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Minimum UF rate
Ufr of 3oo is our minimum
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New to dialysis
Ryan RN. If you think anyone can do it take a back seat. If everyone could do it then the turn over rate would be much lower, but it's not. Be honest. It's hard work and takes dedication. Im a tech working on my RN and started with 4 new hires myself, another tech, and two RNs. Only the two techs are left. Another nurse quit after one day back. Had another quit and go to DaVita for hire up position. It's not essy, it's real hard but rewarding.
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Access Flow Measurement
We have the 2008k machines and run AF at 300
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Is this what being an RN in dialysis is like?
Sounds about right!! Except we have a 3 person assignment. My clinic is chaotic right now though like that too. I just hit 6 months and am not comfortable but not getting so nervous anymore!
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Ideas to help my pt
If your continuously turning the BFR down to 450 then the MD orders will need to be changed. What's the point of using 14g needles if the BFR is continuously being turned down. Possibly NA profiling or adjusting temp to 36 with MD orders obviously. Are they diabetic and their sugars are low which is causing them to keep getting hot?
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Anyone interested in Dialysis Techanican Program?
No I assume its less than where I am. The cost of living in mass is higher. In assuming maybe 10-11 however I'm not sure. Mass is 14-16
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Anyone interested in Dialysis Techanican Program?
The interview was pretty basic my CM at the time asked questions asking if I knew what dialysis is, if I was good with computers and technology. She asked why i think i would be a good fit. If you are unsure of exactly what techs do look at the job description. Also check out the company's website before hand whether it be DaVita or Fresenius. I Youtubed videos about dialysis Txs and learned quite a bit!!!! Good luck
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video and audio surveillance - Legal?
I know video surveillance is legal,, however here in mass voice recording is not
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Anyone interested in Dialysis Techanican Program?
I Work for Fresenius and they Paid me for my training. I had no prior jobs in the medical field besides phlebotomy license, CNA certificate, and EKG certificate.
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Change in the rules
I would think it would ultimately be the RNs license at risk
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Change in the rules
Pretty sure has to be 2 staff even for 1 pt. if they code and the nurse needs to take care of pt while pct helps and calls 911
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Nurses regularly assigned tech station
This happens in my unit more than often than not. It's unsafe and hard work for the nurses (I'm a tech). Today when I go in we have 15 patients and 5 people. 3 nurses 2 techs..... That should allot everything getting done with 3 nurses but usually it's 4 techs and 1 nurse.
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Scheduling problems.
I'm a tech with Fresenius and I was hired for 30 hours a week even though its usually 40. My husband works 40+ as well. My hubby is now being pushed at work to work Saturdays and occasional Sundays. This means I will no longer be able to work Saturdays at my clinic. How should I go about talking to my CM about this. I feel bad she just took over our hectic clinic which is loosing employees for another clinic opening and some quitting. I've been doing my best to pick up extra shifts for her and what not. But I won't have the proper childcare on the weekends
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important things to know about/ monitor for in dialysis pt?
I work as a dialysis tech. The thing we look for is recording vitals every half hour, during the half hour checks we review the machine ensuring all "chambers" are at the appropriate level and enough normal saline in the bag ( I'm assuming if your in the hospital the acute dialysis RN is doing this). We also do access checks, this is ensuring the fistula or graft has no dislodged needles or that any access is bleeding. For blood pressure it is different for each, most pt we won't let leave until there systolic is 100+. Heart rates tend to increase towards the end of tx. We have some pt who we can let ride in the 70s, others we can't. You need to watch their access hand, make sure there are no BPs being taken on that arm, no blood draws, pick lines, unless the DR has Ok. If they have a catheter then you need to find out if there is an arm being saved for a fistula or graft because if so we encourage no BPs to be taken on that arm. Signs and symptoms I would look for durning tax is yawning to indicate possible low BP. After fatigue in some PTs is fairly common, others feel great. They should not be lightheaded or dizzy, if so chances are they need a bolus of normal saline. I hope this helps. While I am a tech this is what WE monitor in chronic setting
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Dialysis Staff Schedules
I work in a chronic unit with 3 shifts mwf and 2 on TThS. Your hired for 30 or 40 in my unit. I do 3 10 hr shifts (as a tech) which usually turn into 4 and my days are usually more. 11-12 hours. Nurses are hired for the same.