MMAnurse

Soooo what ever happened here..... S. Roschel, RN

I can tech as well as i nurse. Lead by example:)

Try being on the receiving end of patients that bash you for trying to help them be autonomous with their disease. This practice spoke of above does not happen in every center...I assure you.

Try and register again... If it lets you... You didnt pass. If it doesnt... You passed. Its worked for everyone including myself ive mentioned it too

Try this for dialysis nurses and PCTs: Fistulafirst.com

Tha k you so much for that explanation Chisca. I had no idea some solutes were still removed with UF off:)

Within my company which is a large, worldwide company (no names mentioned) the UF is never turned off, with a lowest being a 300 UF. Unless if course the pt is on a PUFF tx.

Some advice from an LpN for 6 years turned RN, lots if things will bother you in the field. Focus on your behavior and business, no one else's. Attrition will take care of the rest Most of us still want to save the world one person at a time. Take all that time and energy, focus in you, and stay out of gossip. Mouth closed, eArs open. I mean this sincerely and with due respect.

Epic. Thank you so much for this positive contribution:)

Amen.

In fairness, you went to school nearly 15 years ago:). I will say that i love being a nurse, however the diverse personalities, drama, and passive aggressiveness by people who are always battling for who knows more clearly is getting old. I have seen the aggressiveness from new nurses as well as older. It knew no age or experience level...i feel they should manage their stress, or kindly go sell shoes:)

Im from Miami originally. In Alaska now. Grew up near FIU and Coral Way!!

Fresenius scrubs run big:). At least for us dudes:)

Consistancy with cutting or not cutting time is important as well. Geography of the clinic is important too. Our clinic culture over time is one that the patients know we are the only hemodialysis unit within 380 miles, so we have to deal with it...we had them sign contracts/promise to be on time, however it doesn't last for long. My suggestion? Be consistent and everyone at the facility be on the same page: if your going to cut it for one, cut it for everyone...when there labs look horrible and out of goal, good documentation with attempts to reeducate are very important from a moral and legal standpoint:)

Well noted. I clean chairs and take patients off. Apparently well before i got their it was a "free for all" and lacked sound and consistent management. We are about to have yet another shift and another clinic manager, although this one comes from within...thank you for the reminder on things I already knew and practice, but needed a reminder on.