Rayden

@shinanigan Kindly backread this thread. The relevant info discussed in the orientation has alteady been posted before.

Here's an update. FDA Places GranuFlo, NaturaLyte Under Serious Recall Category

Yup, I have been following it. Here's an update, FDA Places GranuFlo, NaturaLyte Under Serious Recall Category

So what? The US is NOT THE ONLY destination.

Good luck on your upcoming exam. Not that I'm scaring you, but I heard the exam just gets harder and harder. All the best!

Are the CNN and CDN certifications recognized in other countries? Like if I was certified then would like to work for a couple of years in the Caribbean or Europe?

Before certain branches of Nephrogroup would accept trainees on cash bond only. Nephro Center Manila and Nephro Center Caloocan to name a few. But now they made the training system centralized, so it's not gonna be like that anymore. Most of the dialysis centers I know ask for training fees. Sorry can't give you much help.

Free continuing education course specific for renal professionals from CDC. CDC - Continuing Education Course - Dialysis Safety

Oh well, better grab the first opportunity for training. The situation at present is different from when I was also scouting for training and volunteer experience years ago. I'm so thankful I was given a shot by Nephrogroup. Without them I might still be standing on shaky ground as far as our profession is concerned.

RENAP requires only 1 month of dialysis training at the least. The training institution (NKTI, FMC, Nephro, etc) requirements varies. Some would require 6 mos. hospital experience first, some would not. But the trend goes into most (and soon maybe all) requiring some hospital experience.

Supercath is widely used in Europe nowadays. Most of our first time patients on vacation from europe (I work in Central America) give me the "look" of hesitation when they see that the needles prepared on our kit are the conventional dialysis needles. They would then request for the "plastic" ones. But we don't have them so therefore don't use them on our unit. The next time they come back for another vacation, they bring their own needles. :)

I guess the info found on their FB page is not updated. The one their website is a more recent one.

Is there anyone here using Supercaths in their units? Supercath

got this from their fb page: [color=#333333]requirements & process of online application for certification exam [color=#333333]requirements [color=#333333]1. valid prc id, renap membership, pna id, ivt card (scanned front and back) [color=#333333]2. certificate of hemodialysis training [color=#333333]3. certificate of employment / proof of clinical experience at least 6 mos in any field of nursing [color=#333333]if you have all of this requirements then you are qualified to take the renap certification exam. lets now proceed to online application process [color=#333333]step 1 [color=#333333]- scan all you requirements [color=#333333]step 2 [color=#333333]- register for the online application for the certification exam thru this link --> http://renaponline.org/online-application/individual-certification/ [color=#333333]step 3 [color=#333333]- renap officer will email the applicant if he/she is qualified to take the test and will give you instruction for payment [color=#333333]note: [color=#333333]- incomplete requirements will not be processed [color=#333333]- all examinees should apply online for initial screening nothing is mentioned about the length of training though.

Libya is wide open for nurse of all areas and specialties.

Very well said. Even I wouldn't dare accept the offer considering having zero experience. It's like being asked to coach a pro basketball team without having even spent time in the pro leagues even as a former player or coaching staff.

The US in NOT THE ONLY destination for Philippine nurses.

May I revive this old thread. I'm making a little search as I've come across a this "body weight percentage" as I was reviewing our protocols. Same goes here. We follow a maximum UF rate of 1L per hour, and when sequential UF is necessary it would be for 1L for 30 mins. However based on recent articles (with links found on another thread) we are considering shifting to the 13mL/Kg/hr guidleline.

@Jllandero Yeah I saw from RENAP's website that indeed the number of passers wasn't that much. During my time, we were around 90 passers (2009). (I was even thinking maybe they haven't fully updated the list yet, but as what you've said, indeed only 15 passed. Less number of takers, and most probably a tougher exam.)

RENAP wasn't that strict years ago, but now that more and more nurses turn into dialysis centers for training and possible employment, they suddenly changed the rules. On a more positive note, the RENAP Accreditation (CRN) is a very important piece of document that actually tells future employers overseas that by Philippine standards, you are certified and competent in the field of renal nursing. Aside from your actual working experience as a renal nurse, they may also use this certification in favor of you. Now, on the topic of as to where to get your training, I think Nephrogroup is a good place since it offers a comprehensive curriculum that actually also prepares the trainee for the RENAP exam. Not that the exam is that difficult, but in terms of meeting the requirements, Nephrogroup provides for that. Other dialysis centers / hospitals would offer a similar type of training, but the shortest one I heard of is only 5 weeks. They will only teach you the very basics on those 5 weeks. However, in Nephrogroup, you don't only learn, you actually apply it until you gain competence and be confident with your knowledge and skills. That's why it's conducted for 4 months, and you have the option to extend another 2 months to meet the 6 month dialysis experience requirement of RENAP. It's really costly as far as the fees are concerned, but I think it's worth it. There are a lot of slots available, unlike from NKTI that is fully booked until 2013. Once you get in and start training, who knows what opportunities would open up for you in the near future.

How do you anticoagulate your dialysis treatments? Some of our patients use low molecular weight heparin, but most are on fractioned heparin. That is, heparin diluted in saline to come up with a solution that gives us 1000 units of heparin per 1 cc of the solution. Prescribed loading dose is usually 2000 units, so that will be 2cc upon initiating treatment. Then the maintaining dose is usually 1000 units per hour, so via the infusion pump, we set it to infuse 1cc of the solution per hour from the 10cc syringe. As a means to save time, the heparin solutions are batch prepared. We therefore prepare for all 3 shifts the next day, usually 36 patients, so we dilute the 25 vials of heparin in 500cc of saline. But not all of the solution are used, there's around 200cc left from the 500cc bottle. There came a time that several saline bottles left with 100-200cc of heparin solution had piled up in the medication room, as no one would like to aspirate from the old mixtures thinking that it is not potent anymore after several days (and therefore risk clotting a lot of patients).

Sorry I didn't make my question clear. What I meant was the heparin solution left on the saline bottle after dilution. Because we dilute the heparin on 500cc saline. (mixture is 1000 units/mL). After aspirating enough 10cc syringes, there's still around 200cc that's left, and most of the time it's just left laying around the medication prep room. Let's say it was diluted today, will that solution still be potent after 2 days?

We also do a friday and saturday bingo bonanza in our unit.And they really go nuts over the prizes no matter what it is. When I was working in the Philippines, we also adapted a game based on a noontime television show called "Pinoy Henyo," (Philippine Genius) where one will guess a word placed on his forehead, but only basing on clues that he himself would think of. Everyone always had good laugh. There was also one patient who would bring his own Magic Sing (portable karaoke unit) and plugs it on the central television. Then after that, it's free for all! Everyone and anyone can choose a song and sing it.

17G 200-250ml/min 16G 250-350ml/min 15G 350-450ml/min Haven't used a 14G yet. (Man that would be big...)

Where I am currently working, we batch refill the syringes used for heparin infusion. Question is, if not everything was consumed, for how long should the heparin-NaCl solution be kept before discarding it?