jlautier

jlautier

Dialysis Acute & Chronic

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All Content by jlautier

  1. Rookie mistakes in dialysis

    jlautier replied to thelittlenurs's topic in Dialysis, Renal, Urology

    patients always have high bp's in HD.. i wait until it gets lowered as they UF to give it, and generally our docs don't care about the warning and feel the benefit (managed anemia) out ways the...

  2. Ask A Hemodialysis Nurse (Questions about how to become one of us)

    jlautier replied to madwife2002's topic in Dialysis, Renal, Urology

    1: Needles remain in till the treatment is done; patients who get restless and bend their arm hand a chance at infiltrating. What happens is similar to a peripheral line except the instead of a rate...

  3. Ask A Hemodialysis Nurse (Questions about how to become one of us)

    jlautier replied to madwife2002's topic in Dialysis, Renal, Urology

    I want to elaborate on the HD perm catheters-- You are correct, it is a CVC like any other CVC. heparin dwells at 1,000units per ml, so don't get freaked out. The reason why nephro docs and HD rn's...

  4. Dialysis nursing, continuing ed for dialysis

    jlautier replied to HazyAutumnStar's topic in Dialysis, Renal, Urology

    its hard to do any nursing when sh*t is hitting the fan at your clinic. Nursing skills you speak of sound more like "tasks" urinary catheters, dressing changes, wounds, etc. Those are all tasks....

  5. CDN worth going for?

    jlautier replied to TheSuperNurse's topic in Dialysis, Renal, Urology

    worth it only if you want to be an educator... no requirements at FMC to keep working, FMC doesn't assist w/ CEU cost... so screw it. it can help w/ the CAP advancement but if your charge nurse you...

  6. when is the best time to do ECG for dialysis patient

    jlautier replied to uae808's topic in Dialysis, Renal, Urology

    Exactly my point--you would want to check the ECG before dialysis. Following treatment, a patients K, Ca, and Na will be that of the Acid used for tx. This could hide a patients underlying rhythm. So...

  7. when is the best time to do ECG for dialysis patient

    jlautier replied to uae808's topic in Dialysis, Renal, Urology

    ECG measures electrical activity... a high K will have implications to the ECG.. widened QRS.. more K competing for bonding sites. So TBH it does make a difference because every patient post dialysis...

  8. when is the best time to do ECG for dialysis patient

    jlautier replied to uae808's topic in Dialysis, Renal, Urology

    Similar to why if you forget labs you can't draw mid treatment. Prior to the blood hitting the dializer, the patients blood is untreated and a better indication of what a patients labs are like. 2...

  9. Fizzy "Cherry Pop" Coming From Patient?

    jlautier replied to westieluv's topic in Dialysis, Renal, Urology

    If the patient has a CVC, recirculation will always occur because the tips of the catheter are only .1 mm appart from each other. Especially if the catheter is running reverse than a higher percentage...

  10. High K question

    jlautier replied to floridaRN38's topic in Dialysis, Renal, Urology

    One time a patient had a cardiac arrest--not on treatment or at the unit--he was revived and his K was 8.5. He was dialyzed and his since returned to the outpatient setting...after a CABG x4. He told...

  11. Shadowing in HD. New(ish) Grad.

    jlautier replied to EiEiO_55120's topic in Dialysis, Renal, Urology

    No matter where you start working, give it time. I've had doubts too. It gets better. Push

  12. New Grad on Subacute floor at LTC... need advice :'(

    jlautier replied to new.grad.rn's topic in Geriatric, LTC

    Keep the job, broaden your search. I was there too. We all take a tour. Be a model employee. Patients first. Outpatient dialysis is the way I got out. I worked my way into acutes, and now work at a...

  13. Shadowing in HD. New(ish) Grad.

    jlautier replied to EiEiO_55120's topic in Dialysis, Renal, Urology

    I too worked at a LTC facility immediately following graduation from school, even with my BSN i found it difficult to land a job in a hospital. I found the LTC place to be unorganized, unsafe, and not...

  14. Staffing

    jlautier replied to VickiSunderland's topic in Dialysis, Renal, Urology

    CT: it's 10 pts to 1 RN w/ 2 CCHT or 9:1 w/ 1 CCHT and 1 PCT. Typically we turn over 4 machines a shift per staff member

  15. What exactly means diuresis?

    jlautier replied to healthresearch's topic in Dialysis, Renal, Urology

    Diuresis: increased production urine d/t a medication to increase urine production. Polyuria: is a

  16. Question about acid baths

    jlautier replied to Mzjaded's topic in Dialysis, Renal, Urology

    Everyone is being a total jerk here, **** happens. Listen the higher the K concentration the more K the pt's blood will keep. 3k will give K to the patient, the regular bath doesn't affect the K level...

  17. new grad dialysis position

    jlautier replied to Lillian11's topic in Dialysis, Renal, Urology

    You have the experience from FMC so youre ready for this job. you have a unique skill set which is what landed you this offer. I just started working at FMC (dec 2013), it's so different, skill set,...

  18. Advice for a prospective Nursing Student

    jlautier replied to AnnaRuthBeckel's topic in General Students

    Just get your credits while your in high school. Apply to a four year college and get your BSN. That way when you decide you want to become an APRN all you need to do is apply not go back to school...

  19. Dialysis staff nurse salary in US

    jlautier replied to bambam123's topic in Dialysis, Renal, Urology

    RN or

  20. Interviewing for dialysis with no dialysis experience???

    jlautier replied to bajj78's topic in Dialysis, Renal, Urology

    I am a new grad and had started work at a LTC unit because I couldn't land a job in a hospital. Needless to say I kept my options open because I couldn't see myself crushing meds like a robot for the...

  21. Old nurse verse New nurse

    jlautier replied to blessedmomma247's topic in Geriatric, LTC

    I love you attitude and i think your an amazing nurse! I could feel the compassion in your situations and you truly tried to do the right thing! Its nice to know people like you exist!

  22. Passed in 75, Not many SATA Q's

    jlautier replied to wiscoRNellie's topic in NCLEX Exam, Programs

    the board is a joke compared to nursing school. i had 75 Q's and left feeling like i had my way with the exam. i think a lot of people get too freaked out that it is a make or break exam, i was...

  23. Best shoes for cnas nurses??

    jlautier replied to Axm611291's topic in Male Nursing Students

    Smart getting in a HC place now and keep your eyes open when you finish up school, nothing wrong with the non-acute arena. They pay like everyone else! I got some fresh @ss jordans man because I feel...

  24. What degree do you have?

    jlautier replied to T-Bird78's topic in General Nursing

    Im pretty sure to be magnet status you need to have a certain number of BSN's on staff or else you can't maintain the title. BSN would get the nod before anyone else when

  25. How do you (or did) study for HESI specialty exams?

    jlautier replied to Guest11/16/14's topic in HESI Entrance, Exit Exam

    I never studied for a hesi. They are just a test of your knowledge. Go into the test with a good nights sleep, chew gum (average of 10 points higher on exams if you chew gum), and make sure you take...