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!
Twinmom06 replied to martymoose's topic in Nursing
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.
Twinmom06 replied to Fliptobenurse's topic in Urology
wow...that stuff is already attached to our machines. As for wrenches and such our technical department has simple tools in each acute department in the 6 hospitals we go to. Are you guys expected to change your own filters on your RO's? I theoretically know *how* to do it, but that's what tech is for, the nurses are hands off most of that stuff (although we all theoretically know how to do it.)
I take a break - once I have my 2nd round of patients on, I'll go eat in our office (which is across from the treament room). Once they are on I have 3-4 hours time to chart and eat. Between 1st and 2nd round, I'm usually getting report on the 2nd round and setting up for turnover. Afternoons tend to run a bit slower. I'm usually charge, so I'm getting discharges out,making supply orders etc in the AM.