HDNurse

HDNurse

Dialysis

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About HDNurse

HDNurse specializes in Dialysis.


Graduated with AA in 1991. Med-Surg for 3 years. Occupational Health 5years, Blood Banking 10years, Dialysis 2 years.

Latest Activity

  1. They must think we are stupid...

    Pamilina - My, aren't we Miss Judgemental today? You must think I'm stupid if you think I voiced those feelings to my patient. I calmly explained to her that such large fluid gains are extremely harmful to her and that it is making her heart have to ...
  2. Dealing with an uncooperative patient?

    Too many times the patient is just looking for someone to be responsible for the awful situation they are in. Anybody, but themselves. My dialysis patients hate that they have to give up a huge part of their lives to come in for 3 hour treatments, 3 ...
  3. They must think we are stupid...

    One of my patients came in today - Monday- having gained 11.6 kg over the weekend! When I talked to her about it, she adamantly insisted that she "doesn't drink very much and doesn't know how she could have gained that much." When I did the mat...
  4. Share your "problem patient" stories!

    I had a male post-op patient that had his foley removed. He had apparently learned that if he did not pee in 8 hours he got catheterized again. Over the next week, I had to catheterize him repeatedly, because he would hold his pee. I knew he was doin...
  5. Charting Bloopers

    I work with a very sweet asian nurse who always charts that the patient has 4+ pitty edema. Having that much fluid in their legs, I feel sorry for them too.
  6. Room Temperature

    If I received a nickle for everytime I heard this complaint, I would be able to retire! I have turned up the temp in the room, turned up the temp of the dialysate, turned on the heat in the heated chair, covered them with their multiple blankets and ...
  7. acute dialysis- lets talk money

    Either way it sucks. $25/hr or $25/tx. I'm just trying to figure out if it is in my best interest to go from getting $35/hour or $187/tx. Still seems to me if I am doing the 1:1 txs for the day doing 2-3 tx/day while the other nurse does 6-8 in the ...
  8. acute dialysis- lets talk money

    Along the same lines. I am currently working at an hourly rate of $35/hour and there is talk of going to a per treatment pay of $187. Can I really make more this way. Seems to me if I am stuck doing 1:1 in CCU, ICU etc, that I would actually get less...
  9. It can happen to anyone, anytime

    This particular patient was found clutching his chest and trembling. When the tech was not able to get him to answer her she called me. Within seconds, I had ascertained that he was not breathing and there was no pulse. You are right that they could ...
  10. It can happen to anyone, anytime

    He is 78 years old and one of my favorite patients. A very sweet, gentle and pleasant man. He is never any problem to care for. He is totally compliant with his diet and fluid restrictions. We never have to take more than 2 kg off of him at a time. H...
  11. Dialysis in Prison Population

    One of our techs mentioned possibly working in the prison dialysis clinic and said that nurses are VERY WELL paid there and that it might be possible to pick up some extra shifts. I asked him to get me the information, but then he bailed on me and to...
  12. Feeding patients

    No joke. The dietician is about ready to pull out her hair. The protein popsicles are ok, I guess, as there is some benefit for the pt. But the popcorn and sno-cones are strictly entertainment. Give me a break....
  13. Feeding patients

    Our Medical Director wants to get a popcorn machine so the pts can have popcorn while watching the Netflix movies he brought in. He also wants us to give them sno-cones! We give them protein popsicles too. What next? Like I don't have enough to do th...
  14. no more NS at chairside!

    Will someone please explain to me the rationale behind this new rule. I mean why is it suddenly a no-no to pull saline from the patient's own NS bag? Using ETOH, sterile syringes. We have been doing it this way for years and then suddenly it isn't ac...
  15. dialaysis access

    It is not uncommon at all for a dialysis patient to use a double lumen tunneled catheter for dialysis. Ideally, we would like to eventually progress to using a fistula or graft but there are some patients, where, for one reason or another, those type...