MSLNT1.1

MSLNT1.1

Pediatrics, Dialysis

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All Content by MSLNT1.1

  1. dilemma between FMC and Davita...which one?anyone?

    Frankly it does not matter which one you work for it will all depend on your CM/FA and the region you work for. I worked for Frensenius(FS) for 4 years and now work for Davita and they both still have some of the same challenges. But a lot of that ha...
  2. Need information

    I worked for Fresenius until May of this year and I have done Management so I understand a little of the pay. If you are inexperienced, you will have to go to training for 4 weeks and then be with a preceptor(also former education coordinator, in Ill...
  3. Epogen SC administration

    Lacie, My sentiments too. Epogen can be administered through the med port on the dialysis lines or SC as indicated on the package insert. The bottom line is that we were taught in school what are acceptable sites for administration of medication. And...
  4. Povidone-Iodine breaking down CVCs

    Actually most CVC are compatible with betadine and not the other products such as exsept(which should only be used to clean the exit site and not the actual lumens) or peroxide. I would look into the how old the catheter is and if the end caps are pl...
  5. Attitude Problem

    You should be angry. While there are many nurses that have this I am better than that syndrome, there are those of us who do believe in wholistic care. I have been a charge nurse and have never felt like I could not answer and alarm or put patients o...
  6. Fresenius medical care...taking over dialysis unit HELP!

    Your best bet would be to talk with your clinical manager. Considering that you are in a small clinic may present a challenge. Here is Illinois, I mostly see LPN's in larger units because it is more than one nurse that needs to be there because of th...
  7. Rule of thumb for new access needle size

    My intention was not to say just clearly turn up the BFR between 400-500 that why I stated it is best to get the order from the nephrologist. Also not every clinic or region uses tables and guidelines. My reference to the BFR of 400-500 was in refere...
  8. Can someone help me out?

    I tend to agree with the other posts. The majority of ESRD patients don't start out with cardiac complications, but if they continue to miss treatments and become fluid overloaded then for a while will exhibit symptons of hypertension but as the musc...
  9. Rule of thumb for new access needle size

    With a graft there tends to more give room because it is not the use of the patients native artery and vein. Yoru best bet it to get the order from the nephrologist. And sometimes to them that may seem tedious, but just imagine having a BFR that is t...
  10. Fresenius medical care...taking over dialysis unit HELP!

    The bottom line is their is no longer RCG and unfortunatetly it is only FMC or Davita. Don't get me wrong as I stated in my earlier post their are a lot of things that FMC definetly needs to change, but what company doesn't. If FMC does not meet up...
  11. protocol for achieving hemostasis

    I has this very situation happen to me yesterday. I had a pt. post dialysis who bled for well over an hour. The patient was in a hypertensive crisis. She had nausea, vomiting, headache, and BP with systolic >200 and diastolic>120 I paged the M...
  12. Fresenius medical care...taking over dialysis unit HELP!

    In regards to PTO, the business unit that I work for allowed RCG employees to take some of their vacation time so that they would not lose their time. But you do have a CAP so if you don't take the time it will either go into ESL bank or twice a year...
  13. "Don't waste your time getting your BSN..."

    This is definetly an old thread, but we know the subject will never go away unless they somehow make it where you 1st degree has to be a BSN. In regards to which route and advancement opportunities are availalbe , there is definetly a difference. The...
  14. Introduced as "The Nurse"

    Hope you are getting use to it. When I first completed my degree and they introduced me as the nurse I thought it was so cute, but it tired soon. Then once I thought about it, nurses are held in very high regards in general as a profession, so it's y...
  15. Nurse Patient Relationship

    Yes, there is a code of business conduct that we all should follow. IWhen she was hired she should have been given the opportunity to read it. I know how hard it can be not to truly care for patients that you see on a day-to-day basis, but we need t...
  16. Fresenius medical care...taking over dialysis unit HELP!

    I have read all the threads regarding Fresenius and it seems that just about everyone is being very harsh. I currently work for Fresenius and I don't always agree with their policies. I have come in contact with former RCG employees who have been ve...
  17. nausea post dialysis

    I would suggest finding out from your patients did they eay prior to coming to treatment and if they checked their glucose before administering their insulin. I had a patient just the other day who became nauseated post tx and when I checked her gluc...
  18. dumping the prime

    For those of us that work for Fresenius we all know that last year they acquired RCG(Renal Care Group) which were still doing reuse. In the Central Business Unit of the company they were doing pilot studies because we started using the new Optiflux d...
  19. Dialysis and medication administration

    After reading everyone's post I have to agree being a dialysis RN and educator that they all have valid and strong points when it comes to whether you should give antihypertensives. And as it has been said in general you advise the patient not take t...
  20. HD access security

    The dialysis company that I work for says that you must butterfly all AVFand AVG. To do this you should put a piece across the wings of the needle, place the butterfly cross and then finally another piece on top. If you have patients that sweat alot ...
  21. blood return

    What company do you work for?
  22. RN- Is This common practice in Dialysis Training?

    It is very commom to be precepted by a PCT to learn about about the machines, water system, cannulation and catheters. But eventually you should be trained by licensed personnel to learn the nursing aspects. Sometimes it is very hard when you are a n...
  23. salary rate

    I used to be a clinical manager and I know that the salary range varies, but as a new grad the usual in Illinois is anywhere between $21-23/hr as a fulltime employee.
  24. blood return

    From my understanding the FMC policy is the same. I use to teach education for the company, but I know that there are different business units and that can make a difference. If you have access to the computer and know how to look up policies on line...
  25. New Grad-Worried about Liability in Dialysis

    I would say coming out as a brand new nurse that acquiring some med-surg skills would be beneficial to you. I would say that dialysis is definetly not technical type of nursing. As healthcare continues to decline, you still have to deal with the pat...