Twinmom06 ASN, APN

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All Content by Twinmom06

  1. Twinmom06

    Question: Tooth or Foot First?

    Twinmom06 replied to Kooky Korky's topic in General Nursing

    I know for kidney listed transplant candidates, (former dialysis nurse) that dental issues will get someone removed from the list. Same with
  2. Twinmom06

    Meeting the Sr. Director of Operations for an Interview ??

    Twinmom06 replied to Nursing2019BSN's topic in General Nursing

    The job I have now for Hospice is for a small non profit hospice. My 2nd interview was with the
  3. Twinmom06

    Giving Narcan to Your Own Patient

    Twinmom06 replied to MickeyMarieRN's topic in General Nursing

    as an aside, dilaudid is the preferred drug for AKI/CKD because it is metabolized by the liver not the kidneys like morphine, so that part would not have contributed to his
  4. Twinmom06

    TIPS ON CANNULATING FISTULAS AND GRAFTS.

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

    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...
  5. Twinmom06

    Spouse of nurse

    Twinmom06 replied to martymoose's topic in General 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...
  6. Twinmom06

    What city do you work in and how much do you get paid hourly?

    Twinmom06 replied to Mortaaaay's topic in General Nursing

    NE PA 6 years experience $32 an
  7. Twinmom06

    Is Anyone NOT Going to be an APRN?

    Twinmom06 replied to Kooky Korky's topic in General Nursing

    I have an ADN (also 2nd career) and don't even have the desire (or need) to go back for my BSN (let alone MSN or NP) at 45 years
  8. Twinmom06

    Help with Staffing Incentives?

    Twinmom06 replied to tfloyd's topic in General Nursing

    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...
  9. Twinmom06

    Your most bonehead moment in nursing. Or 2. Or 3.

    Twinmom06 replied to FolksBtrippin's topic in General Nursing

    asked a BKA dialysis patient if the floor got him out of bed to weigh him that
  10. Twinmom06

    Do you have a side hustle?

    Twinmom06 replied to Mrsvirgomama's topic in General Nursing

    I just left dialysis for case management in Hospice, but my dialysis job is keeping me PRN. I have yet to pick up any shifts, but I'm not out of orientation
  11. Twinmom06

    Help!!!Accesses covered compliance

    Twinmom06 replied to dialysisnursenola's topic in Dialysis, Renal, 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...
  12. Twinmom06

    HD to PD

    Twinmom06 posted a topic in Dialysis, Renal, Urology

    Has anyone moved from HD (I currently work in an acute unit) to PD (basically teaching PD). Was the move
  13. Twinmom06

    Feeling embarrassed, ask the md a stupid question

    Twinmom06 replied to RobertJo's topic in General Nursing

    sounds like a high maintenance HD patient. Our docs won't order more that 25 mg, ever. She should consider herself
  14. Twinmom06

    Stupid hurts.

    Twinmom06 replied to emtb2rn's topic in General Nursing

    Using your dialysis catheter for other illegal things will kill
  15. Twinmom06

    Over-tightened blood line connection and sterile caps

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

    All of the above, and when that fails to work, I find one of the male ICU nurses to loosen them LOL (my unit is at the end of our ICU
  16. Twinmom06

    First Nursing Job Dialysis Am I Stuck Forever

    Twinmom06 replied to Biology2Nursing's topic in Dialysis, Renal, Urology

    I appreciate ER nurses like you that remind doctors that a 2L bolus on a dialysis patient isn't a good idea just because EPIC says they meet "sepsis
  17. Twinmom06

    RN PAY dialysis

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

    Damn! That's premium wage! I make $31 base and I have 3.5 years acute experience. My differentials and mileage make my salary higher. I'm in
  18. Twinmom06

    Acute Dialysis - What do you use to carry your supplies?

    Twinmom06 replied to Fliptobenurse's topic in Dialysis, Renal, 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...
  19. Twinmom06

    Holiday Bonus

    Twinmom06 replied to sunnyskies9's topic in General Nursing

    LOL...
  20. Twinmom06

    Profanity in the workplace

    Twinmom06 replied to Emergent's topic in General Nursing

    I use the F word like a comma - not in front of patients of
  21. Twinmom06

    Looking for ideas

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

    Do they wind up in the hospital frequently for hyper K, overload or anemic needing transfusion? I have a few patients that have expressed they'd rather come to the hospital and get admitted because...
  22. Twinmom06

    Cared for MRSA patient without PPE

    Twinmom06 replied to emnicole's topic in General Nursing

    MRSA is so prevalent in the community at large, our hospital doesn't even isolate for it or VRE anymore. They've pretty much stopped swabbing every nose that walks in the door except for nursing...
  23. Twinmom06

    Acute care dialysis.

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

    most times if the hours are short in Acutes, you can make up the difference in the local clinic. Our clinics are almost always looking for some
  24. Twinmom06

    First Nursing Job Dialysis Am I Stuck Forever

    Twinmom06 replied to Biology2Nursing's topic in Dialysis, Renal, Urology

    if you're looking for a more hospital med/surge experience, you can always move to acute (hospital based)dialysis Yes you have your frequent flyers, but you do get to meet different people, and get...
  25. Twinmom06

    How do you stay warm at work?

    Twinmom06 replied to Vfernandes's topic in General Nursing

    Cuddleduds are the best silk long underwear