diabo

diabo RN

hemo and peritoneal dialysis

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All Content by diabo

  1. Would like feedback on dialysis nurse job offer

    diabo replied to Marshall1's topic in Dialysis, Renal, Urology

    Sounds like you made the right choice, Marshall. Just be open. There are some good opportunities out there. You are wise to read the fine print. Just try not to get too bored.

  2. Tablo

    diabo posted a topic in Dialysis, Renal, Urology

    Is anyone familiar with the Tablo dialysis systems? My son is head of ER in a large hospital in Anchorage. He said the hospital uses

  3. Tablo

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

    Thank

  4. Are dialysis RNs responsible to PCTs actions? Can RNs be penalized for PCT negligence?

    diabo replied to keftirific's topic in Dialysis, Renal, Urology

    Haha. Yes I "backed out the door" quickly, which means I gave a three week notice until they found a replacement. This was in the early 90's. I was in training to be a nurse manager. It was a...

  5. Are dialysis RNs responsible to PCTs actions? Can RNs be penalized for PCT negligence?

    diabo replied to keftirific's topic in Dialysis, Renal, Urology

    In the case of a lawsuit your license would be on the line. Be thankful for your training and experience, but don't hold out for changes. Been there. I started at one private unit, and the first...

  6. Wanting to explore dialysis nursing

    diabo replied to Kadeeja Darden's topic in Dialysis, Renal, Urology

    Well

  7. Bleed Time

    diabo replied to integrativenurse's topic in Dialysis, Renal, Urology

    Great care is needed when removing the needles. Since the bevel is razor sharp, even slight side movements can cut the access and therefore greatly increase the bleeding

  8. Tablo

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

    Thank you. Great

  9. Tablo

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

    I just looked on their web page. QB-400. QD 300 circuit volume 140 ml. I have no personal experience with the system, but it seems to be gaining in

  10. Tablo

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

    They are used in their large acute/inpatient unit. This is Alaska Regional Hospital, part of HCA, one of the nations largest healthcare providers. I don't know what their other hospitals in HCA are...

  11. Help - “New” grad working in dialysis with crazy hours

    diabo replied to CN101's topic in Dialysis, Renal, Urology

    One week I worked 72 hours in inpatient dialysis. Tough, but I got paid well. We must never forget that “Do no harm” also covers psychological harm. The patients should be made to feel that they...

  12. Starting new job this week - nervous!

    diabo replied to Nurse Magnolia's topic in Dialysis, Renal, Urology

    I must disagree that OR nurses are not empathetic or caring. There are nurses with that description in all fields. Sounds like dialysis will be a good fit for you. There is plenty of room for...

  13. BP on dialysis vascular access arm? What happens?

    diabo replied to Trubie's topic in Dialysis, Renal, Urology

    Obviously an upper arm fistula or graft is out of the question, especially because of the location of the anastomosis. The blood flow should never be cut off for any reason. This includes holding...

  14. Too gutsy??

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

    I applaud you. It takes a special person to work with the little ones. Keep’em

  15. Too gutsy??

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

    How young can these patients

  16. TIPS ON CANNULATING FISTULAS AND GRAFTS.

    diabo replied to aarnigo's topic in Dialysis, Renal, Urology

    Practice practice. Your smile and confidence will assure your patient. Removal technique is most important and is not always emphasized enough in my opinion. It needs to be taken out as straight as...

  17. Clotted catheters

    diabo replied to verdeacres's topic in Dialysis, Renal, Urology

    We had a young woman that used to push drugs through one of her ports, and frequently came in with it clotted. Wada rush. Unfortunately, she is no longer with us.

  18. Need advice on TB infection control in dialysis center

    diabo replied to pauk's topic in Dialysis, Renal, Urology

    The husband should wear a tested N-95 face mask from the time he gets out of the car til he gets back in. If he complains and wants to remove the mask, explain in as nice a way as possible, that they...

  19. Accepted dialysis clinic position, now having second thoughts - advice please?

    diabo replied to Lucky724's topic in Dialysis, Renal, Urology

    Yeah, I understand. My daughter charges a very busy NICU unit with two kids and busy hubby. This place could be a nightmare and wouldn't be fair to you or your family. Our hospital owned chronic...

  20. Accepted dialysis clinic position, now having second thoughts - advice please?

    diabo replied to Lucky724's topic in Dialysis, Renal, Urology

    You'll be fine. Chronic dialysis is like no other animal. We try to save lives where ever we are and most of the time we get little of no feedback. Not so with this job. For many of these patients,...

  21. UFR and adequacy

    diabo replied to MizChelleRN's topic in Dialysis, Renal, Urology

    Just don't dump the prime. Remove it during the tx. along with the rinse back

  22. patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

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

    Much cheaper than Citrasate

  23. patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

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

    In our 20 chair. 100 or so patients, chronic unit (hospital owned) we use Citrapure only, delivered into the bulk tank. Many patient's don't even require heparin. We still use jugs here in

  24. patient has history is of HIT , what kind of the anticoagulant can be used for dialysis

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

    We use a citric acid soluton for the acid portion, Citrsate or Citrapure, in combination with a 50cc bolus q30 min, with the volume added to the goal. These kidneys should NEVER be primed with...

  25. Hemodialysis Troubleshooting

    diabo replied to zylphRN's topic in Dialysis, Renal, Urology

    Sometimes the Dr. will order the Hansens to be reversed for a few treatments to help avoid disequilibrium syndrome if the BUN is really sky high. This doesn't effect the fluid