serenidad2004

serenidad2004

Dialysis

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All Content by serenidad2004

  1. Nurse to Patient Ratio in a SNF

    Geez... when I worked in LTC/SNF it was a bad shift if you had 14 skilled patients and one nurse. Normally the max per nurse on our skilled floor was
  2. Laws Regarding Training

    I was trained by a nurse... but have also learned A LOT from the techs I work with. I work in a fairly small unit with consistent staff. 4 other nurses and 6 techs. It is a good environment with...
  3. federal NH survey vs state survey

    I have been through both while working in LTC. We had our state survey and passed with flying colors... so our prize for having no deficiencies on our state survey we got a federal survey. I don't...
  4. DOH survey

  5. DOH survey

    Never had to be told 27 times to do anything. That woman was honestly NEVER on the floor unless state was there and other than that you never saw her unless it was time for your annual review. She...
  6. Oh don't worry your pretty little heads (2 techs and 3 nurses). I'm sure you can't here the blood pump alarms, blood pressure alarms and the patient yelling climbing out of their chair almost pulling...
  7. What type of physician do I need to see?

    Sorry but per TOS we cannot give medical advice
  8. You know you've been a nurse too long when...

    You know you have worked too many hours when you answer your cell phone "dialysis this serenidad how can I help you" Or when you are out to eat and hear someone coughing and this "sounds like they are...
  9. DOH survey

    Oh the lovely survey... NOT. I hated the tension in the air it would cause. I used to hate the DON breathing down my neck about this or that more than the surveyors watching my everymove. I wanted to...
  10. Fentanyl patches

    When on the floor we would cover them with opsites, never was told that it would speed up absorption. If we didn't cover them the patch wouldend up rolling up on itself or falling
  11. Story of Lunacy

    I can't make out exactly what the OP is trying to say or
  12. I am a terrible eater especially breakfast... diet pepsi and cigarettes is my usual and I don't recommend
  13. R.E.S.P.E.C.T.

    I just watched a special on this the other night on I believe it was 60 Minutes. It talked about how the group that is fast replacing the "baby boomers" are those born from 1980 on. It said that the...
  14. RNs who work in Long Term Facilities

    If the SNF/LTC is anything like the one I worked at you will learn A LOT, SNFs really are basically a step down floor. You will also learn to prioritize and juggle the care of double or sometimes...
  15. Best MD note

    Dictated by my favorite nephrologist in a progress note about a very complicated patient "it appears we are still up sh*t creek without a paddle" I had to read it 3x before I believed
  16. Theme song to your Nursing career?

    "What I Got" by Sublime... "Life is too short so love the one ya got" Because at the end of the day... I remind myself that life is too short to not love what we
  17. Patient with a large boil on his back. Doc ordered ATB and warm compresses. So myself and another nurse are in the room assessing the area and the other nurse barely put her fingers around the outer...
  18. Nurses with ADD

    Nurse with ADD here!! I too take adderall. I have dealt with multiple issues at work because of my ADD, from being told I leave thing half done prior to being diagnosed and getting my meds right to...
  19. When in doubt call the physician and ask
  20. Oldest patient

    107 in LTC... she was sharp and only needed help putting her jewelry on and buttoning her blouse in the morning and swinging her legs into bed at night. In the "cliques" of LTC patients she was the...
  21. Be a renal nurse and not work a day in your life

    While I have only been in dialysis for a little over a year, I did the first 9 years of my nursing journey in SNF/LTC. I absolutely love working in renal medicine!!! While the patients can be...
  22. New Grad Dialysis or ICU?

    Most places want a year of acute care experience prior to working in a dialysis unit. I would think they would especially want that if working in acute dialysis. Dialysis is a very specialized area,...
  23. So who do nurses marry or have as civil partners???

    My husband is a cook
  24. flirting with patients

    That's a big no no. No I haven't its
  25. I agree with the above opinion of needing some experience as an RN. I had 8-9yrs experience in skilled/LTC and the switch to dialysis was still difficult. I felt like a new grad all over again even...