sueinga

sueinga

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All Content by sueinga

  1. Monthly progress notes on dialysis patients

    sueinga posted a topic in Dialysis, Renal, Urology

    Hi, I'm 3 monthes into my training as a dialysis nurse and the facility manager is trying to get things such at pt charts up to snuff. She has asked that we start doing monthly progress notes. Since...

  2. question about rinsing back

    sueinga posted a topic in Dialysis, Renal, Urology

    Hello, I'm an RN new to dialysis, only in training a month now. It is overwhelming but will do my best. I have read here that squeezing the bag is only good if there is a strong fistula. What about...

  3. Skin condition

    sueinga posted a topic in Dialysis, Renal, Urology

    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...

  4. Skin condition

    sueinga replied to sueinga's topic in Dialysis, Renal, Urology

    Do you apply and let dry prior to cannulation? Or have them wash their arm before they sit down? Either way I wil try it- thanks for the

  5. Drawing P.T./INR on Catheter patients

    sueinga posted a topic in Dialysis, Renal, Urology

    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...

  6. Licenses for different states?

    sueinga posted a topic in Travel

    Hello, I'm interested in travel nursing- but do I need to obtain a license in each state I'm interested in? How does that work? Thanks anyone

  7. Excelsior Anyone?!?

    sueinga replied to A1Nursn's topic in Georgia Nursing

    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...

  8. Rule of thumb for new access needle size

    sueinga posted a topic in Dialysis, Renal, Urology

    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...

  9. Can someone help me out?

    sueinga replied to gigi69's topic in Dialysis, Renal, Urology

    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...

  10. Excelsior Anyone?!?

    sueinga replied to A1Nursn's topic in Georgia Nursing

    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...

  11. protocol for achieving hemostasis

    sueinga replied to urrRN's topic in Dialysis, Renal, Urology

    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

  12. GA Nursing Roll Call

    sueinga replied to jb2u's topic in Georgia Nursing

    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...

  13. dumping the prime

    sueinga posted a topic in Dialysis, Renal, Urology

    Hi, We use The Fresenius 2008K machines. Usually we do not, but when would you dump the prime and why, please explain the rationale? Thanks

  14. Question about leg cramps

    sueinga replied to nurscee's topic in Dialysis, Renal, Urology

    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...

  15. patient to staff ratio- laws

    sueinga posted a topic in Dialysis, Renal, Urology

    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...

  16. patient to staff ratio- laws

    sueinga posted a topic in Dialysis, Renal, Urology

    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...

  17. HD access security

    sueinga replied to auntiedebe's topic in Dialysis, Renal, Urology

    Curious- what is "chevron tape" ?? I've not heard that term

  18. pickles or boullion?

    sueinga posted a topic in Dialysis, Renal, Urology

    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...

  19. heparin- waiting 5 minutes

    sueinga posted a topic in Dialysis, Renal, Urology

    After you cannulate a fistual or graft and give the heparin via the venous line, should you be flushing the arterial with 10cc of NS so it won't clot while you are waiting the 5 minutes for the...

  20. RN- Is This common practice in Dialysis Training?

    sueinga replied to jen75RN's topic in Dialysis, Renal, Urology

    I too have felt and experienced the disrespect of PCTs being an RN new to dialysis. I've been so busy putting on catheter pts that I have not had time to practise sticking pts...and the PCTs know...

  21. Dialysis RN seeking staffing info

    sueinga replied to Marieee's topic in Dialysis, Renal, Urology

    Here in GA its 1 RN to 10 pts and 1 PCT to 4 pts. I have 5 catheter pts that I must put on as only nurses connect catheter pts, tho the PCT monitors until time for me to take off. RN is to push all...

  22. advice on using TPA for catheters?

    sueinga posted a topic in Dialysis, Renal, Urology

    Being fairly new to dialysis, I wanted to ask how many times/how often can one pt receive TPA? We have one pt who received it beginning of treatment one day (nonfunctioning catheter) with moderate...

  23. short term careplans?

    sueinga replied to sueinga's topic in Dialysis, Renal, Urology

    THANK YOU SO MUCH! These are invaluable resources!

  24. short term careplans?

    sueinga posted a topic in Dialysis, Renal, Urology

    Does anyone have any good short term careplans that would apply generallly to most patients? Being new to dialysis and the only staff nurse that is NOT agency and I am being asked to do monthly...

  25. Treating Hypotension

    sueinga posted a topic in Dialysis, Renal, Urology

    Can anyone tell me their reasoning when deciding to use either a bolus of normal saline vs hypertonic saline vs mannitol vs dextrose to treat dialysis induced hypotension