gollybabbler

gollybabbler

ICU, Renal

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About gollybabbler

gollybabbler has 33 years experience and specializes in ICU, Renal.


Latest Activity

  1. Is turning the utrafiltration off ok?

    There's also the concept of "backfiltration", (paraphrasing work info here) which is the movement of fluid from the dialysate compartment of the filter into the blood, and can occur with minimal fluid removal & when the TMP is low; potential cont...
  2. Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    This is a funny thread, great stories. Here's a dialysis one: Had trouble getting needles in; still at pt's bedside, explaining this to doc by saying, "She's a tricky stick," meaning only that the needles were hard to get in. But the pt took it as an...
  3. What to do when your preceptor throws you under the bus?

    Wow, that's a hard one. I don't know if this is true in your case, but consider your non-verbal communication- it may be that since you are learning, your face does not show the "appropriate" expressions your preceptor thinks should be there, and tha...
  4. Gaining experience without hospital's support

    Oh, long story short I did not have the skills at the time to deal with the "difficult" people I worked with in IS, but did not realize it at the time, so I was extremely stressed. Now doing acute dialysis, and regretting my stupidity almost every da...
  5. Davita Ddialysis Nurse

    I agree with the post above- it's trading one type of stress for another. I used to work ICU and loved it until I needed a break. Now I'm in acutes, and although the hours are just about killing me, the pace is better than ICU. We are on call from tw...
  6. Preventing Extracorporeal Clotting in the Acute Setting

    Very good info here, thanks to all. I would just like to add that I've kept track of certain statistics since I started in dialysis (over 2500 patients served!) and the clotting rate is about 10%- we do not prime with Heparin and boluses are rarely o...
  7. Davita vs Fresenius

    Well, if you look at the quarterly profit reports, Davita usually keeps improving, and the company keeps growing worldwide, but there seems to be a consistently high turnover for RN's in acutes and chronics. I can honestly say I've never (in many, ma...
  8. Gaining experience without hospital's support

    From a former IS nurse- Project Management skills are very helpful too. Good Luck!
  9. Strange Interview

    I'm just wondering if they have a high turnover, if maybe that's why they didn't seem picky- again, no reflection on you. It is very nice to work close to home. Good luck!
  10. Dialysis nursing advice

    Hello- I knew an experienced dialysis nurse who did dialysis-travel assignments all over the country, she even went on a cruise ship doing dialysis. I've never done traveling, but I do in-hospital dialysis, and I can tell you it is a very good skill ...
  11. Lifting huge laundry bags...

    My mouth dropped open when I read your post! I would have the same issues as you do with lifting so many very heavy bags over my head. I'm hoping it is possible for you to fill them less, but then you'll have twice as many bags. I honestly do not kno...
  12. overheard at the bedside

    When patients come to our unit (in-hospital dialysis), we have to put a sign on their bed if they are on isolation. A patient once asked me what the sign said. After I told him he replied, "It should say 'Alms for the poor'."
  13. Can't stand dialysis

    Oh! Duh! I didn't look at the dates!
  14. Can't stand dialysis

    Such good advice on this thread for you. I was in the same boat, except I had nursing experience when I started doing dialysis, but I really, really hated it. I told myself I would stick it out for a year, then re-evaluate. Turned out I'm glad I stay...
  15. Essential Personnel

    Just wondering- some of the patients probably couldn't get there as well. I used to feel horribly guilty for calling out, even when I was sick; but now I know I am not pretending, or making excuses- I am usually very dependable & only call out wh...