imperial

imperial

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All Content by imperial

  1. access flow question

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

    shame shame........... There is something grossly wrong with our healthcare system when individuals do not understand who it is providing care and who needs the education in order to do so. I did not...

  2. What is it like working for Divata Dialysis?

    imperial replied to Frenchy01666's topic in Dialysis, Renal, Urology

    I agree with what you are stating. It is very disappointing for one, I am sure, to receive erroneous answers from staff. What I hear alot is that nothing is done until an alarm goes off. i.e. if an...

  3. What is it like working for Divata Dialysis?

    imperial replied to Frenchy01666's topic in Dialysis, Renal, Urology

    I think companies have their good and bad points and the bottom line is it depends on the individual unit and those working in that unit. All companies have great units and all have ones with...

  4. access flow question

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

    How interesting that FMC cut raises as they made 1.5 billion net profit last year, or so I read at the stock market site..............guess Dr Lazarus, chief honcho of FMCNA does not believe those...

  5. access flow question

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

    Thanks Jnette, you certainly are knowledgeable. thx. there is so much to learn about this and oh so fascinating, for sure. Seems like alot of trial and error. I believe this is the patient who has a...

  6. access flow question

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

    The staff do reduce BFR to 300.. Also, they stated that anything over 800 was good, or over 600, believe it was 800. It would seem if the needle was pressing on the vessel that it would have some...

  7. access flow question

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

    J'nette: Thanks. It seems that the AP never has been that high (250) and usually is in the high 100's. or 210. It was the second day for the access flow test. The staff did have a difficult time...

  8. Patient behavior that ticks you off

    imperial replied to MedicalZebra's topic in Dialysis, Renal, Urology

    It certainly difficult to absorb all the information as the dialysis process is overwhelming. Learning how the machine works is important. I am aware of several situations where techs made a mistake...

  9. "NEW" proposed Federal ESRD regulations

    imperial replied to RM23's topic in Dialysis, Renal, Urology

    Can anyone tell me about the 'sanctions' or 'consequences' for facilities that do not adhere to regulations. In my review of the new proposed language for ESRD regulations (Federal Register) I note...

  10. Patient behavior that ticks you off

    imperial replied to MedicalZebra's topic in Dialysis, Renal, Urology

    I was not implyling that this was not done, just providing feedback. As I have said, you all certainly seem to be expertised in your area of work, however, as you agree, there are those that are not....

  11. Patient behavior that ticks you off

    imperial replied to MedicalZebra's topic in Dialysis, Renal, Urology

    My first question would be -- Why is the patient wanting their EDW increased? Why is the patient drinking too much fluid? Why is the patient being non compliant with treatment? After these questions...

  12. Patient behavior that ticks you off

    imperial replied to MedicalZebra's topic in Dialysis, Renal, Urology

    Yes, the dialysis populations is NOT just geriatrics, but more and more geriatric patients are in need of dialysis and the numbers are growing. I think the call bell issue is one that needs to be...

  13. Patient behavior that ticks you off

    imperial replied to MedicalZebra's topic in Dialysis, Renal, Urology

    Please do not take this the wrong way as it is not meant to be.... and, I realize the nurses/techs here at this board, are well trained and caring staff. I think it would be helpful for elderly...

  14. Had my first elopement today

    imperial replied to Chad_KY_SRNA's topic in Geriatric, LTC

    Many facilities put up a fence around the facility due to elopements. I have, in the past, investigated several where residents died (hit by car, heart attack) after elopement. These facilities, after...

  15. unit Rules

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

    well said, J'nette.. you are oh so right.........................and the nurses are constantly in a conflicting situation. Oh I remember oh so

  16. unit Rules

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

    is definitely out there... as I said earlier,,, corporations halt those staff, often, who want to provide good care... They (staff) are hampered by corporate greed. imho. There are many many good...

  17. CPR after rigor mortis

    imperial replied to HealinghandsRN's topic in Geriatric, LTC

    I am somewhat confused. Doesn't DNR mean just that "DO NOT R">>>>>>>>>>> meaning no CPR? If so, then why have a DNR order? Of course, it has been sometime since I was...

  18. unit Rules

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

    You all seem like devoted wonderful nurses and I am sure that your patients value each and every one of you. This problem is bigger than both of us and it is at a corporate level of greed. Yes, having...

  19. unit Rules

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

    I agree COMPLETELY> I only ask of you all because you are the ones who can give 'truthful' answers related to care, in order to understand the system and how it works. Yes, I have spoken, actually,...

  20. State Surveyors....

    imperial replied to bucksandra's topic in Geriatric, LTC

    for speaking up.. Yes, I have seen this also... and, as I stated, each surveyor has their own agenda, so to speak. Often some don't want to go out late at night to do what should be done.. and, just...

  21. unit Rules

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

    Goodness. It was 'just' a question and that is all. I have seen how hard the work is and how demanding it is. I know there are good units and I know there are downfalls but not to the staff's fault...

  22. State Surveyors....

    imperial replied to bucksandra's topic in Geriatric, LTC

    Kitty cat;; are you in a hospital or SNF? Depending on the state, states only do hospital surveys with JCAHO.. isn't that correct, or have things changed,, I admire you and hope that all DONs do the...

  23. State Surveyors....

    imperial replied to bucksandra's topic in Geriatric, LTC

    From my experience, this is how is works: The application is merited on various aspects thereby giving a rating score. Then there is an interview with several which merits another rating score. THEN,...

  24. unit Rules

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

    As I sit here and wonder... I still don't know why, on a message board, one would be suspicious of questions... come on guys/gals...a few questions.. no one said the staff were horrible vultures.....

  25. State Surveyors....

    imperial replied to bucksandra's topic in Geriatric, LTC

    As a former Surveyor, and a researcher/consultant now, I can tell you, first hand, that all Surveyors have their own agenda. Some are definitely in it to make a difference in the Resident's life....