be done with my masters degree in less than a year. My issue is that dialysis companies in texas gets away with murder if they can. Literally. I've been working in dialysis a long time and i think they get away with what they can and when they get in trouble they try to blame the nurses. I don't care that she is an lvn...but I do not think an LVN can ever be charge over any RN's. Thank you!

So i found out that the charge nurse at a LTAC in houston is an LVN. Actually they have two charge nurses but she is one of them and she's only an LVN and she dialyzes there without the charge RN. I thought in acute dialysis LVN's were not allowed?

Me too. I kinda want to live in the loop.

Dry weight probably needs increasing.discuss with Dr. Patients never like to accept the fact thier weight needs increasing.

no way dude. Sometimes I wish I was in front of a computer and had my own cubicle.

wow.maybe i should be a travel nurse.

wow this article makes me want to join a nurses union.

I work with a tech who has 14 yrs experience . She doesn't fail to mention it at least two to three times a month. I have five years HD experience and I was in acutes for two. I'm seriously thinking of going back to acutes despite the hectic nature of my schedule in acutes because at least I would be working with other nurses in the hospital. I am constantly being told what to do by this tech and also if a patient has a problem , she will come and talk and I won't be able to get a word in edgewise. She has ADHD also .When a patient has a complication I feel as if the tech is anxious because she repeats a lot of things and sways back and forth (could be due to the adhd) but I get so irritated that I just walk away. Some of the patients refer to her as a nurse. When they find out she can't do everything then I remind them I'm the one who is a nurse. I'm very close to quitting this job although the pay is really good since I work for a private nephrologist group. i do not want to get the tech fired because she lives paycheck to paycheck and I have enough to meet my needs. I just get so frustrated when she teaches patients without asking me or teaching them initial teaching. Oh and I forgot to mention when a patient does have a complication or something and she takes care of it, if I go to the machine and do something she always comes and say what's wrong. She always asks whats wrong when I go to a patient because she wants to know everything. Am I supposed to answer to her/? I only tell her the important things but I don't feel as if I have to answer to HER. I'm charge nurse. am i in the wrong here?

I was in acutes and started back in chronics last august till now. Our clinic is small and hasn't accepted medicare patients yet so staff is low. It's just me and a PCT but I find her highly annoying. She has many more years experience than me and constantly tells me her thoughts and opinions and what she thinks I should do in every situation. I'm slowly starting to put her in her place. I treated her as an equal in the beginning because I really respected her experience but the more I am with her I see that she doesn't have a rationale behind her "experience". She just has experience. She also has ADHD which is why she is also really annoying. I'm looking for another job...probably out of dialysis although I do like dialysis...having bad coworkers can really make you hate your job even if you have the greatest job in the world.

I think this is good. If I had to work with an obese nurse I am sure he/ she would have tons of excuse for not being able to do this or that and other nurses would pick up the slack. The big nurses tend to have desk jobs anyways... At least from what I've noticed in Texas. It seems most admins are a bit overweight in texas.

I'm getting burned out and sick of dialysis too. I been in it for five years. I feel like I need a change. I can't imagine doing this for the rest of my life. I enjoy it but I want a change. Is that so bad?

noooo

i think it depends on who trains you and how they train you. i used to work for the big D and I didn't really like it however I did like their computer programs, which i feel i learned a lot from. You can also learn a lot from other dialysis nurses , especially if there is an experienced one working with you but most of the time in a small unit you are the only nurse. I liked acutes better even though now I am back to outpatients. I don't think outpatient is for me and i'm thinking of going back to acutes or switching fields.

So why don't you leave the union if they make you feel bad?