StarBrownRN

Latest Activity

1. Is it legal for your boss to dictate where you poop?

   StarBrownRN replied to klone's topic in General Nursing

   I wonder if we work in the same facility... I almost died of laughter when I saw a sign saying "Do Not Defecate" Like how do you even enforce something like that??

2. Ethics: "Every minute counts..." or not?

   StarBrownRN replied to parolang's topic in Dialysis, Renal, Urology

   The FA told you to push back, but didn't say they would address it?? That sounds suspicious. Have you spoken with the clinical coordinator? And I'm curious as to why the LPN and Charge RN are...

3. CDC disinfection guidelines for hemodialysis machines?

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

   Many times you won't even know the patient's HIV status. Like TwinMom said the biggest concern is HepB. It's more virulent than HIV. As for internal disinfection, biomed usually handles that. You may...

4. Acute vs. Chronic Dialysis

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

   I think everyone should experience both, but I find that nurses who are really nurses and into Evidence-Based practice and critical thinking like

5. Salary

   StarBrownRN replied to dream06's topic in Dialysis, Renal, Urology

   You can make all the money you are willing to work for, but how long can you work 60+ hour

6. Davita Star RN Program

   StarBrownRN replied to ladynesh's topic in Dialysis, Renal, Urology

   I'm not sure how things turned out for you, but please RUN AWAY from any FA position that requires you to work the floor. That's a red flag. That clinic likely has staffing, management and retention...

7. fistula needle research

   StarBrownRN replied to supfiq's topic in Dialysis, Renal, Urology

   May I ask why you are doing this research? Might I suggest you conduct a thorough literature review...because all of your questions have been answered and are almost common

8. burning out in acute care

   StarBrownRN replied to lawandaluxnurse's topic in Dialysis, Renal, Urology

   I hated chronics with a passion and couldn't wait to get to acutes. Then the unpredictable long hours of acutes started to wear on me. So, I went back to chronics on a PRN basis and I find doing both...

9. Gross Things Patients Do

   StarBrownRN replied to bluegeegoo2's topic in General Nursing

   We were out of urinals, so the patient peed in his reusable coffee mug--while on a hemodialysis machine. (He could have asked to pause the Tx and go to the restroom.) And that mug of cloudy pee sat...

10. Rookie mistakes in dialysis

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

    The effects of Epo on blood pressure is in the medication's prescribing info. Hypertension is one of the side effects in patients with CKD/ESRD. You can visit the manufacturer's website for a copy of...

11. Advice for family...

    StarBrownRN replied to Cwalz5's topic in Dialysis, Renal, Urology

    I feel your family's anguish. My family faced a similar decision when my grandfather was diagnosed with cancer at 81 and already had CHF with frequent episodes of pulmonary edema. We had to ask...

12. Change in nursing role

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

    You may want to consider joining ANNA, if you have a local chapter that is active. They have some great educational and professional development resources. It's also a good networking tool. (And...

13. Dialysate Temperature and Sodium Modeling/Profile

    StarBrownRN replied to southernbelle07's topic in Dialysis, Renal, Urology

    Where I am, sodium modeling has been discontinued and exact dialysate temperatures are not prescribed. There is a temperature range, but we can use nursing judgement to adjust within the allowable...

14. Washing scrubs?

    StarBrownRN replied to dd131's topic in General Nursing

    I have had the same experience with scrubs and other clothing. In my dry clean only items, I use dress shields. In scrubs and other things, I spray the pit area with white vinegar right after I take...

15. Am I the only one who thinks this is an accident waiting to happen?

    StarBrownRN replied to Alex Egan's topic in Dialysis, Renal, Urology

    Be diligent, but don't be scared. A patient prescribed a 3k and ends up on a 2k will most likely not go into cardiac arrest after one 3.5hr treatment. When I was in chronic, we switched to using only...