anurseadvocate

anurseadvocate

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All Content by anurseadvocate

  1. Hemodialysis technician class

    anurseadvocate replied to vicadelle's topic in Dialysis, Renal, Urology

    It is mandatory, via the federal Conditions of Coverage/Participation that dialysis technicians be certified in all states. In California, the same applies -- Most of the providers hire, to my...

  2. Advice: Profile or Not?

    anurseadvocate replied to awheat's topic in Dialysis, Renal, Urology

    Many facilities use sodium profiliing, however, recently I have read a few articles where they are advising not to use such -- and they are finding more problems. from recall, related to cardiac --if...

  3. released from renalweb - Fresenius

    anurseadvocate posted a topic in Dialysis, Renal, Urology

    dialysis patient survival is better at fresenius medical care clinics because ... -- part i [color=#990000]ironically titled article from renalweb. editor's note: related chest 2007 article: conflict...

  4. Thirst-Something To Think About

    anurseadvocate replied to NDXUFan's topic in Dialysis, Renal, Urology

    Also, as an afterthought, many units allow the technicians to make a judgement call as to whether to use sodium profile, or not -- after speaking with one physician, I was informed that it is the...

  5. Thirst-Something To Think About

    anurseadvocate replied to NDXUFan's topic in Dialysis, Renal, Urology

    Very Powerful - thank you :) There has been alot of research conducted in the area of the prolonged weekend and having all those hours without dialysis -- In fact, from recall, this was mentioned...

  6. How to write up a verbal warning for indirect behavior

    anurseadvocate replied to SoulSpirit_Rn's topic in Dialysis, Renal, Urology

    Also, something else to think about ---Some states are considered, by law, as ''at will'' states - this means that an employee can leave a job, at any time, without notice, for any reason --- the...

  7. Recommended Blood Flow thro Fistula Needles

    anurseadvocate replied to puddletown's topic in Dialysis, Renal, Urology

    From my experience, esp with FMC, the BFRs are part of the physician orders and specific the number --- I have seen, over and over, facilities cited for not following physician orders for BFR - Often...

  8. How to write up a verbal warning for indirect behavior

    anurseadvocate replied to SoulSpirit_Rn's topic in Dialysis, Renal, Urology

    I agree with the poster who stated give her a copy of her job description --review her training/education and ensure it is all documented in her personnel file - complete.. The reason I state this is...

  9. How to write up a verbal warning for indirect behavior

    anurseadvocate replied to SoulSpirit_Rn's topic in Dialysis, Renal, Urology

    I agree with TraumaRUs comment and would just like to add something --I have found, during my nursing adminsitration days, that the more detailed information related to situations resulted in more...

  10. HD orientation?

    anurseadvocate replied to kdunurse's topic in Dialysis, Renal, Urology

    RN MARIZ -- you are ABSOLUTELY CORRECT -- however, here in the US, the LDOs do not provide as much training as you are stating, from my experience and what I am continually being told by RNs, that...

  11. Needle Dislodgement

    anurseadvocate replied to NeedleTape's topic in Dialysis, Renal, Urology

    Actually, some providers do require a physician order for the temperature on the machine -- some physicians might want the temperature lower because of hyptotension (some FMC medical directors do...

  12. Night Time Nocturnal Dialysis

    anurseadvocate replied to NDXUFan's topic in Dialysis, Renal, Urology

    An article was released today about increased infections/hospitalizations with PD.. However, many articles/research have been released, from recall, over the last few weeks -- related to positive...

  13. HD orientation?

    anurseadvocate replied to kdunurse's topic in Dialysis, Renal, Urology

    Experienced dialysis nurses will tell you it takes years, sometimes, to be really proficient and able to trouble shoot with patient-problems, machine-problems and potential problems.. Dialysis is a...

  14. HD orientation?

    anurseadvocate replied to kdunurse's topic in Dialysis, Renal, Urology

    In my experience hospital=based units are much different than free standing dialysis outpatient clinics.. ---> as far as staffing goes. In outpatient settings, the technicians cannulate but don't...

  15. HD orientation?

    anurseadvocate replied to kdunurse's topic in Dialysis, Renal, Urology

    I agree that five weeks is not enough. Experienced HD nurses will tell you that sometimes it takes years to become seasoned e.g. being able to trouble shoot when machine problems happen --identify...

  16. Dialysis Data -

    anurseadvocate posted a topic in Dialysis, Renal, Urology

    i have received permission to provide these links - this information will give detailed information on dialysis facilities - there is a 'tracker' where you can enter any facility name, zipcode, etc....

  17. Dialysis Data -

    anurseadvocate replied to anurseadvocate's topic in Dialysis, Renal, Urology

    This information, as above stated, can be a valuable tool for those working incenter. Many staff never get to see their own facility survey conducted by the state, and many never see the data that is...

  18. Night Time Nocturnal Dialysis

    anurseadvocate replied to NDXUFan's topic in Dialysis, Renal, Urology

    Yes, infections can be a problem - and this is why patient-education/training is so vital... PD works well for many and I know alot of patients that have done well with PD and many who have acquired...

  19. Needle Dislodgement

    anurseadvocate replied to NeedleTape's topic in Dialysis, Renal, Urology

    Agree that the education of patients is most important -- once someone understands the rationale for such, they are more likely to follow --- staff education is also important and I have found,...

  20. Night Time Nocturnal Dialysis

    anurseadvocate replied to NDXUFan's topic in Dialysis, Renal, Urology

    It is my opinion and much research has supported such that home diaysis, including nocturnal is the best route to go for patients -- (1) need for medications often decreases when doing more dialysis,...

  21. Needle Dislodgement

    anurseadvocate replied to NeedleTape's topic in Dialysis, Renal, Urology

    I have read alot about this and there are, as I mentioned, numerous articles regarding this dangerous situation, in fact, a few where patients have died have made public/media attention, over the...

  22. Need Info On Davita..........

    anurseadvocate replied to kimmydo's topic in Dialysis, Renal, Urology

    how did the interview go? wHAT DID YOU THINK? and, I still am wondering 'what the big picture is'... I would love to discuss ths further as it is important and maybe an educational piece for

  23. DaVita(Alabama)-looking for Staff RN New Grad will train

    anurseadvocate replied to kaeanna's topic in Dialysis, Renal, Urology

    I have had so many complaints for nurses regarding very similar situations.. You are thrown on the floor without sufficient training to deal wtih emergency situations. As I said before, only a high...

  24. Needle Dislodgement

    anurseadvocate replied to NeedleTape's topic in Dialysis, Renal, Urology

    Access sites should be visible and staff should be checking -- Unfortunately, many units are cited for this ...(not having site uncovered) Many units do NOT allow visitors -- There are alot of...

  25. DaVita(Alabama)-looking for Staff RN New Grad will train

    anurseadvocate replied to kaeanna's topic in Dialysis, Renal, Urology

    I guess I have alot of concern regarding the COnditions as they are stated and thanks for presenting this as I could not fully remember. I have spoken to, known many and experienced observing new RNs...