Twinmom06 ASN, APN

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All Content by Twinmom06

  1. Twinmom06

    How much PTO does everyone get?

    Twinmom06 replied to Camino77's topic in General Nursing

    8 hours per paycheck (thereabout) I'm with the company nearly 3 years, but its the same from date of hire up to 5
  2. Twinmom06

    Wearing gloves with HIV positive patients

    Twinmom06 replied to Leekri's topic in General Nursing

    THIS!!! Hep B is hundreds of times more virulent than HIV, and can live on surfaces for weeks, compared to hours for the HIV
  3. Twinmom06

    Sometimes, it just Stinks

    Twinmom06 replied to Joe V's topic in General Nursing

    I had a patient on one of my first clinical rotations poop in a trash can...I believe it was my first exposure to c-diff (didn't know it at the time). The aide was walking down the hall with a can of...
  4. Twinmom06

    Rookie mistakes in dialysis

    Twinmom06 replied to thelittlenurs's topic in Dialysis, Renal, Urology

  5. Twinmom06

    Acute Inpatient Dialysis Patient-to-Nurse Ratios

    Twinmom06 replied to MrMango's topic in Dialysis, Renal, Urology

    I work acutes and 4 patients with myself and a CCHT is the norm. You need a good system with your tech. As in, I write all the orders and assessments (we use EPIC, as well as our own proprietary...
  6. Twinmom06

    Pre/post treatment assessment in a chronic dialysis clinic advice/tips?

    Twinmom06 replied to ClumsyOne's topic in Dialysis, Renal, Urology

    Lung sounds and peripheral edema would be the two biggies. You may have to ask the patient to remove a layer to hear lung sounds (or invest in an amplified
  7. Twinmom06

    RN Dialysis Career Change?

    Twinmom06 replied to RNfaith331's topic in Dialysis, Renal, Urology

    Are you looking into a clinic or hospital setting? I work acutes (hospital) and love it. I'm responsible for up to 4 pts (with a tech) or 2 pts by myself. (at a time). No med pass, I'm fairly...
  8. Twinmom06

    Whats your favorite part of nursing?

    Twinmom06 replied to Grobyc82's topic in General Nursing

    Education. I'm an inpatient dialysis nurse, so the first time patients are getting hooked up to a big scary machine, I'm usually the face they see. I love being able to explain to them the machine...
  9. Twinmom06

    starting IV on same arm as a mastectomy

    Twinmom06 replied to coletanner123's topic in General Nursing

    something else...depending on GFR may also preclude getting a PICC (PD
  10. Twinmom06

    body odor

    Twinmom06 replied to plainfieldguy's topic in School

    not a school nurse but one of my twins 6th grade teachers is male (and young, so they relate to them well). He gave each math class the same speech about BO and keeps Febreeze on his
  11. Twinmom06

    New to renal

    Twinmom06 replied to NurseKitKat's topic in Dialysis, Renal, Urology

    1. Do not be alarmed by high creatinine levels in dialysis patients. They generally live with a creatinine of 3+ 2. No Pee no K (meaning if a dialysis patient is anuric, please don't let your...
  12. Twinmom06

    My dad died yesterday

    Twinmom06 replied to MHDNURSE's topic in School

    I'm so sorry for your loss ((hugs)). It will hit you at the weirdest times (at least it does for me). I lost my dad very suddenly in 8/16. My mom went out for lunch with her friends and came home...
  13. Twinmom06

    Acute vs. Chronic Dialysis

    Twinmom06 replied to nurseontheway's topic in Dialysis, Renal, Urology

    What she said about acutes. I've been doing it for 2.5 years and I love
  14. Twinmom06

    Dialysis catheter

    Twinmom06 replied to Pharmahaulic's topic in General Nursing

    An HD catheter is placed by making 2 small incisions on (usually) the right side of the neck. The catheter is threaded through the IJ into the R atrium of the heart (in the case of a tunneled...
  15. Twinmom06

    Key fob

    Twinmom06 replied to Sigmoid's topic in Dialysis, Renal, Urology

    what he said. You can't prime with a full air chamber. Also the override button silences the alarms and opens the limits up on the arterial/venous pressure limits so that the return pressures don't...
  16. Twinmom06

    Rookie mistakes in dialysis

    Twinmom06 replied to thelittlenurs's topic in Dialysis, Renal, Urology

    Coming from the acute side (which I am) that's a travesty and SHAME on the nurses that took care of them in the hospital. Even our docs (which are in 3 different renal groups) review that with the...
  17. Twinmom06

    CDC disinfection guidelines for hemodialysis machines?

    Twinmom06 replied to Angelrn2008's topic in Dialysis, Renal, Urology

    I've dialyzed HIV patients before and just heated the machine. Bleaching only ever comes up if the pt has unknown/positive Hep B antigen. Of course, bleaching is NEVER the wrong answer when in doubt...
  18. Twinmom06

    Your FAVORITE job

    Twinmom06 replied to chacha82's topic in General Nursing

    I currently work acute dialysis and I love it! My first med/surge/onc job was great due to the people I worked with but we've all moved on to other
  19. Twinmom06

    How to cannulate without pain?

    Twinmom06 replied to hazyblue's topic in Dialysis, Renal, Urology

    I thought she said he had an AVG- we were taught not to use a tourniquet on a graft. Also the contract for our acute unit strictly prohibits dialyzing without admission. Of course we have our FF's...
  20. Twinmom06

    What is the grossest thing that's happened to you???

    Twinmom06 replied to PrincessAlexis's topic in General Nursing

    elderly patient on bowel prep repainted the wall behind the toilet, the toilet itself, the floor and himself with his excrement. He then turned around and said "who's going to clean this up? It...
  21. Twinmom06

    Would you call an ambulance?

    Twinmom06 replied to halohg's topic in School

    CYOA - not saying I
  22. Twinmom06

    What was the REAL reason you called off

    Twinmom06 replied to Orion81RN's topic in General Nursing

    6 months ago I got the all AT work that my mom had found my dad on the kitchen floor - I was so out of it I couldn't figure out how to shut my dialysis machine off....so yea that was a 4 day call...
  23. Twinmom06

    Home dialysis?

    Twinmom06 replied to T-Bird78's topic in Dialysis, Renal, Urology

    I'm acute staff but we do have a home hemo pt that comes in when he's sick. His wife is an RN and cannulates him. He lives in a remote area and this is better for he and his
  24. Twinmom06

    For The Love Of All That Is Holy . . . .

    Twinmom06 replied to Ruby Vee's topic in General Nursing

    Welp instead of well..... as in "Welp that just went bad"...HATE
  25. Twinmom06

    NURSING SHOES!!

    Twinmom06 replied to Cherry7496's topic in Scrubs, Uniforms, Gear

    I've found that New Balance 860 or 880 running shoes are the