nosonew

nosonew BSN, RN

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All Content by nosonew

  1. I am quitting...after almost 7 years.

    nosonew posted a topic in Dialysis, Renal, Urology

    Yep... 7 years in December... but my administrator is pushing for unsafe practices and I refuse to be any part of it. I am going to go into nursing education... teaching classes and on-line classes,...

  2. mileage guidelines

    nosonew replied to Em1995's topic in Home Health

    Luckily, No. We do document where, how long, miles, etc, but have never been questioned. I totally depends on the traffic, weather,

  3. Questions for non-novice hospice nurses!

    nosonew posted a topic in Hospice, Palliative

    Okay... new hospice nurse (RN since 93 however) and having difficulty transitioning from curative to palliative care. (imagine that!) Pain control: What do you most commonly use? Do you ever fear...

  4. Concerned about new widow... she is VERY angry

    nosonew posted a topic in Hospice, Palliative

    Her husband died after a very short battle with cancer. The oncologist told them due to his liver function that chemo would kill him, but he did do radiation. However, the cancer spread and within 3...

  5. Concerned about new widow... she is VERY angry

    nosonew replied to nosonew's topic in Hospice, Palliative

    Actually, I was a bit more concerned about what she might do to the oncologist than to herself. However, UPDATE... spoke with her at length today. She sounds better and she and I do get along very...

  6. Can a patient do chemo or radiation?

    nosonew posted a topic in Hospice, Palliative

    And still be considered a hospice patient? I am wondering because those can both be done for comfort care, to keep the size of the tumor from growing, thus allowing increased comfort. I am new to...

  7. Can a patient do chemo or radiation?

    nosonew replied to nosonew's topic in Hospice, Palliative

    We pay for all meds associated with their hospice dx. Including any comfort care items (ie: bowel, bladder, depression, pain, etc. of course) The thrift shop is in a rented building on our main...

  8. Can a patient do chemo or radiation?

    nosonew replied to nosonew's topic in Hospice, Palliative

    We currently have 58 patients. We live in a rural community and cover many counties. Luckily, we do have many donations and many/most of our clients do memorials to our hospice which helps make...

  9. Can a patient do chemo or radiation?

    nosonew replied to nosonew's topic in Hospice, Palliative

    So more or less it depends on the Hospice Organization itself? The hospice I work for is non profit and allows this... yet I have a friend across the US that can not find a hospice to help with her 80...

  10. Interested In Dialysis

    nosonew replied to lisa41rn's topic in Dialysis, Renal, Urology

    Honestly, my biggest stressor in 7 years with dialysis are the critical issues you deal with. No, they do NOT happen often, however, they do happen. Strokes, seizures, anaphylaxis, etc. I have been...

  11. encouragement needed

    nosonew replied to mtnmom's topic in Dialysis, Renal, Urology

    My first 3 months were a nightmare. Large unit, hateful staff, none of whom had ever heard of teamwork. When I went to a smaller unit, it was soo much better. Honestly, if I had stayed at the larger...

  12. Pregnant Nurse and Dialysis?

    nosonew replied to Paravell's topic in Dialysis, Renal, Urology

    I was pregnant twice in my 7 years. I didn't have any issues with pregnancy and working, although I ended up on bedrest (I was 35 and 37 during each pg). So, I was off work a bit longer than normal,...

  13. New Nurse Educator... Help Developing a class!

    nosonew posted a topic in Nursing Educators, Faculty

    After 12 years clinical experience, I decided to do what I love best... teach. I love teaching patients, families and staff. So, I took a position with our local college and now have the full time job...

  14. pto/sick time

    nosonew replied to firstdon's topic in Dialysis, Renal, Urology

    I recently quit Davita after 7 years but they pay both PTO and EIL (Extended Illness Leave). Don't know who you work for... but I personally wouldn't be happy... sounds like someone is giving you...

  15. I am quitting...after almost 7 years.

    nosonew replied to nosonew's topic in Dialysis, Renal, Urology

    Deigo... I just emailed my local college DON about open positions... she put me to work right away! Most of these jobs are word of mouth, rarely advertised! Of course, I knew her... perhaps you could...

  16. dialysate prescription

    nosonew replied to student60's topic in Dialysis, Renal, Urology

    At our unit we had a 2K or 1K bath.. nothing else. If below a 5.0 K we did a 2 bath...if over 5K we did a 1 bath. All we could do. Also, I titrated versus patient telling me what he or she was...

  17. Safe patient ratios

    nosonew replied to KAT1994's topic in Dialysis, Renal, Urology

    Honestly, from what I have found out... the penalty is the RN losing his or her license IF ANYTHING goes wrong. That is why I refused to work with inadequate staffing... that is also one of the...

  18. Safe patient ratios

    nosonew replied to KAT1994's topic in Dialysis, Renal, Urology

    I have a question... how can WE, RN's, SAFELY care for patients with short staffing? Check out this scenario: 1 RN, 1 Tech. 9 patients (4 wheelchair, 1 cath). From 5:45a-8:30 a only 2 employees in the...

  19. Fresenius, Gambro, Renal care group~which is best?

    nosonew replied to MOnurse's topic in Dialysis, Renal, Urology

    Fresenius just bought RCG Davita just bought Gambro I say it's a toss up. :shrug: In 2 weeks I am OUT of dialysis... Best

  20. I am quitting...after almost 7 years.

    nosonew replied to nosonew's topic in Dialysis, Renal, Urology

    Thanks Jnette... And I plan to go by weekly to check in on them... The last straw was the 2 people (literally no one else in the building) and 10 patients.. not only is against policy and procedure,...

  21. Itching after TX???

    nosonew replied to Nurseinthemaking's topic in Dialysis, Renal, Urology

    If it isn't her phosphorus level, it may be a reaction to her dialyzer. If you use renalin or another cleaning product for your dialyzers.. that could be it. Try no-reuse for a week or so and see how...

  22. I need feedback from dialysis nurses.

    nosonew replied to drsrn's topic in Dialysis, Renal, Urology

    Honestly? QUALITY OF LIVE VS. QUANTITY OF LIFE in question here. If the prognosis WITH dialysis treatment is POSITIVE.. YEA! If not... BOO! And honestly, you have to respect the rights and decisions...

  23. Hello From The Bluegrass - What Is A Safe Ratio For Nurses In The Hemodialysis Unit?

    nosonew replied to MZNUBIANNRS's topic in Dialysis, Renal, Urology

    Well... let me say ONE THING! It is YOUR license on the line! This happened to me today! I was told that Monday 10/3 that I would open with 11 patients with 2 staff members. We have NO reuse tech, no...

  24. Maximum UF limit for hemo patients

    nosonew replied to Northern nephron's topic in Dialysis, Renal, Urology

    Our max is 2L/hr as well. Your patient needs some literature on how difficult his fluid gains are on his health. Go research nursing sites, dialysis sites and nursing research literature. CINAHL and...

  25. exhausted wiped out post dialysis

    nosonew replied to student60's topic in Dialysis, Renal, Urology

    I agree with all posters. Zebra... most of my patients are very wiped out post dialysis when they begin. Some are over it in months.. others years. I am almost into my 7th year as a charge nurse....