anurseadvocate

anurseadvocate

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All Content by anurseadvocate

  1. Davita is doing what?!?

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

    Davita was named as one of the best companies for education'/training programs however, it is apparent that there are many problems. When nurses voice concerns and state that which you all have...

  2. staffing issues

    anurseadvocate replied to hello0oNurse's topic in Dialysis, Renal, Urology

    I believe your State Board of Nursing can give you the ratios for staffing for dialysis facilities. Indeed, your license might be on the line if something happens. You might also want to check with...

  3. Need Info On Davita..........

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

    Curious for those of you who have worked for Davita and observed incorrect practices or that which should not be done and have your reported such to the state................of course I am sure...

  4. LAL and culturing machines

    anurseadvocate replied to clc123's topic in Dialysis, Renal, Urology

    Forgot to ask - Is this a separate unit within a hospital and if so how many chairs/beds or is this where RNs go to the patient's bedside and provide dialysis treatments (for inpatients)?

  5. Need Info On Davita..........

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

    There are certainly good and bad facilities within all the providers of dialysis - FMC, Davita, Renal Advantage, etc. However, Davita recently, over the last eight months, or so, made national news...

  6. LAL and culturing machines

    anurseadvocate replied to clc123's topic in Dialysis, Renal, Urology

    Make sure you are also following, completely, the new Conditions which include AAMI standards/guidelines. The bottom line is patient safety so do not do what many do and use shortcuts or bypass those...

  7. Hemodialysis Interview

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

    You can get somewhat of an idea about the care by requesting a copy of the facility's recent survey by the state. Often deficiencies are observed by surveyors that are not identified by staff.You...

  8. I Hate Dialysis

    anurseadvocate replied to MizzDo~LPN's topic in Dialysis, Renal, Urology

    The small surroundings of a dialysis unit encourage a different type of culture than alot of health care settings. I have found that the dialysis-setting culture, as all businesses, etc., are unique...

  9. Cannulation sites

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

    Puncturing the same site over and over causes pseudoaneurysms which can, if large enough, rupture, from my understanding. This occurs when staff stick the same area/site over and over. I have been...

  10. Scope of RN license

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

    Your Board of Nursing should be able to provide the page, etc., that the information is on in the Nursing Practice Act. I find it interesting about taking orders from another RN. Scenerio: What if...

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

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

    Thank you for sharing this information re FMC taking care of their employees. This certainly is to be commended. I have not heard of this before and with all the media attention, etc., nothing was...

  12. frustrated

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

    Many recommend the use of a tourniquet to stabilize the site.

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

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

    You can also obtain a copy of the most recent inspection report for the units in your area, by contacting the state agency. You can also ask the FA of the unit you would like to work at to look at the...

  14. RN ltc to dialysis nursing

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

    Davita and Fresenius, to my understanding, do not necessarily require experience in dialysis. However, the new regulations state you must have dialysis experience to be in charge of a dialysis...

  15. struggling with learning the dialysis job

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

    None of us should ever forget that it is our license that is on the line, especially if we are in a supervising position. We are responsible for ensuring that patients receive appropriate care - right...

  16. frustrated

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

    Perhaps speaking with your facility educator/inservice educator would help. ALso, often speaking with patients as they are the ones getting stuck and can often provide much information. Speak with...

  17. Epogen SC administration

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

    Patients should always be given the option (HD) if they want sc or IV, as well as having the pros/cons explained to them. Facilities use 'less' epogen when it is given sc and therefore, cuts into...

  18. I Hate Dialysis

    anurseadvocate replied to MizzDo~LPN's topic in Dialysis, Renal, Urology

    Indeed, I agree. As I have stated, a life-sustaining treatment that can become life-threatening in a second's time if one does not know what they are doing. Those that believe there is nothing to...

  19. Advice Re: job interview with Davita

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

    DialysisGuy is RIGHT ON. Reuse is only for those who have been thoroughly trained in correct procedures. There are many mistakes that are made when facilities do reuse. In fact, one facility was...

  20. I Hate Dialysis

    anurseadvocate replied to MizzDo~LPN's topic in Dialysis, Renal, Urology

    Krazyone, you did the right thing. It is shocking for me to read such that you wrote, but I know that this does, in fact, happen in many units. I have also known where staff have contacted the state...

  21. I Hate Dialysis

    anurseadvocate replied to MizzDo~LPN's topic in Dialysis, Renal, Urology

    It really sounds like you are in a unit that is not that great. WOW,, what do you mean about killing patients? Sounds like you are in a Davita unit, when you mention muskateer. Actually, the process...

  22. Conditions of Coverage

    anurseadvocate replied to chatty-rn's topic in Dialysis, Renal, Urology

    Tag # 504 Conditions Fluid Management/Blood Pressure= Some units have critline monitors and others are looking at getting some way to determine true fluid removal. ESRD Network 12, I believe, might...

  23. dialysis tech training

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

    I wonder why some will automatically silence alarms. Is it just some type of complacency that eventually arises, lack of supervision in units in order to prevent such. We check and recheck to ensure...

  24. dialysis tech training

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

    In reading through the posts I was wondering about the poster who addressed 'silencing alarms' versus looking further to determine any problems. I know this is NOT taught at FMC, or Davita, or at any...

  25. Conditions of Coverage

    anurseadvocate replied to chatty-rn's topic in Dialysis, Renal, Urology

    I am wondering how other units are addressing 'fluid management' with the new