Twinmom06 ASN, APN

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All Content by Twinmom06

  1. 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...
  2. Nursing is a 2nd career for me. I went to nursing school at 37, and graduated at 39. Follow your dreams and in 10-15 years if its what you want to do, you can always do it. Good
  3. Eventually you will get faster. You will learn how to chart while your machine turns over and goes through test, and you will learn how to break down and set back up and have the next patient on...
  4. I also work acutes and my personal best was 21 hours after dialyzing 9 floor patients (with only 2 machines at the time so 4 shifts of patients) when the doc decided an OD needed a full 4 hour tx...
  5. Twinmom06

    Quit while on orientation

    I did the same thing. I was hired at a hospital with a promise to orient to the unit I really wanted after I oriented to med surge/tele. When I asked the educator about the timing, I was informed...
  6. Twinmom06

    How long have you been a nurse

    5 years and was an aide for a year prior to that. I went to nursing school later in life (graduated when I was
  7. my orientation shift (the only one I ever did) with a private duty company was only paid at $10 an hour which was not previously
  8. Twinmom06

    Dr makes me feel so incompetent?

    one of my favorite nephrologists always tells me "I'd rather be informed than surprised" when I apologize for calling a few
  9. Twinmom06

    Dialysis Nursing in a nutshell

    This is why I love my job! I work acutes so I don't have quite the census that the chronic unit does, but the rest is totally
  10. Twinmom06

    Eating the patients' food?

    if 2 packs of graham crackers and an 8 oz diet ginger ale is theft after working 14+ hours, then lock me
  11. Twinmom06

    What do you do on weekends off?

    Grocery shopping for the house, clothes and sneaker shopping for my growing tweens (12 year old twins that have hit puberty - I can't keep them in clothes OR shoes), plus starting to shop for them for...
  12. Twinmom06

    How long does a pair of running shoes last?

    Usually 6 months max before my plantar fasciitis acts up and my back and hips start to hurt. I just bought Brooks after wearing NB 860's. finding them about the
  13. We will have to agree to disagree. I don't feel my assignment is unsafe, and if for some reason it is (as in a confused patient pulling at lines or needles) I have the autonomy to call the doctor to...
  14. Twinmom06

    Help, nurse in distress!

    wait wait wait, lemme get this straight - you're the only employee on this unit on nightshift - no other nurses or aides? How is that possible? At least in the hospital system I work in, even if...
  15. Twinmom06

    Unstable Admission

    you just described 75% of my dialysis patients. Some of them run that low, especially if their adrenal function is ALSO compromised (not every HD patient has adrenal issues). If he ER bolused him,...
  16. Twinmom06

    Noncompliance

    How do your outpatient clinics handle non compliance? As in missing treaments or coming off early AMA? Do they shift the patient to a less desirable time slot or make them sign a contract before...
  17. I had to do this also...it didn't happen to be a hospital system that started with a G did
  18. always have 2 pens in my pocket because if I don't invariably the first one craps
  19. Twinmom06

    New dialysis nurse in training

    As an experienced acute dialysis nurse (3 years) I will tell you that rapid turnovers are necessary on a day that you have 10 patients, only have 3-4 machines in your unit and are at the mercy of...
  20. Twinmom06

    No BSN required if 20 yrs or more experience!

    our local hospital system recently dropped the BSN requirement if you have 5 years nursing
  21. Twinmom06

    Essential Oil Overkill

    Lavender triggers my asthma something fierce. I had to tell one of the techs I work with that if he diffuses lavender (he brings his diffuser to work) and I have an attack, I'm going to be...
  22. Twinmom06

    Medication administration confusion???

    You beat me to the punch...I also work HD and unless you're anemic and need a shot of epogen, there isn't anything to
  23. Last week I had a pleasantly mildly confused man who had just started HD. He told me "do you know what I'm doing? I'm masturbating". My answer? You do what you need to, but I don't need to know...
  24. Twinmom06

    Noncompliance

    They've done psych evals in the past on this patient, and its amounted to nothing. One of the docs (is on the 3rd renal practice in the area) actually thought the pt was trying to commit "medical...
  25. Twinmom06

    UFR Goal questions

    Interesting - most of our docs do 1 to 1.5 kg per hour