westieluv

westieluv

Med/Surg, Tele, Dialysis, Hospice

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All Content by westieluv

  1. The main thing that I am getting from this thread, which actually helps me immensely, is that this happens to the best of dialysis nurses and fairly often. I have had the impression that having to...
  2. Acutes to Chronic?

    I've seen threads here addressing the question of if someone should switch from chronic to acutes, but I'm wondering just the opposite: has anyone ever switched from acutes to chronic, and if so, was...
  3. I know, I know, the irony of having "too many" job opportunities on a forum where a lot of new grads come to lament the fact that they don't have any options. My post just goes to prove that once you...
  4. Acutes to Chronic?

    Guttercat, maybe it's my lack of dialysis experience and consequent lack of confidence, but I really think that the autonomy is part of what I don't like. I was told that I would not have to work...
  5. Thanks for your reply. I have never heard of any of our nephrologists ordering citrasate in a patient's bath, and I know that we don't stock it. I wish we did, it sounds like a great idea that would...
  6. So depressed! Left hospital can't get back in.

    Be very careful at this point. You are in a precarious position where you need every bit of experience that you have on a resume', but yet you are already beginning to look like a job hopper, which is...
  7. Acutes to Chronic?

    "One dies, get another"...lol. Yep, that's about how it's been lately in our department. Thanks for your reply, Chisca, it makes a lot of sense what you say about techs either making you or breaking...
  8. Too soon to leave new job?

    I have to agree with Ruby, I think it would be a great benefit to you to have a full year of Med/Surg nursing under your belt before getting into home nursing. Even if you were the top student in your...
  9. Switching from Chronic to Acute Dialysis

    Three of our hospitals have dialysis rooms where we have the capability to run two patients at a time if they don't require 1:1. Our fourth hospital, however, is a LTAC and has no dialysis room, so...
  10. Switching from Chronic to Acute Dialysis

    ETA: I misunderstood, you meant that you are on call for 14-15 hours but won't necessarily have to work. We are only on call for 12 hours unless it is the weekend. It's just that on regular days, if...
  11. Switching from Chronic to Acute Dialysis

    I don't run the entire day. Once I get a patient on and if the treatment is going well, then I sit in a chair at their bedside and observe, troubleshoot if necessary, and document VS and machine...
  12. Switching from Chronic to Acute Dialysis

    I've only been at it for a few months so I'm no expert, but I really like it a lot better than floor nursing. One thing you really need to be prepared for, however, is that you will have days with...
  13. When I was trying to re-enter the workforce after being at home with our kids for several years, I couldn't get any hospital to consider me, even though I had over eight years of hospital experience...
  14. Nominated for Daisy Award :)

    Good for you! What a great confidence builder for a new nurse. :) I used to work in a small office within a hospital system and one of our awesome nurses who had gone above and beyond got nominated....
  15. On the other hand, since many new grads cannot find hospital jobs right now, jobs in sub-acute rehab, LTC, Dialysis, etc. are definitely better than gaining zero experience while waiting for that...
  16. Wellll...I'm fairly new to acutes, so take that for what it's worth, but we get orders for each and every treatment. Some nephrologists prefer to give orders before we start the tx, and some prefer...
  17. Dialysis Interview

    I meant to say you will have Sundays off in chronics. Advice: Give yourself a break if you aren't proficient right away. Dialysis is unlike any other type of nursing and it takes time, patience, and a...
  18. Our machine logs stay with the machines at all times too, and we are vigilant about bleaching and heat disinfecting per our company's protocol. Not having access to the electronic record is a lousy...
  19. Dialysis Interview

    Is your interview for chronics, or acutes? If it is for chronics you will be spending your days in a chronic dialysis center monitoring dialysis techs who run treatments, doing some treatments of...
  20. Staffing and patient abandonment

    And all I keep thinking is that there are so many, many new grads who would jump at the chance for a hospital job and nursing units would not be left perpetually short staffed. Of course, we all know...
  21. The external blood tubing is disposable and intended to be used for only one treatment and then tossed, but the interior tubing of the machine that is not disposable but a part of the internal...
  22. That is horrible. I work for Fresenius and, at least in our area, we are vigilant about Hep B screening. If we don't have actual, printed results from the lab that drew them, we assume that a patient...
  23. What do you think of 12 hour shifts?

    I would only ever work twelves if I got back into floor nursing. Working three days or nights a week is great because with four days off it sometimes feels like part-time. Eight hour shifts would mean...
  24. Staffing and patient abandonment

    I know what I would do. I would have to stay, because ultimately, it isn't the patients' fault that they are in such a poorly staffed facility. However, I would make it known that I will not be...
  25. Hospital Jobs

    Yes. A few years ago, I decided to return to nursing after taking about seven years off to be home with our kids. Even though all of my previous experience had been hospital nursing, I was turned down...