kdunurse

kdunurse

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All Content by kdunurse

  1. For Dialysis Nurses

    kdunurse replied to Stepherslynn's topic in Dialysis, Renal, Urology

    How are you more likely to give the patient air with a med during rinse back than at any other time? My concern about giving a med during rinse back is that the patient wouldn't receive the full dose....

  2. What is the standard orientation time for HD?

    kdunurse posted a topic in Dialysis, Renal, Urology

    I've been a dialysis nurse for 3 years and am starting the educator role for my HD unit (hospital-based, mostly chronics). We have just had a large turnover so I will be working on new staff...

  3. Concerns about WGU

    kdunurse replied to BJB6's topic in Western Governors University

    What the others have said. Often ADN or diploma nurses aren't eligible for non-acute nursing roles. The BSN is designed to prepare you for those. I'm surprised your counselor wasn't able to explain...

  4. What is the standard orientation time for HD?

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

    I'm not with Davita or Fresenius; our dialysis clinic is hospital basis (our hospital is part of CHI). I think the orientation is 6 weeks because that's the standard orientation time in our hospital....

  5. What is the standard orientation time for HD?

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

    So I talked to my clinical coordinator about this, and she's not bending on the idea that new staff (we have 3 new hires with no dialysis experience) need to be practicing independently (no preceptor)...

  6. HD catheters - dressing or no?

    kdunurse posted a topic in Dialysis, Renal, Urology

    Our facility uses the standard CDC policy for central line dressing changes (q48h for gauze, q7 days and prn for occlusive), but our clinical coordinator has said there is research indicating that...

  7. RN scope of practice for inserting central lines

    kdunurse posted a topic in Infusion, Intravenous

    I'm working on an evidence-based practice paper for my BSN, and the subject I've chosen is CLABSI prevention with IHI's central line insertion bundle. I'm trying to show that this is a nurse-driven...

  8. 6 weeks orientation then left alone? What to do..

    kdunurse replied to LoveMyJob2's topic in Dialysis, Renal, Urology

    How many other RNs are there? If there are none, and you've only received 6 weeks of orientation, then it is very unsafe (I'm assuming you've never done HD before). You are well within your rights to...

  9. doctors order in hemodialysis

    kdunurse replied to ICUdialysisRN's topic in Dialysis, Renal, Urology

    If I understand you question correctly, you're asking who should write the dialysis orders, the intensivist or the nephrologist? It should always be the nephrologist who writes the dialysis orders,...

  10. Wester Governors U -Statistics and Microbiology

    kdunurse replied to DEE S.'s topic in Western Governors University

    I just finished my microbiology class in a week. Statistics took me two weeks. I have not yet done my micro lab, but don't expect it to be difficult. WGU is a good program but you have to be very...

  11. Emergency meds through IJ

    kdunurse replied to Kaysmom8's topic in Dialysis, Renal, Urology

    Your facility should have a policy regarding use of a dialysis catheter for non-dialysis reasons. (I'm assuming you work in an acute care facility). In my facility, we do have a policy allowing...

  12. Shortened TXs, elevated HRs and Hypertension - what to do?

    kdunurse replied to PomPomRN's topic in Dialysis, Renal, Urology

    In our unit, dialysis pts who want to end their tx early must sign a release of responsibility. They are basically agreeing to leave

  13. Nurses Being Made to Tech?

    kdunurse replied to westieluv's topic in Dialysis, Renal, Urology

    We currently have only one tech for our 19 chair unit, so, yes, our nurses do tech shifts. It's a bit weird, actually, because the nurses have pods assigned to them, while the tech doesn't; he floats...

  14. Using peracetic acid near patients

    kdunurse posted a topic in Dialysis, Renal, Urology

    Our unit has been having some nasty issues with biofilm in our machines/connectors/loop (I don't think anyone's really figured out exactly where it is), and our biomed guy has been coming in on...

  15. Advice about going into hemodialysis

    kdunurse replied to Mrsjonesgilbert's topic in Dialysis, Renal, Urology

    I've been working in a hospital-based dialysis unit for a couple of years. We're different from other units in that we don't do acutes (inpatients) and chronics (outpatients) separately, which has its...

  16. Nursing judgement in dealing with difficult patients.

    kdunurse replied to FransBevy's topic in Dialysis, Renal, Urology

    Absolutely. However, it is completely appropriate for the dialysis unit to have a policy of not allowing pts to get off dialysis for a smoke break. In that case, the pt can decide to do dialysis OR...

  17. Using peracetic acid near patients

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

    That's interesting - we were soaking hansens in bleach for a little while, but there was concern about corrosion, so we stopped. I'd like to know more about flushing the ro - do you use a portable ro,...

  18. A Word To The Wise.........

    kdunurse replied to NDXUFan's topic in Dialysis, Renal, Urology

    Folks, Godwin's Law was invoked in the very first post. Any further discussion with the OP is

  19. administering medication via fistula needle...

    kdunurse replied to hazyblue's topic in Dialysis, Renal, Urology

    I think I would rather be safe than look good with the patients. There is no good rationale for piercing tubing - it breaks sterility and invites leaking, as well as raising the potential for needle...

  20. Is turning the utrafiltration off ok?

    kdunurse replied to nurseREA's topic in Dialysis, Renal, Urology

    Just an update - I had spoken to my clinical coordinator about this issue, and last week she showed me a letter from Fresenius (think it was dated 2005), the gist of which was that they say there is...

  21. administering medication via fistula needle...

    kdunurse replied to hazyblue's topic in Dialysis, Renal, Urology

    I'm also confused - are you a dialysis nurse? If you're not, you should not be doing anything with a patient's access. If you are, are you being asked to insert a needle into the access tubing? You...

  22. Torn between Dialysis and med/surg for my first job

    kdunurse replied to NurseyMomma's topic in Dialysis, Renal, Urology

    I don't think new grads should go into a specialty right away - at least a year of med/surg experience is the best thing to develop your nursing skills. It also sounds like the dialysis unit you...

  23. What exactly means diuresis?

    kdunurse replied to healthresearch's topic in Dialysis, Renal, Urology

    Yes, we Americans are unusual and a bit confusing

  24. What exactly means diuresis?

    kdunurse replied to healthresearch's topic in Dialysis, Renal, Urology

    Pubmed publishes research from around the world, not just North America. You will not find a North American researcher or clinician who uses the terminology "24-hour diuresis" or "hourly diuresis". If...

  25. What exactly means diuresis?

    kdunurse replied to healthresearch's topic in Dialysis, Renal, Urology

    I am not familiar with the terms 24-hour diuresis and hourly diuresis, actually; these are not terms that are commonly used in North American medicine. Any references to these terms that I found...