nosonew

nosonew BSN, RN

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All Content by nosonew

  1. Central line connection

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

    Look up your facilities policies and procedures. Call your infection control manager or nurse educator. Why risk it? I wouldn't....I always wear a mask, as do my

  2. What is it like working for Divata Dialysis?

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

    Our district clinical educator was in our office today and I asked if there are places like what you described...she said YES! She knows of several units that are 1:24 or 1:36 due to lack of staffing....

  3. Withholding BP meds on a Dialysis PT

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

    Honestly it depends on the patient. There are some patients who have a renin response while on dialysis and their BP goes sky high. They have to have their bp meds. Other's go completely off their...

  4. What is it like working for Divata Dialysis?

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

    Davita calls them FA's (Facility Administrators)..and our ratio's are not like that. More like 1:10 RN, 1:4 PCT. Of course, if you have 10 chairs in your unit, 3 shifts, that equals 30 patients over...

  5. What is it like working for Divata Dialysis?

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

    What are you referring to when you say CD (what is that?) and CM (what is that?) I work for Davita, have for 6+ years, don't know what those mean nor do I understand the 1:15 or 1:30 ratio. This has...

  6. Listing Credentials After Name

    nosonew replied to Summaboy's topic in General Nursing

    Currently taking a BSN class...and we were told you put your degrees after your name in a SPECIFIC ORDER... by placing the first degree received first, second next, etc. So if Nurse Nancy gets her RN,...

  7. Patient deaths occur in 3's at our unit

    nosonew posted a topic in Dialysis, Renal, Urology

    Has anyone ever noticed that? It seems as if we can go 6-9-12 months without one death, then we have one right after another! We have had 3 pass this year (#3 last night) and all but one was...

  8. Patient behavior that ticks you off

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

    In every dialysis unit I am aware of, and EVERY company out there, patients are weighed both pre and post. Taking into issue illnesses, poor or good appetite, both positive and negative behaviors, the...

  9. STATE was in!!!

    nosonew replied to Debbie_LPN's topic in General Nursing

    Congrats! I know the first time state came into our home health agency, I was a new director there... I had JUST come back from an AIDS training course, complete with a rubber phallus, prophalactics,...

  10. Patient behavior that ticks you off

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

    Actually, I think Imperial was speaking about those that either don't have the experience to do what we do (as Jnette stated) or those that just don't care enough anymore to do it...and just want to...

  11. Patient behavior that ticks you off

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

    My issues are mostly identical to Jnette... the patient who refuses to be patient even when it is explained to them the prior patient had a medical issue. And the few that gain huge amounts of weight...

  12. unit Rules

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

    I was recently told by a co-worker at another unit that Davita is implementing a new staffing ratio that is supposed to be better. I will see what I can find out...he was supposed to email me the...

  13. unit Rules

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

    Actually, DaVita does ask for our input...however, our administrators get huge bonuses for no OT, decreased hours of staffing time, etc. Our FA used to be great, but now I think she is all about HER...

  14. unit Rules

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

    Jnette you and I seem to have many of the same philosophies regarding how we care for our patients. Regarding the dry weights, there are SOME nephrologists our there who demand their patients are...

  15. Shoes...omg my feet are in heaven!!

    nosonew replied to RainEdayWoman's topic in Scrubs, Uniforms, Gear

    The day after I read this, a co-worker from another unit came to help..guess what she was wearing? Crocs! I tried them on! They also have Cayman style which are for narrower feet... They did feel...

  16. unit Rules

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

    Jnette you ARE my hero! I think Imperial has never worked in dialysis, thus has no right to throw stones. I believe "ONE MUST walk in the shoes" before they can state such comments. To me, Imperial...

  17. Do you clean B/P cuffs between pts???

    nosonew replied to lee1's topic in General Nursing

    I don't work in a hospital, I work in dialysis. Each of our patients have their own bp cuff. They are marked with their name and each patient has their own "bin" for their supplies (bp cuff,...

  18. stethoscopes--- need advice

    nosonew replied to katy_kenemy's topic in General Nursing

    I too have a Littman Classic II...well worth the money... you may want to go a step further and get the Cardio one however. Personally, it really wouldn't hurt to have both...

  19. Accelerated degree programs

    nosonew replied to Maisie's topic in General Nursing

    I am not aware of any one year, accellerated programs for nursing if you aren't already a nurse via ADN. I am doing an accellerated BSN after being an ADN nurse for 13 years. All of my classes are...

  20. Shoes...omg my feet are in heaven!!

    nosonew replied to RainEdayWoman's topic in Scrubs, Uniforms, Gear

    I just bought a pair of Aisics for 149 bucks...they are good so far, as I am on my feet 12-14 hours per day when working. I used to LOVE the Reebok DMX10's, but I can't find them anymore. I think for...

  21. unit Rules

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

    Actually Imperial, I would be happy to answer those questions. To be blunt, we follow all policies, procedures and protocols put in place. I would be interested to know what your experience is with...

  22. job and position

    nosonew replied to leslie :-D's topic in Dialysis, Renal, Urology

    How interesting! And I think you forgot to answer the question.."where do you work and what is your title"? question. I too feel you have a "different" insight on most posts... and although I am sort...

  23. Dressing Change Supplies/How Often

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

    We change all IJ sites at every treatment... we also use ExCept...with just a sterile 4x4 to cover with some paper tape to adhere to the patient. I can't imagine not looking at the site every...

  24. TB testing at dialysis

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

    Staff at our unit must take TB testing yearly, patients are not, but we do need a CXR yearly. We also do a yearly evaluation each year as well...the normal questions like "persistent cough....change...

  25. Hi Everyone, have a question..

    nosonew replied to pickles98's topic in Dialysis, Renal, Urology

    Hi...I work for Davita and we just bought Gambro. There will be many changes at their units, but I guarantee they will be positive changes...it will just be hard to make those changes. Don't know...