nosonew

nosonew BSN, RN

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All Content by nosonew

  1. BP dropping at beginning of tx=need help

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

    I agree, likely cardiac related. In the last year, we had 3 patients that had to "lose" their upper arm fistulas and are now permanent catheters since it challenged their heart too much. Good...

  2. What would you have done?

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

    Was she actually overloaded in the first place? I have had several patients that "lose" weight in between treatments and need fluid. I know it isn't the norm, but they have colostomies or iliostomies...

  3. New Grads in Dialysis?

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

    Oh I would just DIE and go to HEAVEN if my techs could do caths! We now have 9 caths and just had 12 out of 27 patients! When I am the only nurse, which happens very frequently...that makes it pretty...

  4. arterial and venous pressures

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

    And... new fistula's are usually started (at our clinic) with 17 ga needles..and the fastest we can run the BFR is 300... and get around 200-250 AP. You jump up to a 15 ga 2-4 weeks later...you can...

  5. Davita/Gambro

    nosonew replied to BSNgrad2004's topic in Dialysis, Renal, Urology

    I have always worked for DaVita...I don't know. Wow... sorry. Good

  6. patient temperature post dialysis

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

    Likely that the patient is getting ill with "something"...hopefully it won't turn into

  7. patient temperature post dialysis

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

    This is NOT a normal reaction to dialysis. If a patient experiences a fever/chilling on dialysis, we draw blood cultures, contact the MD and generally give 1-2 antibiotics IV and await results. If...

  8. Anticougulation during dialysis

    nosonew replied to lobelin2004's topic in Dialysis, Renal, Urology

    I don't do acutes...I do chronic. Some of our patients get a 5000 bolus and 2.0 per hour. Shut off times depend on whether they have an IJ or fistula. About 1/3 of my patients are on coumadin, and it...

  9. I have a dilemma...quality of care vs. $$$

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

    Apparently the patient also gets some "cheezy" prize... but I just hate this monetary crap! We teach our patients what is best for THEIR particular situation... not as a whole. Each patient has...

  10. I have a dilemma...quality of care vs. $$$

    nosonew posted a topic in Dialysis, Renal, Urology

    Well, its not really a dilemma, I just want your input. Here is the situation: We have ALOT of older, some very sick patients right now. We have 10 catheters out of 26 patients....so obviously our...

  11. Brand New To Dialysis

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

    Don't know anything about FMC but Jnette works for them and I am sure she will reply... However, with regard to dialysis nursing..it is a love it or hate it job. I personally think you have to...

  12. Fmc

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

    Regarding the patients requesting specific people "stick"them, it is an issue best not inititiated in any unit. Those patients won't travel (since they can't take their tech or RN with them) which can...

  13. Do 'goodlooking' nurses earn better salaries?

    nosonew replied to Tony35NYC's topic in General Nursing

    If that were the case, I'd be rich! :chuckle:chuckle:chuckle:chuckle:chuckle:chuckle

  14. dialysis nursing

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

    Just make sure you have some great shoes, a great attitude and a flexible schedule! :) Dialysis is very hard work, physically and emotionally. And just know up front, these patients know more about...

  15. Dialysis, no laughing matter

    nosonew replied to Dormkare1's topic in Dialysis, Renal, Urology

    My job is like yours, small 3 day/week clinic. Our patients have to go 1 1/2 hours to get declotted, hospitalized, etc. However, a declot is an emergency in my opinion... :) Glad you got it...

  16. Fmc

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

    WOW, sorry Jnette, that is unbelievable. Heck, I would rather work on a Sunday and reschedule the patients than put them at risk... gawwwdd, people could be coming in coughing and hacking, the very...

  17. hypertension post dialysis

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

    Imperial, sorry it took me so long, I have been very busy. Yes, that is the renin response I am talking about. It can have to do with bp meds dialyzing off, however, I have rarely seen that cause...

  18. Administering meds

    nosonew replied to Dormkare1's topic in Dialysis, Renal, Urology

    My facility uses the S10- 10000u/1cc vials of epo and M10-20,000/2cc vials. We ONLY use the multidose vials at the end, so as not to open a single dose vial and not use it all up. The multidose vials...

  19. hypertension post dialysis

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

    If the patients still has some residual kidney function, it is possible that they are having a renin response. However, my experience is those patients that do that have a rise in bp throughout their...

  20. How to deal with this moral/ethical question...

    nosonew posted a topic in Dialysis, Renal, Urology

    Okay, the gist is this: Patient (on dialysis) is dying. Has a liver disease as well and will be lucky to make it through the summer. He is freezing cold all the time, and his tympanic temp runs 92-94...

  21. Changing Attitudes/Mannerisms

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

    Glad I work for Davita... sometimes thing suck as in any job...but they DO care about us...and our patients... New employees do watch videos on things like that, and also a video in which the...

  22. Question for on-line instructors...

    nosonew posted a topic in Nursing Educators, Faculty

    Hello...I am an RN with over 10 years nursing experience. I am currently working on my BSN via internet from a great 4 year University. A co-worker found out I was doing this and signed up to do the...

  23. Elevated BUN and Creatnine

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

    Is he ON dialysis currently? If not, the toxins building up in the blood can certainly cause these symptoms...and you should likely call his nephrologist and discuss how those meds interfere with his...

  24. What is it like working for Divata Dialysis?

    nosonew replied to Frenchy01666's topic in Dialysis, Renal, Urology

    Personally I think the ratio should be RN 1:6, Tech 1:4 and that shouldn't include the reuse person, secretary, etc being counted...only those people working on the floor. At my unit we have TONS of...

  25. Central line connection

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

    This is soooo silly. Do you ensure your patient keep their site dry? If they shower, to tape very well over saran-wrap or some other waterproof material? That is to help decrease infection as well....