land27

land27

SICU,BURNS,ACUTE DIALYSIS

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All Content by land27

  1. So what's going to happen to health care now?

    land27 replied to Rocknurse's topic in General Nursing

    My concern is more related to future employment; I am graduating from NP school in December and concerned most employers will slow hiring for the first part of

  2. New grad FNP: "Where else are you interviewing?"

    land27 replied to NurseLauraM's topic in Advanced Practice

    I think you answered your own questions. Yes I am interviewing at a lot of other locations because "I am a new grad in a highly saturated area... and since I'm single and love to travel I have no...

  3. What MSN Career Path to Choose

    land27 replied to land27's topic in Nursing Career

    I actually am a charge nurse, I additionally fill in for our dialysis coordinator when she is on vacation or sick. So I have had some experience in that regard. We are in the process of switching to a...

  4. What MSN Career Path to Choose

    land27 posted a topic in Nursing Career

    I have been an RN for about 10 years. Finishing up my BSN now and wanting to move onto a Masters Program. However I'm having a difficult time deciding what career path.I have always worked in an Acute...

  5. Ideas to help my pt

    land27 replied to Joni's Mom's topic in Dialysis, Renal, Urology

    Do you have access to a Critline. I think it would be helpful to actually see if the patient is shifting fluids or not. Additionally, put the patient on some oxygen. Just 2 liters can make a big...

  6. First Year Almost Over, No Magical "Ah ha" Moment Yet

    land27 replied to babysteps25's topic in First Year After Licensure

    Give it a little more time. I started in a high acuity SICU at a University Hospital. Was terrifying the first year. Then one day in the elevator before my shift I realized, I wasn't even thinking...

  7. Nurses: Educated Professionals or Puppets?

    land27 replied to Truth66's topic in General Nursing

    I've felt more like a factory worker sometimes than a

  8. need help re removal of temp. dialysis cath.

    land27 replied to snuggles49's topic in Dialysis, Renal, Urology

    I would check out facilities policy first, however, a temporary hemodialysis cath. (femoral,IJ, or Subclavien) should be able to be pulled by an RN. The procedure is the same as for any other central...

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

    land27 replied to bluefabian's topic in MICU, SICU

    I couldn't agree more......Well

  10. PPE for dialysis nurses

    land27 replied to oklhmrn's topic in Dialysis, Renal, Urology

    I couldn't agree more......I I get so hot in those lab jackets...it's unbearable....plus puts the staff in a bad

  11. Did a dumb thing r/t dialysis port

    land27 replied to SoundofMusic's topic in Dialysis, Renal, Urology

    Excuse me, I work for a hospital dialysis unit that is actually contracted to FMC. We use FMC Policy and Procedure....and we use heparin 5000 units/cc as our catheter fills. So I am a bit taken back...

  12. Did a dumb thing r/t dialysis port

    land27 replied to SoundofMusic's topic in Dialysis, Renal, Urology

    A dialysis patients access is there life line. Without it they could die in in a few days to a week or so. Hemodialysis also requires that access to be able to handle blood flow rates up to...

  13. Need direction and encouragement

    land27 replied to RN/RDH's topic in Dialysis, Renal, Urology

    I suspect you work in a md owned/operated dialysis unit. State and Federal regulators may be interested in checking the place out.....I would recommend reporting any unsafe

  14. potassium/dialysate bath

    land27 replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    We still use 0 k baths for patients with high (7+ potassium levels) but only for an hour and then finish the treatment with 1k. some of our physicians will do zero k the first hour, 1k the 2nd hr, and...

  15. potassium/dialysate bath

    land27 replied to LPN2RNBSN's topic in Dialysis, Renal, Urology

    I work in the acute setting and my experiance has been that physicians may use a 3k bath instead of the 2k bath in patients who experiance more ectopy at lower K+ levels and viceversa, It is important...

  16. Tips for nurses in their first year of nursing

    land27 replied to Brian's topic in First Year After Licensure

    10 tips for the new grad: 1. Work in a teaching hospital and ask a lot of questions that start with "why" or "can you explain....". 2. Get 2nd, 3rd, or even 4th opinions if your just not sure. 3....

  17. dilemma between FMC and Davita...which one?anyone?

    land27 replied to JRLO's topic in Dialysis, Renal, Urology

    I work for FMC now going on 1 1/2 years in an acute unit that was previously RCG. I am paid an appropriate wage (little more would be nice) and can get quarterly bonuses up to $500 for being...

  18. New grad - possible to start in dialysis?

    land27 replied to NooNieNursie's topic in Dialysis, Renal, Urology

    I would like to congratulate you on becomming a nurse. I would highly recommend starting your career off in med/surg or stepdown/ICU prior to specializing in dialysis. Why?? The fundamentals of...

  19. Hospital w/ advanced burn unit????

    land27 replied to SDNEWGIRL's topic in Burn

    If your looking to go right into a burn unit from nursing school I would suggest looking for a hospital that integrates the SICU with the burn unit. I was hired directly out of nursing school into the...

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

    land27 replied to bluefabian's topic in MICU, SICU

    I did SICU for 3-4 yrs and currently doing Acute hemodialysis. So I have thought about this more than once from both departments perspective. Let me just say to start that I feel CVVHD should be done...

  21. PPE for dialysis nurses

    land27 replied to oklhmrn's topic in Dialysis, Renal, Urology

    To my knowledge gowns are also required to be water resistent as well. Could just be an OHIO State board of nursing requirement

  22. Need a little direction/advice....Any 1,2,3 step to becoming a NI nurse. HELP!

    land27 posted a topic in Nursing Informatics

    My career path has been becoming more and more down the road of nursing informatics. I am even going to be heading back to school soon to start a MIS degree......but still the path to becoming a NI...

  23. Need a little direction/advice....Any 1,2,3 step to becoming a NI nurse. HELP!

    land27 replied to land27's topic in Nursing Informatics

    I'll attempt to do that as much as possible.....I work for fresenius medical care in a acute dialysis unit. We are considered a contracted service so we are not used in the facility for anything...

  24. Suggested NI/IT/IS Interview Questions

    land27 replied to rninformatics's topic in Nursing Informatics

    Thank you very much. a good starting place is often the most difficult part of the the journey,and know I have one. I'll keep you

  25. Hello, Will Be New Burn Nurse Here

    land27 replied to NurseLay's topic in Critical Care

    It's a bit hot at times (any big drsg change)..dress