I worked with people that were "feelers" - they preferred to feel a fistula. I was a listener - I would follow the entire fistula with my scope to find the curves. You can also make sure you're in the vessel by attaching an empty syringe and pulling back - if it pulls and pushes without difficulty you're golden. Also if its a fistula ALWAYS use a tournaquet. Good luck!
in 17 years we've gone from equal salary, to him supporting the household when I went to nursing school, to me supporting the household when he started a business, and due to the salary inequality in America I make double his salary...doesn't matter...its not his/mine its ours.
Oh and we had to file bankruptcy when the business didn't work out. It did not affect his ability to get a job with the federal government recently
The local hospital does it per shift in tiers. For example if a dayshift nurse picks up a 12 hour nightshift they get Tier 4 bonus which is an extra $500 for the shift (I believe). Tier 4 is the most critical.
Well, my time in acute HD has come to an end. I'm leaving (although staying per diem). The hours are more than I can handle, and I'm missing out on too much of my 13 year olds lives. I love my job and my bosses, but I haven't worked less than 48 hours a week in over 6 months. I may pop in now and again, but my focus is shifting to Hospice. I'm going to a small privately owned hospice agency as a case manager.
Twinmom06 replied to dialysisnursenola's topic in Urology
the policy is the same everywhere, don't cover the access, most pt's are "cold" and don't care, they cover up when you walk away. Uncover, recover, ad nauseum. I educate them constantly in the hospita to no avail.