nursefiggy

nursefiggy

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  1. middle TN

    ok, all Nashville and Middle TN nurses speak up! I work at Vanderbilt Dialysis Clinic.
  2. Then you probably take care of some of my pts when they come through. Lord knows they are in and out of the hospital enough. It is common among dialysis pts to have amputations
  3. Considering Dialysis Nursing...Advice Please!

    Dialysis can be very challenging, especially when you are new. It is also very rewarding. If you work in a chronic out pt setting you have an oppertunity to get to know your pts and can give them continuity of care. As a nurse, you would have to lea...
  4. RCG acquires NNA

    To all Renal Care Group Associates: From Gary Brukardt, President and CEO This morning, we announced that Renal Care Group has entered into an agreement to acquire National Nephrology Associates, Inc., (NNA). We expect to complete the acquisition on ...
  5. RCG acquires NNA

    Jnette, You passed the hub of all RCGs. This is where it started, here in Nashville. What you saw was the business office and help desk, payroll, etc.
  6. Parameters/Indicators for use of Crit Line?

    Our docs will write an order to evaluate a dry wt and we will use the crit line. When a pt has had a hospital stay and you know they have lost good wt, on a transient and new pt are all valuable times to use a crit line. Also, if you have that pt tha...
  7. RCG acquires NNA

    ESRD I know it varies from company to company and state to state what LPNs are used for. What was changed in our clinic because of Medicare law is that LPNs can no longer charge. Now we will be doing catheters, meds, heparins, trouble shooting, etc...
  8. RCG acquires NNA

    Well, NNA staff gets paid aliitle more than we do so I think they will rasie us to meet NNA. We are having ameeting tonight about changes that we will be going through. Medicare laws now have changed the role of LPNs in the dialysis setting too. I...
  9. My first answer would be Vandy, but when my husband was a pt there they were always short staffed, his room was no bigger than a closet and was very hot. I did clinicals at Centennial and saw some of the worse nurses I have ever run across. One woul...
  10. info on TN please

    East TN has the Smokies but most of TN has rolling hills. I live between Nashville and Clarksville in Ashland City. That's Cheatham County. It is pretty expensive to buy a house here as we are a short driving distance to Nashville. Montgomery Count...
  11. First LPN job, here I come...

    I was in contract with the first place i worked. i hated it! The next place i worked (both were in LTC) was much close to home and a little more money. i got burned out in LTC (it only took 2yrs) and found a job in dialysis and I have been here two y...
  12. burn unit and pediatrics. Both are way too heartbreaking and i vowed I would always be able to leave work at work. I can't do that if I am emotionally traumatized everyday and i don't want to stop being compassionate.
  13. Do you use crit lines?

    I love them!! I don't know what I did before we had them. It saved my pt's life. I work in a SA area and many times we have pts from the hospital and their DWs are way off. It is an invaluable tool but we don't have enough of them because they are...
  14. Any RCG emplyees out there?

    That is Renal Care Group based out of Nashville. We have over 250 clinics in the US now. This is the first dialysis company I have worked for but I am very happy with them. Opinions?
  15. Any RCG emplyees out there?

    Nashville, TN. I'm sorry, I took for granted everyone knew where Vanderbilt was. This is also the first RCG clinic. Dr Hakim, who started RCG with siome ohter docs is still here. He was our medical director until last year. Nashville is also the bus...
  16. Do you use crit lines?

    Unfortunately, they are very spendy and break alot. The drs love them though and research has proved that the hcts are very accurate so we can do a hct check without taking blood or sending to a lab! We can check a hct and give blood if necessary i...
  17. Any RCG emplyees out there?

    mittels, are you RCG, too? I love our clinic here at Vanderbilt.
  18. BP dropping at beginning of tx=need help

    What aobut UF profiling? Do you have a crit line available? Do you use a sodium profile?
  19. What do you do with verbal abuse

    In our clinic that would be referred to the social worker and a contract would be written and they would be required to sign it and it would be discussed with the dr also. If it continued and no one was willing to care this pt they would be forced t...
  20. Do you use crit lines?

    go to http://www.hemametrics.com/ It is the most valuable tool I have found. Some fo the more difficult pts to dialyze I have figured out their own uf profile. For instance, I know that with a particular pt I can begin the tx with a uf of 2000for o...
  21. New question... is anyone else frustrated by this?

    I'm with you! Some of our NH pts were getting milk of magnesia and mylanta. (Yikes!) Another big problem is they don't remove their gressings between txs. I have had them to come back after the weekend with skin breakdown around the access due to t...
  22. Freaking out just a little!

    It's one of the hazards of our profession. Earlier this year I was exposed to disseminated varicella. Scared me to death because i've never had chicken pox. My titer showed me to have antibodies, though. I've also had a needle stick from a Hep C pos...
  23. What If I Had Gastic Bypass?

    NicUGal, "Figgynurse..is your DH dumping? That is what happens to the one girl I work with and she has the exact same symptoms." It soes sound like dumping, doesn't it? But it can happen any time, not just after a meal of sweets. It wakes him up in ...
  24. middle TN

    Which drs do you work with? Our regulars are Lewis,Schullman, Golper and Ikizler. We also have any number of renal fellows at our disposal.
  25. I've Had It! Nursing is NOT what it use to be!

    If you are burned out then switch jobs! There are amillin of them out there begging for you! Find a different specialty. I used to be in LTC. When I left on maternity leaved I couldn't MAKE myself go back,. There was so much dread.....I coudn't stan...