JollyGreenGiant

I need to draw a PT/INR from a central venous catheter that is locked with heparin. Per regular lab draw policy we waste 5ml then draw our labs. I have two questions 1. Will this be enough waste to remove the heparin fully from the CVC? 2. If not, wi...

Hello everyone, Just got my official RN license as of today! I start this upcoming Monday as a Dialysis nurse with one of the big two. I have been a dialysis technician for the last 3.5yrs and am super excited but very nervous about making the big tr...

We hire LPNs in outpatient dialysis without experience. Busy job but can be rewarding, just a thought. I feel much more comfortable on the days that we have an LPN assigned rather than me and all techs.

It is a very stressful job

I guess I got off topic a little. I'm glad you are taking your time and trying to learn the best way to get accurate vitals on patients. Just keep practicing it gets easier.

Your facility is legally obligated to provide you with the equipment you need to do your job. You shouldn't have to bring in your own equipment. It actually puts you in a funny spot because the equipment you bring in is not approved by the company. I...

Doesn't the BP cuff you use give a heart rate? Being a CNA you need to be pretty quick about getting vitals, espicially in a nursing home. I imagine you have a whole bunch of people to get vitals on.

Sometimes it is very difficult to feel a radial pulse. You could grab a stethoscope and get an apical pulse. Or if you have an SpO2 probe that would give you a HR reading along with the oxygen saturation reading.

City: Toledo ohio Position: ProMedica nurse residency Pay: $25.50/hr with $1.00 more on night shift Benifits: Full Housing: 800-1000 for nice 2 bedroom apartment.

Well I'm a few weeks into training and it's going pretty well. The dialysis tech experience definitely has helped. My issue now is dealing with dialysis prescription entry errors. As part of my assessment I'm required to verify the tech entered the ...

I feel a little nervous about instructing my techs to pull off all that blood. What about holding heparin infusion/bolus and drawing the lab 15min into treatment?

Wow 25mls Is a lot of blood to waste. That could add up doing it a few times per week on a patient with kidney disease.

I had this situation come up last week. We had a pt/inr drawn on one of our patients with a CVC locked with heparin 1000units/ml. I didn't observe my technician's technique when the lab was drawn but out result was around 17. On the redraw it came ba...

Took me two months from when I graduated to get my ATT from the ohio board of nursing. Half of that was because my school was slow in sending in the documentation. But the ohio board is veerrryyy slow.

Hello all, seeking some advise on a job offer I just received from one of the big two dialysis organizations. I am a new grad in a over saturated ohio job market. Through out nursing school I have worked as a dialysis technician and have very much en...

Thanks! It will be at a different clinic but I have worked side by side with some of the techs before.

I work for one of the big diaysis companies. Sounds like you will be shadowing correct? Your manager already knows that you have limiting dialysis knowledge. What they are looking for is someone that will mesh well with the team and the patients. Th...

About to graduate, worked 40-50hr/week as a dialysis technician during school. Let me tell you now it SUCKS and is physically/mentally exhausting but it can be done! The key is having an understanding manager at work, because nursing schools love to ...

How about when you just spent 10 minutes getting a patient repositioned just the way they wanted, all snug underneath their blankets, everything all set and your ready to walk out the door and you here..."I got to use the bed pan"

Ok long vent. I started working about 5 months ago at an LTAC(Long term acute care) hospital on night shift. I've been told by my coworkers, both nurses and CNAs that I'm a very proficient and hard working aide and they enjoy having me work along sid...

When I first started as a CNA I always was trying to rush through everything to finish. I felt pressure whenever I spent time in a room to get out because a call light could be going off and who else was going to answer it. I got much faster the lon...

During the first couple months working at my new job I can't count how many feeding tubes I left unplugged/clamped/or hooked up wrong. WHAT A MESS! But I haven't left one unhooked for a while now (Knock on wood). Probably learned my lesson from all t...

Well this is my first post here even though I've been a reader for a long time. Well I'm in a quandary and I'm not sure what to do. I'm currently a nursing student finishing off my prerequisites. I start nursing school fall 2012 so I have a little ti...