pricklypear

pricklypear

Telemetry, ICU, Resource Pool, Dialysis

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All Content by pricklypear

  1. RN duties at your facility

    pricklypear replied to kanadianwannabe's topic in Dialysis, Renal, Urology

    Tish88- geeze, with a ratio on 1 RN to 20 patients, I'm surprised you have time to do anything!! You're a braver girl than me!! We have 16 chairs, 2 RNs and 4

  2. RN duties at your facility

    pricklypear replied to kanadianwannabe's topic in Dialysis, Renal, Urology

    I think its just totally dependent on company policy. My company allows techs to do catheter care (everything including heparin packing) after 1 year on the floor and some training. I was surprised...

  3. Which would you take? Acute Dialysis RN or Acute Care for the Elderly RN

    pricklypear replied to New Grad STL's topic in General Nursing

    I would definitely caution you against the acute dialysis position. Frankly, I'm surprised that a new grad would even be considered for that position. Dialysis isn't rocket science, but it is a...

  4. Fluid runs

    pricklypear replied to kidneynurse's topic in Dialysis, Renal, Urology

    We don't have room to offer fluid runs to folks who only leave 1kg over. These are usually the people who come in WAY over their TW, are frequently late, want off early, etc... We have some...

  5. hourly rounding

    pricklypear replied to suni's topic in Medical-Surgical

    A. It was night shift B. We had a 4:1 ratio C. It worked out fine as long as there wasn't a crisis going on. D. Unfortunately it woke some patients up in the middle of the night (light sleepers,...

  6. Health care workers can be drafted during a pandemic

    pricklypear replied to Anxious Patient's topic in Disaster Preparation

    I'd LOVE to see some state try to do that. Who will they staff their hospitals with after they revoke everybody's license?

  7. Burning question-Maintaining Central lines

    pricklypear replied to BaseballNut's topic in General Nursing

    I was never aware of any proper usage of any specific lumen except using the distal (brown) lumen for CVP monitoring. It seems that every institution has it's own policy or opinion, though. I don't...

  8. Compare Dialysis to Med-Surge Pros? Cons?

    pricklypear replied to dRN1's topic in Dialysis, Renal, Urology

    Pros for me are Dealing with only a few doctors (nephrologists ONLY, thankyou) Dealing with patients who can (theoretically) take care of their own non-dialysis issues ( I don't micromanage my...

  9. CVC blood flow rate

    pricklypear replied to bella706's topic in Dialysis, Renal, Urology

    We run ours up to 400 - whether the lines are reversed or

  10. so much hypokalaemia?

    pricklypear replied to sister s's topic in MICU, SICU

    :yeah:ROLF But seriously, I think it's just the nature of the critical-care patient. It's a symptom of many of the things ICU patients suffer from: vomiting, diarrhea, renal/organ failure, injury,...

  11. Really Bad Code...

    pricklypear replied to al7139's topic in Cardiac

    Nope, there really isn't any to avoid that happening on a recent post-op. That's just the way it goes. I think it's perfectly normal to feel traumatized after a code like that. I'm sure it will...

  12. Was this an appropriate order?

    pricklypear replied to vashtee's topic in General Nursing

    I apologize, I admit I did not read all of the previous posts. Dr __________ can call Dr _____________ him/herself. You have enough to do, YOU ARE NOT A SECRETARY, a PERSONAL ASSISTANT, or an...

  13. I Need Advice - MD Not Signing Order

    pricklypear replied to Andrew, RN's topic in General Nursing

    Hi Andrew - I really, really feel your frustration. Things like this - the gray areas - are the reason I left the hospital setting. I decided long ago to NEVER trust doctors to sign ANYTHING. And...

  14. Dialysis Transport

    pricklypear replied to coco3299's topic in Dialysis, Renal, Urology

    Our patients use a variety of transportation. Some are brought by services contracted through their nursing homes. Some use the Red Cross. A very small percentage come by cab. Our city also have...

  15. Random vents from the last two nights I worked...

    pricklypear replied to RN1982's topic in General Nursing

    Yep, I remember looking around in a crisis and seeing nothing but several pairs of eyes belonging to deer who were apparently facing headlights. Thankfully, that didn't happen often in our unit - I...

  16. Going on shift to previous shift's mess

    pricklypear replied to chenoaspirit's topic in General Nursing

    Hospital nursing is a 24/7 job. You can't always expect to walk on to the floor and find all your patients in great condition. This patient's condition could have deteriorated significantly since...

  17. Developed for someone you're bound to know!

    pricklypear replied to mizfradd's topic in Nursing Humor

    I CANNOT stop laughing........ but seriously, thank GOODNESS someone finally addressed this

  18. My Family Tragedy: Passing of Showbizrn's Brother

    pricklypear replied to showbizrn's topic in General Nursing

    ((((((( Showbizrn)))))))) I'm so very sorry for your

  19. if you could give 5 tips on how to ace nursing school what would they be?

    pricklypear replied to Firefly602's topic in General Nursing

    1. Get yourself a calender book and write down all your assignments, due dates, etc. Don't lose it! 2. Be prepared for class. Read your syllabus, and have a basic understanding of the subject...

  20. Having an ethical dilema

    pricklypear replied to meluhn's topic in Nursing Educators, Faculty

    Wow. Good luck to all of you instructors out there struggling with this kind of situation. I didn't even know this kind of thing was going on! I never encountered behavior like that when I was in...

  21. how can this happen

    pricklypear replied to marina17's topic in Patient Safety Issues

    I haven't seen a PEG placed recently, but they used to be placed only with the help of endoscopy. The endoscopy tube would be inserted into the stomach (no mistaking it for the lung), the stomach...

  22. how can this happen

    pricklypear replied to marina17's topic in Patient Safety Issues

    Are you sure you don't mean an NG (nasogastric)tube? I really don't think it's even remotely possible that a PEG (percutaneous endoscopic gastrostomy) tube could end up being placed in the lung....

  23. Be Honest...what's it like in a Dialysis Clinc(LPNS)?

    pricklypear replied to skittlebear's topic in Dialysis, Renal, Urology

    I can only speak for the clinic I work in... We have LPNs occasionally who are in the float pool. They function as a tech at our clinic. Which means they are responsible for a "pod" of patients, (4...

  24. Dialysis RN training with dialysis4career

    pricklypear replied to urnurse072b's topic in Dialysis, Renal, Urology

    I agree - I've never heard of needing to be trained by an outside source for dialysis. It's worth a shot to go talk with managers of clinics in your area. Good

  25. University Medical Center, Tucson

    pricklypear replied to silentRN's topic in Arizona Nursing

    Trauma-Transplant Stepdown. It's a crazy, crazy