RRN

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

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.

Where will a union find nurses to ease all this?

Sweeeeeeeeeeeeeeeeeeeeeeeeeeetttttttttttttttttt :Melody:

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...

Take a look at this site.. http://www.sjcme.edu You do have to go to Maine for a couple of weeks in the summer but so what..............................

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.

Isn't this just a bit of a harsh answer.. After all the woman is trying to learn...

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

How many months do you suppose a nurse has to have to work in an ICU?

No ignorance is erased by accepting knowledge.. And saying I know people don't make mistakes intentionally means they do make mistakes..

If HER only reason for all the questions were knowledge that would be fine. I wonder if you really read what SHE writes here????

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....

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..

Probably one of the wash tubs from the late 70's early 80's :rotfl:

First of all my mother died when I was three years old.. Of acute renal failure.. I guess you missed my post stating that the OP here continually infers that nurses, techs, etc are making serious mistakes often.. And I'd say to you.. Why aren't you answering her question.. Because if the acid wasn't plugged into anything any dialysis machine would beep.. This person never takes our advise so why is she asking for it?? I'd suggest you read some of her other questions before you make an assumption here. P.S. People learn when they take honest correct information and utilize it..

Let me get this correct ??? He delegates his duties? Thinks he knows everything..How so? Feels he nevers does anything wrong? Labels you as the "bad guy" with allegations that you don't do your job? Not a team player?? How so? Not a patient advocate?? How can you be a "good nurse" if you don't do this? Feels you belittle him? Again how so. With these 7 attributes where is the "good nurse" here. Or is it that you can't afford to get rid of him????

Try lying their arm across their chest.. Then you can feel the rise and fall of their respirations as you count their pulse.

One of the problems I have with you is that you always seem to think the dialysis unit, tech, or nurse is at fault in eveyone of your senarios (sp). And you keep asking the same question over and over to get the answer you want ..Very similar to a prosecution attorney.. I and another poster have told you it's impossible to have the red wand just dangling from the machine not plugged into any thing.. The machine would develop air lock because that is what the wand would be sucking instead of acid.. And still you refuse to believe that. You had redeemed yourself slightly in my eyes recently but now you've regressed.. Why ask professionals if you aren't gonna take our information.. You asked us why patients weren't compliant as if we weren't teaching them either adequately or at all.. I don't know but I believe many patients end up on dialysis because they weren't compliant with their own care to begin with.. These are adults here.. We can't make them not drink excessively, or take their phosphate binders. If you don't like the answers you get here maybe it's time to find them in your books.. I just hope you don't condone nurses learning all their skills from a book. P.S. The previous patient was probably on a standard bath the the acid wand plugged into the wall.. I doubt the staff left the red wand dangling for a full treatment. This is the second or third time you've been told this..OK????? Also your dig at my nursing care is rude and to think you weren't gonna do any stooping.. I thought I was chatting with a professional here but I guess I was in the wrong..You know nothing of my nursing skills and abilities but I'm finding out about your's quickly.

Personally,,,,,, I believe you are a disgruntled family member and possibly a paid volunteer for the prosecution... And because you aren't able to give an accurate assessment of the situation I refuse to give you ammunition. I still say the red wand was probably plugged into the wall for central acid..And as you were not an eye witness to the incident I believe you don't have all the facts.. Actually, it's been proven many times that eye witnesses are reliable.

As an experienced hemodilaysis RN since 1997 I'm telling you that without acid hooked up, a 2008K Fresenius machine would beep low conductivity.. The acid was probably plugged into the wall where the patient couldn't see it. The unit probably has central acid.. When the acid wand was plugged into the 3k 2.5 Ca++ bath the machine would indeed alarm as the conductivity is different from the standard bath. Remember a little knowledge can be as dangerous as none at all. Now I gotta get in the shower to go do some hemodialysis today..

I guess you know of all of all Imperial's history then eh.. You of course do know that Imperial is an inspector, correct.. Looking for mistakes in dialysis units??? I would hope that an inspector would know more than this about a discipline they are monitoring.. She has repeatedly asked very leading quesions. How about reading more of her posts. As far as I know she is not a dialysis nurse never has been , has no desire to become one.. Just find out what we are doing "wrong" That's the history here that you don't know about.. Remember that old adage "assume"?? And mostly it was a joke... Lighten up yourself.

I'd expect the patient to go crazy listening to the dialysis machine beeping constantly as only having bicarb running would put the machine out of conductivity.. Again imperial your questions don't make sense and really show your ineptness in the field.

This might be related to taking B/P meds prior to dialysis. Many antihypertensives dialyze off leaving a patient with elevated B/P's. Recent thoughts on some anithypertensives have been to take some and not others. I believe those ideas haven't been tweaked well yet.