penem10

penem10

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All Content by penem10

  1. Reuse

    penem10 replied to penem10's topic in Dialysis, Renal, Urology

    Thank you everyone for your very informative responses. Does'nt there have to be a separate log/documentation to record the specifics of the dialyzer use rather than a paper label that can be lost?...

  2. Reuse

    penem10 posted a topic in Dialysis, Renal, Urology

    Hi! our facility is looking into reuse, and I have read that the AAMI standards require a log to be kept. Do any of you have experience with this log? Is so, what has to be kept on the log? Have...

  3. Dialysis Staffing

    penem10 replied to CocoaGirl's topic in Dialysis, Renal, Urology

    In some states the department of health will put forth standards of nurse/patient ratio for dialysis. In others, it is the state board of

  4. Is it common for shunts....?

    penem10 replied to RNinfamily's topic in Dialysis, Renal, Urology

    I would not recomend going to a dermatologist to soften the areas. The scarring, if minimal is protective to an extent. The scar tissue will decrease the pain sensation to some degree. I would...

  5. Chronic or Acute dialysis experience before doing traveling

    penem10 replied to chill598's topic in Dialysis, Renal, Urology

    I would recomend at the minimum 6 months of med-surg experience. There is nothing like on the job experience when your a new RN. Most units I know of like this minimu also, ICU or ER experience...

  6. May be interviewing for a dialysis job, HELP!

    penem10 replied to midcom's topic in Dialysis, Renal, Urology

    The description of LPN's vary from state to state and unit to unit. But the majority cannulate the fistulas and grafts, initiate dialysis, terminate dialysis. In our state, NY, they cannot access...

  7. AV Graft reverse cannulation

    penem10 replied to GeauxNursing's topic in Dialysis, Renal, Urology

    We have used this in a desperate situation. When multiple attempts at cannulation have been made and no success. When the interventional radiologist is not available to do a fistulagram, or when the...

  8. Tech vs. Nurse War

    penem10 replied to BellaCerraRN's topic in Dialysis, Renal, Urology

    I have heard of this situation, although I have never dealt with it before. The solution was to approach your co-workers with the attitude that you are all there for the patients. It is not a...

  9. advice on using TPA for catheters?

    penem10 replied to sueinga's topic in Dialysis, Renal, Urology

    I would just like to add a comment to "make it work" You need to remind that doc that his KT/V's are probably bad and that is all documented nationally. At least in our facility, that is the...

  10. advice on using TPA for catheters?

    penem10 replied to sueinga's topic in Dialysis, Renal, Urology

    As far as I know, their is no limit to using TPA, however, In my experience, it is best to try to understand why it is not working and then fix the problem. For instance, how long has it been in? The...

  11. Question about Dialysis machine malfunction?

    penem10 replied to gin2425's topic in Dialysis, Renal, Urology

    Assess the situation, a blood leak is a serious issue and do not rinse the patient's blood back. Restring and initiate dialysis again. In any other situations, try to rinse the patients blood back,...

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

    penem10 replied to jen75RN's topic in Dialysis, Renal, Urology

    I agree it is good to orient with the tech to learn the machines and what their job is. But you need to orient with a RN (preferrablY) or and LPN if a RN is not available. Especially if you do not...

  13. Nursing intervention?

    penem10 replied to nursedandy's topic in Dialysis, Renal, Urology

    Work them up for infection. Draw blood cultures, look for s/s of infection ie: respiratory, kidney, catheter, assess access. No s/s? Rule out this first then consider the flu? Did they get a flu...

  14. ICD 9 codes for dialysis?

    penem10 replied to Hellllllo Nurse's topic in Dialysis, Renal, Urology

    This link will get you a big list of books available for ICD 9 codes. http://tinyurl.com/yj3feg Have a great day Robin A. Clark, RN,

  15. bevel up or down?

    penem10 replied to majestix's topic in Dialysis, Renal, Urology

    Cannulation Camp: Basic Needle Cannulation Training For Dialysis Staff by Deborah J. Brouwer, RN, CNN I highly recomend this inservice, she does cannulation training around the country. In her...

  16. Legal Nurse Consultants in Maine?

    penem10 replied to liz66's topic in Legal

    siri, I guess I am just nervous that I won't be able to find work when I am done with my studies, as I said before I live in very rural NYS and there is only 1 med mal practice lawyer in my recinity,...

  17. Legal Nurse Consultants in Maine?

    penem10 replied to liz66's topic in Legal

    siri, yes I have heard this a market for LNC that do remote work from their homes. Can you

  18. Legal Nurse Consultants in Maine?

    penem10 replied to liz66's topic in Legal

    Siri, Can you give us advice on how to become remote analysts? Do you have any links to companys that hire remote analysts? I don't know how to start or where to go to get a work from home remote...

  19. nurse/pt ratio?

    penem10 replied to lee1's topic in Dialysis, Renal, Urology

    Does anyone have any guidelines to use to study for the CDN? I have purchased the CNN review guide thinking this would cover just about everything I need for the CDN. A couple of us want to take it...

  20. nurse/pt ratio?

    penem10 replied to lee1's topic in Dialysis, Renal, Urology

    Hi, and thanks for the reply. When we have a sick call the nursing supervisor tries to fill it by calling off nurses in. Usually we all cover each other if we can. However, there was a time last...

  21. nurse/pt ratio?

    penem10 replied to lee1's topic in Dialysis, Renal, Urology

    Hi, I am new to allnurses.com and consider this nurse discussion invaluable. I have worked in my hospital affilitated dialysis unit for 4 years as a staff RN. We have 10 patients per shift...

  22. Anyone taken the CDN or CNN exam???

    penem10 replied to TELEpathicRN's topic in Dialysis, Renal, Urology

    Hi, I am new to allnurses.com and just discovered this discussion forum. My coworker and I want to take the CDN. Can you tell me what books, material you used to study from. What guidelines did you...