anurseadvocate

anurseadvocate

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All Content by anurseadvocate

  1. ICU to Dialysis advice please

    Dialysis treatment as I call it is 'life-saving, life-sustaining' which can become 'life-threatening' in a matter of seconds. There often is a cookie-cutter training that most providers, especially...
  2. Dialysis Facility Survey/Inspection reports

    p.s. many nurses have told me that they have not read the survey and their facility does not allow such.. they just tell staff (technicians, especially) what they need to do e.g. plan of corrective...
  3. C-Diff & infection control

    I certainly agree with 1214RN. If the patient is that ill that she has such diarrhea then she probably needs treatment and the c-diff might not be colonized but active (infection).???? C-diff is...
  4. foot stools, foot rests on dialysis chairs

    Might I ask what state you are in. You can always call the state survey agency and file a complaint but am not sure they will investigate if it is a 'comfort' issue, but worth a try.. it is my...
  5. foot stools, foot rests on dialysis chairs

    Am wondering if anyone at an FMC unit has an update on foot platforms or use of pillows.. does not matter what state you are in.. thank you
  6. foot stools, foot rests on dialysis chairs

    Indeed, this is utterly ridiculous. There are patients who prefer to sit during dialysis versus lying back in their recliner. Hence, their feet will be dangling which could result in circulation...
  7. C-Diff & infection control

    washing hands for 15 seconds with soap and water is the way to go. C-Diff is extremely contagious and runs rampant in nursing homes. If the patient is incontinent there is more chance of transfer of...
  8. foot stools, foot rests on dialysis chairs

    UPDATE: Rumor has it that those FMC units, that have not yet removed their foot platforms from the chairs , will suspend with removing these.I now wonder if FMC realized there is more potential...
  9. foot stools, foot rests on dialysis chairs

    ps my real name is not disclosed as no one else here does so.. Advocating for patients occurs when patients contact a representative to help them solve problems at their unit. If you read the dialysis...
  10. foot stools, foot rests on dialysis chairs

    Bias on part of the provider - please explain that statement. Does that mean you side with the provider? I always wonder why one does not post their 'real' name? I would like to hear that for that is...
  11. I am interested in knowing your opinions in regards to FMC taking pillows out of all unit. The reasons given in numerous facilities is 'infection control'. However, units are telling patients they can...
  12. They must think we are stupid...

    I have been doing patient advocacy for 14 or more years but have included dialysis advocacy for about 6 years. I have had the opportunity to read hundreds and hundred of facility suvey reports from...
  13. Dialysis Staffing

    the units that i am familiar with that are 15 chairs run wtih two RNs - floor/meds/cath RN and charge RN paperwork,,,and 4 techs usually.. so guess that is good
  14. They must think we are stupid...

    TraumaRU, in all due respect -- yes, I am a nurse and yes I am a patient advocate for dialysis patients, as well as other patients. When patients do not follow their care plan (that is if the staff...
  15. They must think we are stupid...

    I am wondering if you have asked the patient why she is not compliant and i hate that word 'compliant'.... why does not she restrict fluid???? that is the question and perhaps once discovered things...
  16. FMC - taking pillows out of all units?

    Good point - The reason for removal of foot stools was because there were injuries and a death due to apparently tripping over the
  17. compliance phone numbers

    Hello All: I am interested if your unit has posted a phone number whereby we can, as staff, call to report either deficiencies or other areas of care that are improper. I don't know if it is a federal...
  18. compliance phone numbers

    I wonder how often these numbers are used by staff. In recent conversation with a tech I was informed that if he witnessed an incorrect practice that he would not report it. I asked why and his...
  19. Dialysis Staffing

    I agree with Maxinel. Often we are handed a plateful that we don't want..e.g. short staffing.. but we manage to get work done, etc., sometimes not. But as long as upper management is aware that we can...
  20. compliance phone numbers

    None of the above.... Many units have a sign that gives staff information on where to call if they see something that is not correct or have concerns about something.... It is not 'whistleblowing' as...
  21. FMC - taking pillows out of all units?

    Most of the providers are 'profit-driven' and profit is the bottom line for them and is the priority.. however, it is my belief that a company can, in fact, make a profit and still provide quality...
  22. FMC - taking pillows out of all units?

    Indeed, the bundling will and has, in my thinking, already started a wave through dialysis units. Some units do not supply certain items e.g. bandaids (per a patient I spoke with) yet another stopped...
  23. Room Temperature

    sometimes the air vents are blowing directly onto patients, sometimes, the air conditioning/heating systems are not working.. One patient brought an umbrella to the unit to prevent the cold air from...
  24. foot stools, foot rests on dialysis chairs

    I am not a patient, just fyi.. but a patient advocate in all
  25. foot stools, foot rests on dialysis chairs

    I am not a patient but a patient