klm49

klm49 specializes in Acute Dialysis.

Latest Activity

1. Do LPNs/LVNs have to give up their license to work in dialysis?

   klm49 replied to Let's help out's topic in Dialysis, Renal, Urology

   That depends on what state you work in. Here I have work a specific minimum number of hours in a position as an RN as well as complete the necessary CEU's to have my license remain active. If I...

2. Call off guidelines

   klm49 replied to MKS8806's topic in General Nursing

   I work in Acute Dialysis. We regularly go through periods of feast or famine. We also have to decide who has to stay after hours to finish off the day. We try to keep it simple. The sequence we...

3. To Stop or Not

   klm49 replied to littlewingrn's topic in General Nursing

   One thing to keep in mind with all of this, is that anyone can sue for ANY reason. All it takes is an attorney to accpet the case. The act of being sued does not establish liability. To be held...

4. ZZZZ's - Time to be honest!

   klm49 replied to abbaking's topic in General Nursing

   Much to my horror, yes. Not always on the night shift either. I do Acute dialysis and do many treatments at the bedside. Quiet, over hot isolation room, isolation gown and mask, sleeping patient,...

5. Forgot to renew my BLS!

   klm49 replied to pumpkin's topic in General Nursing

   For the standard AHA BLS class, once your certification has expired you have to retake the complete class. Yes, it seems punitive and some instructors will admit it is punitive and meant to remind...

6. Blood Transfusion during Dialysis

   klm49 replied to Biggirl71's topic in General Nursing

   I have been reading the excellent post regarding blood administration and dialysis and thought I would add to it. Before becoming an Acute dialysis nurse I worked nights in ICU. Dialysis was...

7. PRBC Administration during dialysis

   klm49 posted a topic in Dialysis, Renal, Urology

   The question keeps coming up in my hospital as to how fast we can give a unit of PRBC's during a dialysis tx. Traditionally we have infused 1 unit of PRBC's over 20-30 min into the Art chamber with...

8. Steve

   klm49 replied to Steve1967's topic in Dialysis, Renal, Urology

   I spoke with my Acute program Medical Director and said he had read of doing Hemodiafiltration in chronic units in other countries but wasn't sure how it was done. His question was much the same as...

9. Controlling Vascular Access Bleeding

   klm49 replied to hazyblue's topic in Dialysis, Renal, Urology

   There is a trick to holding pressure. My employer still uses the SureSeal band aid type dressings. I know not everyone does because of cost. Without the band aid I remove all of the tape. I don't...

10. Steve

    klm49 replied to Steve1967's topic in Dialysis, Renal, Urology

    I think we need a definition of terms. From the difference in the spelling of hemodialysis my guess is you are not practicing in the USA. How and when exactly are you doing HDF? The only time I...

11. How many broken ribs???? (long rant)

    klm49 posted a topic in General Nursing

    I am extremely frustrated right now and just need to blow off some steam with others that will understand. My daughter called me at work on Wednesday last week and told me my 69 yr old mother had...

12. Has anyone worked at Dialysis at Sea Cruise Ship?

    klm49 replied to BigBoy75's topic in Dialysis, Renal, Urology

    I worked a Dialysis at Sea cruise this past fall. I did a 7 day cruise to Alaska. It was alot of fun but also hard work. The pay for working is that the cruise is free. On ship you are treated as...