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.

Its not a matter of wanting to be alone. You would have to understand the dynamics and clinic culture here to understand what i mean:/. You are correct though, the more hands the better i agree. Its a role confusion issue at my clinic. Thanks for the heads up:)

Hey there folks. i am an EC graduate who own and operates a free tutoring/self help site for up and coming testers to this colleges "end game" clinical exam. Please search for CPNE tips n tricks in your facebook search bar and request an add. I currently have nearly 600 members. Lets increase this pass rate!! Stephen Roschel, RN, Alaska

Ey there folks...i have a question for seasoned dialysis nurses...i have 7 years experience as an LpN--4 of them in Med-Surge...i obtained my temp RN in Alaska last december nearly a tear ago( understand in Alaska, a temporary RN has NO restrictions...you are not a GN, but an RN) I took and passed RN boards in April of this year. I have been employed as a Dialysis RN for a very large dialysis company since then... Im being told that i cant be left alone (need to have another RN in the building) until i have a full year of RN experience from the time i was given my permanent RN license, not December when the state of AK allowed me to practice with a temp license...ive talked to several friends in other states, and they tell me that it sounds like a power play for the people that have been there longer to stay charge nurse....its hard to get the respect of the techs when they keep circumventing me on the floor, and running to whoever os "charge" that day...i pass meds, put in orders, can run shift etc Have any if you encountered this in your facility?? And have you seen an RN with under a year experience be left alone as the only RN in the building?? I have looked at the CMS regs and cannot find anything in stone. Serious answers and advice only:). Thanks

Yah that sounds like bs...run

As a dialysis nurse in Alaska...i dont feel im paid the best. True enough ive been an LPN got 7 years, and an RN for a year. I have been in dialysis 8 months as an RN and make between 28-29 per hour. Questions or comments???

Passed today in Syracuse @ Suny upstate hospital. CPNE is over!!

Very nerve wracking

Its called an RX for clonopin

Will he taking CPNE/Excelsior Nov 30-Dec2nd in Syracuse. Excited and nervous at the same time. Questions/ comments? Anyone else testing soon?

Base it on maslows