Ashley_SF

Ashley_SF BSN

Dialysis

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All Content by Ashley_SF

  1. Heparin Practices

    Ashley_SF posted a topic in Dialysis, Renal, Urology

    I would like some input from my dialysis nurses, both acute and outpatient regarding the use of heparin where they work. I recently transitioned from outpatient, adult, dialysis to outpatient...

  2. Has anyone returned to dialysis after many years?

    Ashley_SF replied to DeLana_RN's topic in Dialysis, Renal, Urology

    If she's doing acute dialysis then she will have mannitol and albumin for BP maintenance. My docs do not use hypertonic solutions

  3. new pediatric dialysis nurse seeking advice

    Ashley_SF posted a topic in Dialysis, Renal, Urology

    I'm starting a pediatric dialysis position at a large, teaching hospital next week. I have about 5 years of adult, outpatient experience. Are there any peds dialysis nurses who can offer some advice...

  4. Can I break my contract if I'm homesick?

    Ashley_SF replied to Nurse Beth's topic in Career Advice Column

    I relocated for my first nursing position and was also really homesick. It was a new grad program and although not required, I did stay for 2 years before moving back home. It was challenging, but...

  5. Too gutsy??

    Ashley_SF replied to Sheika34's topic in Dialysis, Renal, Urology

    Thank you

  6. Too gutsy??

    Ashley_SF replied to Sheika34's topic in Dialysis, Renal, Urology

    Our youngest inpatients are newborns, the youngest outpatient I've had is 3 years old. We really try to initiate peritoneal dialysis, especially with the little ones. Right now most of my outpatient...

  7. Too gutsy??

    Ashley_SF replied to Sheika34's topic in Dialysis, Renal, Urology

    I have worked as an adult outpatient dialysis nurse for 5 years and as a pediatric dialysis nurse for the last 8 months. I work for a large university hospital and my unit is NOT like a Davita clinic....

  8. Is working per diem worth it ?

    Ashley_SF replied to Lovethenurse2b25's topic in General Nursing

    As others have stated, it depends on how busy the unit is. I work per diem, but can float to another hospital in our system to make up hours. The other unit I float to always needs help and I have...

  9. Failing a nursing class

    Ashley_SF replied to nursingstudent_2019's topic in Student Nurse Practitioner

    I'm surprised you were able to stay in the program. I failed a course in my nursing program and was dismissed. I had to petition for them to reinstate me and I had to retake the course before...

  10. Your most bonehead moment in nursing. Or 2. Or 3.

    Ashley_SF replied to FolksBtrippin's topic in General Nursing

    During my maternity rotation in nursing school I spent the day on the post-partum unit. My patient had a foley that needed to come out, so my clinical instructor walked me through the steps and we...

  11. Never feeling good enough, despite milestones

    Ashley_SF replied to CaliRN2019's topic in General Nursing

    This stood out to me. When I first started in dialysis I had this thought too. Once I knew how to set up machines, connect patients and manage ESRD labs, I craved something harder too. ICU or ED, an...

  12. Dialysis nursing pros and cons

    Ashley_SF replied to Lovethenurse2b25's topic in General Nursing

    I'd take it as a big red flag if they were losing a lot of employees at

  13. Dialysis nursing pros and cons

    Ashley_SF replied to Lovethenurse2b25's topic in General Nursing

    I would never again work salary in dialysis. Whenever we were short I would get called in to fill in as a tech, nurse or both.. even if I had already worked over 40 hours for the week. I didn't have...

  14. Next Day Off

    Ashley_SF replied to Imustbedreaming's topic in General Nursing

    I am off today after working yesterday and I can relate to your post. I feel so drained and foggy, my body aches and it was an effort to get out of bed. I started a new position a few months ago...

  15. Sad series of peds hem-onc patient deaths

    Ashley_SF replied to Rhan24's topic in Pediatric

    I'm late to this post, but I wanted to say thank you for working in the area you do. My twin sister was diagnosed with stage 4 neuroblastoma back in the late 80's; she was given a 5% chance of...

  16. Per Diem vs Full time in San Francisco

    Ashley_SF replied to jbris16's topic in Collective Bargaining, Union

    I work per diem in San Francisco and get as many hours as I want, but I think it depends on the hospital and the specialty. I work in a specialty that allows me to float to another hospital in our...

  17. This is Where the Cowboy Rides Away

    Ashley_SF replied to OldDude's topic in School

    I'm not a school nurse, but I love this group and I love reading your wisdom and input. Enjoy your

  18. Help! I Can't Get Rid of My Dark Cloud

    Ashley_SF replied to beekindRN's topic in General Nursing

    I like to lift weights, ride my bike or go for a nice walk. On my mornings off I really enjoy and savor cooking breakfast and brewing a wonderful cup of coffee. I really need quiet and time alone on...

  19. Those students that really get to you

    Ashley_SF replied to MHDNURSE's topic in School

    You're welcome @OldDude! Sometimes it's hard to see the difference we're making in people's lives and a little reminder is a nice boost

  20. Those students that really get to you

    Ashley_SF replied to MHDNURSE's topic in School

    As someone who lost a parent very young and had a mother that struggled to carry on. I can't tell you how much it meant to me to have a safe place at school with supportive adults who really helped...

  21. And The Reason Nurses Don't Get Fired

    Ashley_SF replied to Ruby Vee's topic in General Nursing

    Nurse gave patient hectorol instead of zemplar because "I couldn't find the zemplar" and "they're basically the same thing." She didn't consider that maybe said patient had an adverse reaction to...

  22. Does hair color affect hiring decisions?

    Ashley_SF replied to Pinkudesu's topic in Job Search, Interview, Resume

    I'm going to take another position and say it depends on where you live. I live in San Francisco and it's not unusual to see professionals with dyed hair. For example, my clinical nurse supervisor has...

  23. A day in dialysis

    Ashley_SF replied to meg5's topic in Dialysis, Renal, Urology

    I have worked in chronic outpatient dialysis for almost 5 years and recently switched to working outpatient pediatrics/acutes and adult acutes. Because I'm per diem I'm not required to be on call, so...

  24. Breaking into Dialysis

    Ashley_SF replied to Beachesandthrees's topic in Dialysis, Renal, Urology

    I worked for both DaVita and Satellite and both hire new grad nurses and train them. I now work for a hospital-based unit which does not contract out its dialysis. It was much harder to get in to the...

  25. Heparin Practices

    Ashley_SF replied to Ashley_SF's topic in Dialysis, Renal, Urology

    She was saying that the acute patients are more fragile than in the outpatient units, especially in the ICU, because of low platelets, other anticoagulant therapy etc. But, that was my thought exactly...