Twinmom06 ASN, APN

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All Content by Twinmom06

  1. Twinmom06

    question about recirculation

    you hook up a recirculator to the ends of the tubing to connect them, open your saline line and make sure the blood pump is
  2. Twinmom06

    Am I ridiculous or is this somewhat normal

    This was one of the reasons I left my last job...I'm a 40 something, married for years, tween kids working with a bunch of 20 somethings planning weddings, baby showers and where the next happy hour...
  3. one teens systolic, HR 80-100, 94-98% RA (I'm
  4. Twinmom06

    May the 4th be with you...

    another twin mom -
  5. You win the internets today with
  6. Twinmom06

    Heart damage

    inside out from what I remember (I'm not a cardiac
  7. Twinmom06

    Hospital with Money Back Guarantee

    I used to work for this system...The main hospital is a magnet hospital, and one of the other hospitals has been trying to achieve magnet for over 10 years - but they can't get the nursing...
  8. Twinmom06

    ER DUI Blood Draw Process

    LEO = Law enforcement officer - in some places its police (local or state) in someplaces its sheriffs or
  9. Any of you experienced nurses ever been stuck? So last night I pulled out the pts venous needle and was holding the site with my left hand. I went to slide my left hand out of the way and hold with...
  10. Twinmom06

    Anyone ever gotten stuck

    10 year old
  11. Twinmom06

    Anyone ever gotten stuck

    I just got back from there - the pt was inpatient and they were able to do a stat blood draw and results...Hep B, C and HIV were fortunately all negative so I don't need immunoglobins or prophylactic...
  12. Twinmom06

    Picc line care/flushing

    why was there heparin in the PICC line? I thought EBP got rid of locking with heparin eons ago. The only central lines I ever see locked with heparin are the dialysis
  13. Twinmom06

    Your Opinion on District Letter re: Absences

    our school sends the letters AND has a hearing with 3 days missed....I have friends that have a kid with a nasty flu going into the school ALL the
  14. Twinmom06

    Insight on Dilaudid?

    the one and only time I had Dilaudid was for a gallbladder attack - 0.5 mg and I slept for 6
  15. Twinmom06

    CRRT and mobility

    CRRT (Continuous Renal Replacement Therapy) is as it states - continuous dialysis. The blood pump and dialysate flows are slower and it can run for days at a time. Certainly not conducive to...
  16. Twinmom06

    CRRT and mobility

    I've never seen (in my very limited experience anyway) a CRRT patient that wasn't intubated! The hospitals I work in use a regular dialysis machine with a CRRT mode and the tubing is generally 36"...
  17. Twinmom06

    High K question

    until the ER doesn't give them enough D50 and the pt's BG drops to 13 and they pass
  18. How long ago? I believe the guidelines have changed in the last year or two because several of my coworkers were not subject to that guideline and they were hired in the last 2
  19. What do you do about isolation pts? Our hospital let's us cohort the same isolation in certain situations. If the patients are different iso's then we have to do 1:1 txs which slow us
  20. There is also the issue of space. The hospital I'm in 90% of the time (we fluctuate between hospitals) we only have 2 dialysis rooms (although one has 2 machines in it now). Our boss could put 5 of us...
  21. Having just come off an 18 hour shift due to this very situation, it is the responsibility of the on call nurse to take care of that last patient - often times after working all day. On call (at least...
  22. Twinmom06

    04/09 WILTW: Confused LOLs

    many hugs Viva... to the poster that talked about LOL's and their profanity laced rants...I couldn't hold back the laughter some nights - especially when they threaten to stab me...um you're in a...
  23. Twinmom06

    How much lifting in Dialysis?

    also lifting jugs containing gallons of
  24. the first night I was on call (I do acute care dialysis), I got a call from "the service" at 0330 to come in to dialyze an OD patient. Since it was my first night on call I had no idea that "the...
  25. I went right to acutes. Per CMS guidelines you have to have 6 mos of dialysis experience before being the only dialysis nurse in a hospital. So orientation for 6 months. If you are a new grad you...