601Qb

Pulsating blood lines is indicative of clotting in the bloodlines and or/dialyzer. I teach home hemo on the NxStage System One Cycler and our saline line connects to our arterial line. We teach patients to open the saline clamp (to allow saline to flow into the blood line) and then to pinch the arterial line below the saline line: if the saline easily flows through the lines no clotting, if the saline "pulsates" in the line or if blood travels backwards up the saline line- that's determines clotting and treatment should be ended without returning the patients blood.

Fresenius policy used to be send to er via ambulance after 2 hours

Chronic is fast paced and high stress. I recommend working at a larger clinic where you won't be the only nurse.

You need to be able to cut times when patients are Non-Compliant with their scheduled appt. times. It's in the best interest of the clinic as a whole. Your manger needs to discuss this issue at length with your Medical Director. If he continues to refuse perhaps he would agree to a patient contract that gives 3 strikes before a patient gets moved to second shift- at least that way second shift patients won't be punished for first shift patients decision to be late.

The use the same scrub company as Fresenius if you've worked there :)

Dialysis nurse and black belt here. I started my nursing career in dialysis and I'm still here three years and three promotions later. I love this job. If I'm correct in assuming MMA means we have more than our occupation in common, then I'm gonna tell you what you need to hear, not what you want to hear. One year thing is legit and federally mandated by Medicare requirements, but the truth is that needing another nurse in the building has nothing to do with how you are being disrespected at your clinic. Speaking from experience; there are first year nurses more respected and trusted than 10 year nurses. Also, "charge nurse" or whatever other title you have or don't have doesn't matter either. Do yourself a favor and treat work like you do every other aspect of your life; with honesty, integrity, hard work, confidence, and a thirst for learning and pushing yourself. I promise you that you will eventually earn the trust and respect of your coworkers- more than likely before you can even be "alone" in April. Here are some black and white suggestions: 1. Be a (compassionate) hardass. 2. Be confident. If you tell a tech to do something and they want to go above you to the other nurse- and you KNOW you are right- then assert yourself with confidence. You are the nurse- the technician is working under your license- you just better be right. That being said... 3. Clean chairs. I don't care how busy you are. Clean chairs. The more times and the more often you roll up your sleeves and help out with the grunt work- the faster you will earn respect and trust. 4. Have a drink with your coworkers or ask them about their kids- decide which is appropriate for which coworkers. 5. Learn from EVERYONE with genuine interest as much as possible: treat whoever you are learning from as you would treat one of the Gracie brothers giving you a bit of advice. 6. Come early and help setup machines. 7. Stay late and help clean up. 8. Educate. Techs listen (ease drop) when you talk to your patients... The easiest way to start showing techs your knowledge and gaining their trust is to do your JOB (many nurses don't) and teach your patients... Everything you can! Before you know it the techs will start realizing how much you really know... And they will start asking you questions!! and BAM! You've earned their respect. You can do this job and if you can apply what you have learned from martial arts to this job like I have... Then you can LOVE this job and you can be a rock star at this job. It won't be easy... but neither is learning an accurate jump spin hook kick...