NurseRies BSN, RN

Nephrology, Dialysis, Plasmapheresis

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All Content by NurseRies

  1. NurseRies

    Agitated terminal agitation or a hospice nurse's worst nightmare

    NurseRies replied to laynicrn's topic in Hospice, Palliative

    Hi everyone. As I sit here at almost 1am, I cannot figure out why my Dad is this patient. I have looked here for similar experiences. I know nothing about hospice, im an acute care nurse. I have given...
  2. NurseRies

    Nurses and holiday exhaustion

    NurseRies replied to Joe V's topic in General Nursing

    Amazon prime saved me too! The only thing I had to go out and buy was wrapping paper and our live tree. We decorated the first weekend in December, nothing too excessive. Tree, wreath, lights around...
  3. NurseRies

    help re: debt panic

    NurseRies replied to nagem_'s topic in General Students

    So I never put off my loans, but I did have quite a load after graduation. I had $64k in student loan debt, $3k in credit cards, and $7k on my car. That totals $74,000. As soon as I graduated and got...
  4. NurseRies

    CRRT-effluent bag nightmare

    NurseRies replied to ericaolsen's topic in Dialysis, Renal, Urology

    Only good for 24 hours and always have a sterile cap on the piece that touches the circuit. Label the bags w a marker. Effluent bags drained wth suction tubing on an IV pole, just rotate
  5. NurseRies

    patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

    NurseRies replied to uae808's topic in Dialysis, Renal, Urology

    Our patients are on a low sodium diet. They don't even let them have chicken soup or too much cottage cheese, I mean the sodium restriction is almost ridiculous. But it is there for a reason. Did you...
  6. NurseRies

    So fed up with my coworker

    NurseRies replied to Rainy day RN's topic in Patient, Colleague Relations

    Wow.... wow. "I haven't worked before getting my RN. I graduated high school, went to college and went to work right away. Maybe I am just not used to people being able to come and go as they please...
  7. NurseRies

    patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

    NurseRies replied to uae808's topic in Dialysis, Renal, Urology

    I've never been too convinced that flushing prevents clotting. I am open to the idea and I have seen it done here and there, but how are people saying it works? How do you know that they would have...
  8. NurseRies

    California HD RN & labor law

    NurseRies replied to GlennGanza's topic in Dialysis, Renal, Urology

    California RNs get time and a half pay after 8 hours and double time pay after 12 hours. I believe that it's state law, probably because most of the hospitals or all of them are unionized. I worked in...
  9. NurseRies

    CNN vs CDN

    NurseRies replied to CFrancine's topic in Dialysis, Renal, Urology

    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...
  10. NurseRies

    #NursesUnited: Can we continue the momentum for necessary change?

    NurseRies replied to Rose_Queen's topic in General Nursing

    Share this link on your facebook page and we can get the petition signed for mandated nurse to patient ratios. We have 1 month to get about 92,000 more signatures. This is worthwhile for us! Let's...
  11. NurseRies

    LPN Pay/Salary

    NurseRies replied to NurseintheSouth28's topic in Dialysis, Renal, Urology

    When I lived there a few years ago RN's were making $22-26 at clinics, LPN's were more like $16-23 based on experience. If you stay with DCI long term, you can get raises, and better retirement...
  12. NurseRies

    Acute Dialysis Nurse:Patient Ratios

    NurseRies replied to TravelLusting's topic in Dialysis, Renal, Urology

    If you have a good acute team with low turnover, then third shifts should be a rarity. Fourth shifts should be out of the question I think. 24 hour shifts? That is just plain unsafe and there are ways...
  13. NurseRies

    CNN

    NurseRies posted a topic in Dialysis, Renal, Urology

    Has anyone taken the CNN recently? How hard was it? I feel very confident about Hemodialysis and Renal Failure Topics. But I am unsure about Peritoneal Dialysis and Transplant. I even specialize in PD...
  14. NurseRies

    Acute Dialysis Nurse:Patient Ratios

    NurseRies replied to TravelLusting's topic in Dialysis, Renal, Urology

    " No more then 3 shifts of patients per day"... 3 shifts of patients is easily an 18 hour day... And I know from experience that they expect you to do that without questions. I was often told when I...
  15. NurseRies

    Davita Ddialysis Nurse

    NurseRies replied to mkrw's topic in Dialysis, Renal, Urology

    We need to have mandated patient to nurse ratios and mandated tech to patient ratios. I'd also love it if somehow, nurses and patient safety (note, NOT patient satisfaction) became a priority in...
  16. NurseRies

    Acute Dialysis Nurse:Patient Ratios

    NurseRies replied to TravelLusting's topic in Dialysis, Renal, Urology

    Yeah it wouldn't be the worst thing... Some programs seem fine if they have good staff and management. But overall, their reputation in our specialty is not good. And I've talked to a lot of...
  17. NurseRies

    Acute Dialysis Nurse:Patient Ratios

    NurseRies replied to TravelLusting's topic in Dialysis, Renal, Urology

    I understand! Travel companies are shady in my opinion. I think that both of the big 2 give great training. I think it could be a good learning experience for a year or 2. From there you could search...
  18. NurseRies

    Acute Dialysis Nurse:Patient Ratios

    NurseRies replied to TravelLusting's topic in Dialysis, Renal, Urology

    I do not work for one of the big 2. I work for a physician practice now. It is great!! I have worked for them in the
  19. NurseRies

    Acute Dialysis Nurse:Patient Ratios

    NurseRies replied to TravelLusting's topic in Dialysis, Renal, Urology

    Sure. I have worked for acute teams in Florida, South Carolina, Texas, California, and Colorado. I have never had a ratio higher then 2:1 in acutes. I have heard of some units doing 3:1 in acutes, I...
  20. NurseRies

    Davita Ddialysis Nurse

    NurseRies replied to mkrw's topic in Dialysis, Renal, Urology

    Hey now, I know a couple of nurses that I suspected did drugs... And they were in fact much, much slower. Crack
  21. NurseRies

    Chronic HD in the Acute Clinic?

    NurseRies replied to AcuteHD's topic in Dialysis, Renal, Urology

    From what I understand, reimbursements for undocumented patients is all about specific hospitals. Some hospitals get no money to take care of them, so you'd be better off transferring them to...
  22. NurseRies

    Chronic HD in the Acute Clinic?

    NurseRies replied to AcuteHD's topic in Dialysis, Renal, Urology

    We have an unofficial system that works. We've actually got So many undocumented regulars at one hospital, that they have created a special fast track admission and discharge area for dialysis...
  23. NurseRies

    What's going on with pulsating blood lines??

    NurseRies replied to AcuteHD's topic in Dialysis, Renal, Urology

    I see the pulsating all the time.. Don't think much of it. If it's about to clot, you make hear the clicking or sticking sound from somewhere, almost like it's trying to suck blood and can't. I think...
  24. NurseRies

    What would you do if this was your patient?

    NurseRies replied to foxy1112's topic in Dialysis, Renal, Urology

    The patient does have a right to cut his treatment time, (if he signs the AMA form) but he does not have the right to override the doctor's order for more then 1kg an hour. So if he wants 2 hours,...
  25. NurseRies

    Acute versus Chronic

    NurseRies replied to Beachbum671's topic in Dialysis, Renal, Urology

    I can back that up, I was an acute dialysis nurse traveler in San Antonio. I was scheduled 5 12 hours shifts a week with 4 nights of on call out of those 5. I worked 50-65 hours every single week....