Hi, I have a patient who develops extremely irritated, scally skin around her access- it has happened around a catheter dite and also over an AV access in both arms. The CVC area responded to a...
Hello, We draw our monthly and midmonthly labs from the arterial lumen of CVC patients and normally first withdraw the indwelling heparin of course- at least 3ml- 5ml There has been a debate as to...
Georgia lets you license by endorsement. I applied to the state of Virginia to take state boards and then took them in Atlanta. Its all computerized so you do not have to physically go to another...
Focal segmental glomerulosclerosis is scar tissue that forms in areas of the kidney that filter certain things out of the body. These areas are called glomeruli. The help the body get rid of harmful...
Hello, I worked as an LPN for almost 30 years and used Excelsior to get my ASN. I've been an RN for a year now working in Dialysis. In my opinion it was far less stressful and expensive to use...
Hi, Everyone pretty much agrees that when accessing a new fistula to use 17g x 2 weeks then 16g x 2 weeks and ultimately 15g unless otherwise ordered..........but I've heard conflicting views on...
What are tipstops? We used sureseal bandaids for awhile but they were cost prohibitive- now we use superstoppers and most pts and staff love them- and they're cost
Hello, I live in NW Georgia area and just finished my first year as an RN in dialysis. I was an LPN for 25 years and then got my RN thru Excelsior. Look forward to hearing about other areas of care...
When a patient c/o cramps anywhere ( legs, hands, abdomen, back) I turn the UF off , give 100 to 250 of saline and see how they respond- then its a judgement call as to if and when to turn the UF back...
Hi, In Georgia it is supposedly mandated that 1 RN to 10 dialyis patients is the limit. We run 16 patients on first shift and 15 on second shift. There is supposed to be 2 RNs but one comes late...
Hi, In Georgia it is supposedly mandated that 1 RN to 10 dialyis patients is the limit. We run 16 patients on first shift and 15 on second shift. There is supposed to be 2 RNs but one comes late...
We all have pts who are hypotensive post treatment and we don't want to give back too much fluid. Of course sodium variation, profiling and adjusting EDW as first options but after that? One nurse...