RRN
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Does the hospital issue a color code for the patient??? We were gonna do colors in a hospital I used to work at.. The Chief of Sugery was color blind loll... :kiss
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Right after you..... 2 months is new?? Do you suppose I might have engaged my brain by reading here before opening my mouth? As for persecution.... as long as the OP continues to discredit MY peers I will defend them.
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Where will a union find nurses to ease all this?
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Sweeeeeeeeeeeeeeeeeeeeeeeeeeetttttttttttttttttt :Melody:
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I guess you've read all of the OP's other posts here and you read Earle's also. The OP doesn't want to learn.. She continues to ask the same nit picky questions again and again until she gets the answer she wants .. I didn't say I was perfect.. I said with every post she makes she infers that people are making mistakes left and right.. We asked her to try dialysis to learn more. She doesn't want to. I believe she is an RN so I don't believe my jargon is so far above her head. As for my nursing abilities you have no right to question them.. And as for my teaching abilities the techs and the other nurses are eager to learn. Big difference...
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Dialysis has been "dumbing down" for years. In it's infancy dialysis was only done by Physicians then only RN's and now techs.. Some of the technical aspects are acceptable to be performed by techs. i.e. sticks. After all teenagers are inserting IV's all the time in our big cities and small towns. IV drug use...... Most of the lowering of standards are money driven ..Sorry to say. I for one won't work for less. I am highly skilled and studies have shown in every aspect of nursing that an RN makes a difference. When the powers that be realize that RN's make a difference in their bottom line long term it will be a great day in nursing. Do I think it will happen in my life time.. Probably not.. As an aside I see the ESRD regs require that the SW have a Master's HMMMMM.. Do I want to see dialysis go back to physicians. Certainly not. For one thing dialysis is a nursing function. Nursing is an art as much as a science. Case in point.. We have a patient who has severe anxiety attacks on dialysis. The physician and CM (BTW) wanted medication. She got a scprit for Xanex but didn't take it until just before treatment and of course it hadn't kicked in. So when she went into her anxiety mode I used my nursing skills to reassure her that she was fine.. Telling her that she was anxious and that we were right here helping her... Worked as well as the medication. I bet she could get through the anxiety attack if we had time to "talk" her through it. Tech have their place in dialysis but not as a sole caregiver certainly.
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Isn't this just a bit of a harsh answer.. After all the woman is trying to learn...
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Proprietary... When I worked in Danbury CT the NM there did her master's thesis on reuse. Her conclusions were that it is actually better for the patient also. I wonder if I can find her work.. Maybe I'll do some digging.. Here's something from a quick google search: http://www.aakp.org/AAKP/RenalifeArt/2002/freseniusdialyzers.htm
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How many months do you suppose a nurse has to have to work in an ICU?
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No ignorance is erased by accepting knowledge.. And saying I know people don't make mistakes intentionally means they do make mistakes..
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If HER only reason for all the questions were knowledge that would be fine. I wonder if you really read what SHE writes here????
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Excuse ME????? Go and read some of your previous posts..You've just implied here in this very post that staff make mistakes... "KNOW that staff do not intentionally make mistakes" What DOES that mean?????? The best way to understand something is to do it.. As for the running around it's a dialysis culture.. Ever been to a fast food restuarant??? And I watch it and participate in it 4 days a week and am amazed myself and commented on the fact that if one looks at it from that prespective only then they don't understand it at all.. P.S. I think at 42 minutes the patient would have croaked....Maybe....
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Jnette, I believe the OP wanted to know if NOT getting the 3K+ bath for the first 40 minutes of treatment would affect the patient.. Yes, it might. K is dialyzed out. The standard bath is 2.5K+. The patient probably had a low K level from the last blood draw.. So they needed a 3K + bath to compensate for that fact.. I don't believe 40 minutes would lower their K dangerously.. Unless they get a K level drawn stat and resulted with each treatment and their bath adjusted with each treatment then they went some treatments without a change in their bath. Now people that's probably not the answer the OP wanted but it's the best answer... Again I believe this OP is looking to point fingers and that is MHO and as everyone know along with an a**ho*e we all have em..
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Probably one of the wash tubs from the late 70's early 80's :rotfl: