Farkinott

Farkinott RN

Renal, Haemo and Peritoneal

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All Content by Farkinott

  1. Have you ever heard of this? UGH!!!!

    It's her placenta for heaven's sake. A friend of mine had a homebirth and buried the placenta under a tree in the yard. Weird 4 me but an important part of their spiritual pathway. Who is hurt? Answer is noone! Lighten up! Marc Townsville
  2. dialysis straight out of school?

    I precept new grads a couple of times a year. It doesn't matter whether you have 5 minutes experience or 10 yrs dialysis is a whole new field. I embrace new grads as well as oder nurses that have decided on a job change. If u are keen and willing t...
  3. dumping the prime

    As I previously said. We always dump the prime. marc
  4. dumping the prime

    We always "dump the prime". It is only ever returned if the pt is clinically dehydrated or hypotensive.
  5. Clots Clots And More Clots!!!!!!

    Try Clexane (enoxaparin)
  6. migration stuffs...

    I worked with a Filiponi nurse years ago and at that stage she had to undertake 8 weeks of supervised practice for no remuneration. I don't know if she ever got her licence. It is easier for others from countries where the study is a lot closer to ...
  7. What's special about male nurses?

    I think male nurses are different because we tend to talk in plain language! I can recall an incident where one of my female colleagues was asking a confused old man if he "wanted to go for a wee?" After watching her vain attempt for about 5 mins I...
  8. What makes a good dialysis nurse?

    I agree with DeLana. It's hard to tell if anyone will like renal work. Two qualities/skills are a must though. You need good assessment skills and need to be a skilled observer.
  9. 6% "take off" rule

    Our unit rule is 1kg per hour maximum and isolated UF (eg. 1000ml in 30 min) if they are really overloaded! 6% sounds about right though.
  10. What is KTVO?

    Just type kt/v into dogpile.com (search engine) and you should find enough information to keep you happy:nuke:
  11. Patient hostility...HELP!

    Thankfully my facility has a zero violence policy. Crap is just not tolerated and the higher ups (by law) have to enforce this policy. As for the infected catheter. That guy will just get sicker and sicker until it is removed. Why don't you just ...
  12. How much do your PCT's do?

    We don't use unregulated staff like PCT's. My dialysis unit is staffed by BSN's only!
  13. How are male nurses perceived?

    Default Re: How are male nurses perceived? "My experience has been that they are perceived the same as females...by ability, not the hardware under the uniform. Your statement about the "very senior" nurse may answer your entire question.....the olde...
  14. How are male nurses perceived?

    My experience has been that they are perceived the same as females...by ability, not the hardware under the uniform. Your statement about the "very senior" nurse may answer your entire question.....the oldest generation of nurses may have a more diff...
  15. Ethical considerations

    Thankfully if I feel I cannot deal with a patient because i have issues with who they are or what they have done my organisation accepts that and I wil be reassigned. If you loathe someone and can't provide a level of care that you would to any othe...
  16. dialysis and lasix???

    There is nothing wrong with trying a bit of Lasix in this situation. To be honest though the dose needs high! Try 500mg-2g!
  17. New to HD & equipment--learning curve??

    It sounds to me like you guys were either putting yourselves under too much pressure or "the system" is not supportive in allowing you to learn. My unit uses preceptors with each new staff member for at least 6 or 7 weeks (i.e. working every shift w...
  18. running antibiotics into a permacath?

    If the permacath itself is infected it must come out. Nothing wil fix it.
  19. question about rinsing back

    I use the "open" method on all my patients with fistulas unless i am running off in a hurry as I will never be caught with someone shooting blood back into the saline bag. With permacaths/vascaths we always use the "closed" method as the risk of ser...
  20. Feeling very pressured, please help

    You are just trying to be a safe practitioner. I work for government health and crap like that would not be tolerated! Well.........maybe it would but if you made a stand there are avenues to deal with that kind of pressure and harassment. Stick to...
  21. New to Chronic HD

    BP, obvious odema, what is the client;s ideal body weight? If they have vomiting and diarrhea play cautious and remove only the wash back. Get an expererienced colleague and talk about your assessment with them. Marc
  22. Hemodialysis versus Med-Surg

    Over here haemo encompasses a global nursing approach. I don't believe you will be "hobbling" yourself by starting in haemo. If you can pick up skill quickly in an area like haemo you can pick up skills anywhere!
  23. What helped you learn HD?

    time
  24. New to Chronic HD

    We always do an oral and visual assessment of our chronic haemo patients. It doesn't take much to observe them walking into the unit. Are they short winded? Do they have obvious odeama? Many of my clients are Aboriginal or Torres Strait islander...
  25. ESRD Refusing dialysis

    The dear lady could last weeks and weeks depending on her oral input. She is to be admired for making such a strong decision as a life on dialysis (especially for those older people who have lived a full life) is nothing but unnecessary maintenance....