imperial

Is anyone familiar with why a patient would develop a temp of 101 about3 hours post dialysis? Took two tylenol and in am no temp. Staff at this particular unit did not know why. This has happened before - temp post dialysis (3 hrs) then no temp afte...

I would like your feedback and opinions regarding the following. I can see that you all have a wealth of knowledge and I have learned much from you all. In reading through the new ESRD proposed regulations, I note that there is only 12 months of cli...

Can someone explain the arterial and venous pressures. Would a 130 - 150 be considered good?

Would that mean that -130 would be good. A larger needle was used, not sure why, but that is what nurse told patient. Usually AP runs -200. This was contributed to larger needle and nurse said that -130 was good. Never been below -180. Actually, don...

Again I have come to believe that nurses who work dialysis, as well as techs are 'caught in the middle'. The corporations are out to make money for the stockholders. End of that. So, forget the part about the corporate person who calls it a village....

Well, It certainly is interesting. We looked at the patient handbook which clearly states that a temp after dialysis, after the patient gets home, can be a reaction to the dialzyer.. The Rn stated NO... well, should we go with the RN or the handbook ...

Sorry, did not mean strange that tylenol took temp down, strange that it happens after dialysis and no one knows why.... then it goes away. wonder if it could be some inflammatory process? thx. just trying to understand what happens with various pts....

thanks all... what is really strange is that the temp went away with tylenol, but apparently the patient has experienced this before wtih dialysis. Any ideas, staff at unit and doc say.. 'i don't know'...........hmm

thanks :)

The bottom line is the care is only as good as that individual who is giving it. There is good and bad in all dialysis corporations, all hospitals, etc. I can not say that one dialysis company is better than another for I have seen good and bad in al...

Does anyone know about the FMC 'open house' that the units are going to be having this coming week? I have heard, from several, that numerous states (Louisiana, California, for example) will be having open houses? Also, what happens at an open house ...

Hello all: WOndering if you can answer this question. I have read all I can and can't seem to find the answer. (two books and research online) If the UFR is set for, as example, only 500 (including rinseback) and patient does not have fluid taken off...

Thanks J.B. that would make sense. I believe this patient has a 180 size dialyzer, is that what you mean? How does the venous pressure actually cause change in amount removed. thanks. tried to look up in various books to find out but could not find....

Welcome. This is a great group of well educated nurses who have helped me, and, continue to do so, understand dialysis. I work iwth patients on a advocate level.

Can someone explain what is meant by 'tight heparin'.. Thanks

j'nette: thanks.. think it explains. Now, if a patient becomes dizzy and has hypotension after dialysis it could mean too much fluid taken off. So, let me make sure I am understanding this.... if the patient only has rinseback taken off.. but loses,...

J'nette: Yes, the clinical manager stated that he did not know why it was .7 less. Yes, the goal or number in the UFR was 500. I tried to find this in the manual (machine) as well as two books but can't.. Again, thx. Three of our clients got 'ultrac...

I don't think in my lifetime that we will see corporate doing a case mgr due to cost effectiveness for the upper big wigs. Saturday, went in to unit when dropping off a patient and observed staff working so hard, along with one stating they could not...

The 'consent and release' states... "This consent is not restricted by time or geographic limitation................." For those of you who are not aware of this 'consent and release' that was given patients to sign without explanation..........''' I...

I was surprised that this was being done during work hours.. but, after hearing about the consent that was needed to be signed by patients, I am wondering if they will be taking pictures as that is what the consent said.. that fmc could use pictures ...

I just heard from a few patients giving information regarding the consent the signed for the ultracare open house. They have told me that information is related to them signing a waiver saying that FMC can, at any time/place, use them for advertising...

Hello All: I have been posed the following question, with several responses, however, would like your input. Thanks. The patient had an elevated BP ranging from 160 to 180 / 89 to 99. During dialysis BPs were ok. Immediately post, there was a rise...

I truly admire all of your and what you are stating. Having worked with several patients at FMC units they are telling me that it seems unfair if their family members can't be with them during put on and take off, but visitors on open house day will ...

I appreciate your understanding. Several of our clients (patient advocates we are) have said that their staff have stayed late, worked holidays etc in order to give them treatments.. and all the staff asked was for patients to come in 1/2 hour early.

Yes, you do understand the mechanics as well as others on this board. The RNs need to be skilled.. I appreciate bringing to my attention that one years experience is pretty standard... however, just seems there are so many things that can go wrong an...