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NurseRies BSN, RN

Nephrology, Dialysis, Plasmapheresis
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NurseRies has 7 years experience as a BSN, RN and specializes in Nephrology, Dialysis, Plasmapheresis.

NurseRies's Latest Activity

  1. NurseRies

    Nephrology Nursing Certification

    Try the mometrix CNN review book, amazon has it for $50-60. That's all I did to pass, the core curriculum is too big and more of an outline format, which was minimally helpful to me. What will really help you pass is your experience and knowledge. If you are reading through the material and a lot of it is new information, it will be very hard to pass. The mometrix review guide was all I needed. Hope this helps.
  2. NurseRies

    NP/Crna vs MD

    Sounds like a ton of commitment and 60-80 hours a week of nothing but trying to achieve your goals for the next 8-10 years. But if you want to go for it good for you! I would say if you're going to school for 2 separate masters/doctorate degrees, just go for MD. You'll get more for you vested time once you're finished. Don't CRNA's take on call? When will you have time to be an NP that you went to school for 3 years to become? I say focus your goals a bit more. 6-8 more years after you graduate nursing school... Either 2 redundant degrees or one that will pay more AND make way more sense.
  3. NurseRies

    How much lifting in Dialysis?

    If you can get into education or peritoneal dialysis training that might be good. What about case management?
  4. NurseRies

    How much lifting in Dialysis?

    I recently had a coworker that left because of back problems. I would say probably not good. Acute dialysis involves pushing and moving equipment and setting up, bending over a lot, unpacking supplies, carrying jugs. Chronic dialysis is all day on your feet, lots of branding over to assess patients. They aren't in normal beds so you can't adjust their height. It is certainly a physically demanding job, despite what many think when they see us sitting down monitoring a treatment. I come home physically exhausted and I am in fairly good shape and young.
  5. NurseRies

    Why Colorado Nurses need a Union

    I don't know about anyone else, but I go to a lot of hospitals as an acute dialysis nurse. Across the 12 hospitals I routinely go to, ICU nurses and floor nurses are overworked and short staffed. My team is absolutely drowning right now, it's unsafe. Nursing has become a revolving door of employment, people running like rats from job to job looking for a good place to work. Does it even exist? We need to stand up for our rights, patient safety, pay for years experience , yearly raises, cost of living assessments. I shouldn't have to work 55-60 hours a week to save for a house and pay day to day expenses with no kids. I am tired of listening to nurses complain that they're underpaid and overworked. Does anyone know if there's any kind of movement towards a union?
  6. NurseRies

    Help. Acute dialysis nursing

    I think it's a very demanding job and does not work well with someone who needs predictable hours. I recommend staying where you are if you want school to get most of your energy. Acute dialysis is a job for those that don't mind overtime and are constantly asked to stay late.
  7. NurseRies

    Help. Acute dialysis nursing

    If you work full time for an acute program you can not work whenever you want. You usually have expectations, I work 6-6 right now but have also done 7-7, 10-10. Depends on the program and their needs. You can't pick and choose how many treatments you want or when you work at all. Even the per diem acute nurses must do as their told and have expectations of when they need to show up. I have work for 6 acute programs in 5 states as a traveler. There are not usually techs in acutes unless you have a very busy inpatient unit with 4-10 stations. Most of the time I am by myself in an ICU or in an isolation room. Getting paid per treatment is a thing of the past. It's actually no longer compliant with billing in the US is what I understand. Dialysis nurses used to bank but now they all make hourly. When you're on call, which can be any variety of hours, you are expected to be available at any time and must be on site within 30 minutes after the Doctor calls you. With any full time job there are regular benefits. It sounds like you're looking for some kind of dream gig where you go in whenever you want and get paid based on how much you work/how many treatments you do. This is not the case at all. You will have set hours and high expectations, you will be paid hourly and will be expected to take you fair share of the load for the team. If you want to work whenever you want you will have to do per diem and likely will have no benefits.
  8. NurseRies

    Fresenius pay/offer

    I would think that's pretty good for the area then! When I was a new grad 6 years ago, I got $21 in South Carolina in dialysis. Even here in Denver, new grads are making about $25-27 and the cost of living here is crazy. So I would say you have a very good offer. If you want to make more 5 years from now tho you may have to try a different specialty or new job. Then when you come back to dialysis if you want, you will be paid for you experience . But for a new grad that's a great rate.
  9. NurseRies

    Fresenius pay/offer

    That would be great in the south and terrible in California, New York, Washington, or other New England states ...
  10. NurseRies

    Fresenius pay/offer

    Completely depends on what city you're in...
  11. NurseRies

    Acute vs. Chronic Dialysis????

    To work in acutes you have to have an independent, autonomous personality. You also have to be willing to go with the flow and have no expectations about your work day. In chronics, you will love the continuity of care you get with your patients over a long period of time, you are on your feet a lot more, lots of busy work. Chronics is a routine and is fast paced, there can be drama from techs. The up side is having set work hours and being able to close and lock your doors. Acutes is interesting everyday, but you have to be willing to work the occasional 14-15 hour day without losing your mind. Your kid needs picked up? Too bad there's no relief for you. The $$$ potential is there in acutes- OT, call back pay, differentials. But you have to want that work environment. You can't expect to get the best of both worlds, which would be set work hours, no nights or Sunday's, working independently with 2 patients max. So you have to pick what is more important to you, weigh your pros and cons.
  12. NurseRies

    Porter Hospital ICU?

    In the 3 years I've lived here, it always seems busy based on our Acute dialysis services.
  13. NurseRies

    Best ICU?

    In Denver, I would look to university, denver health, and St. Anthony's , since they are level one trauma. I also like Porter and Lutheran personally.
  14. NurseRies

    Mass exit at St. Anthony's

    Differential cuts, understaffing, not appreciating experience and years of service.
  15. NurseRies

    Swedish Medical Center

    I've heard the staff to patient ratios are bad because its severely understaffed from a friend that just started there. They have a lot of new grads , which is fine, but why aren't experienced nurses staying? It's a health one hospital also- look up reviews about health one.
  16. NurseRies

    CNN vs CDN

    Chisca is right- CDN associates or bachelors, CNN bachelors only. CNN 3 years, CDN 2. They have recently changed requirements as well, are you looking at the NNCC website? CNN is geared towards Acute care nurses, so you have to work in a setting where you do more then just HD. If you work in an outpatient clinic and do HD only, even if you have a bachelors, you will likely not be eligible for the CNN. I got the CDN when I worked in the clinic. I have been doing acutes now for a few years and just got my CNN in May. I don't need both and it probably going to be too expensive to keep both so I'll prob let the CDN lapse. As far as testing, I got a permit and could schedule the test at a computerized testing center pretty much every day of the week at different times. Once you get your permit for the test, you only have a certain amount of time to take it.