Loveyourkidneys

Where would I direct someone who had a family member finally agreeing he needs inpatient rehab for meth addiction? He is 35 with no insurance. Thanks you for any advice or direction.

In texas that is against regulations.

It's hard when they have no insurance but their addiction keeps them from working. Another FAIL of our healthcare system.

Thank you.

Why not the rolled gauze? Never heard that so I'm curious. We have two hero grafts at our clinic. Maybe I'm doing it wrong [emoji37]

If you have supplements like nepro (like ensure for renal pts) give them that. Protein and sugar in it. We also have popcicles in fridge and candy. In reality you most likely aren't gonna have a lot of "groceries" in an out patient clinic. Well unle...

We do weekly hgb and pt/inr (if on Coumadin) Bimonthly hgb calcium and phosphorus Monthly Cbc with diff, cmb,alt,ast, tsat, urr, glucose, hepb antigen Quarterly tsh, hgba1c, Pth,ferritin hepb antibodies Annual includes a few others I can't think of....

Texas regulations: charge nurse can have 12 patients. Not sure where 18 is allowed?? That is too much

Stay out of the coil when cannulating and don't let their bp bottom out or it will clot. NEVER EVER EVER EVER CLAMP ONE. EVER!!!! They have this as a last option. Take the time to hold sites.

I have been working in dialysis for 5 years and I in no way know it all about dialysis. I learn something all the time. But I'm inquisitive and need to know the why behind everything. I personally wouldn't want a manager who didn't know anything exce...

We have a fairly new patient who tested positive for amphetamines in the hospital but denied it. Lately she comes in fine but 3hrs or so into treatment she gets ridiculous acting nervous and jittery and wanting off NOW. QUESTION: Can we be dialyzing ...

Just wondering if anyone knows specific amphetamines that dialyze off. They have a short half life right? So maybe it's just "time for a fix?"vitals are WNL start of tx or possibly a little high. 3 hrs in... Bp is off the chart and non responsive to ...

I work at an outpatient dialysis clinic. We have two huge bulletin boards. I like to keep them cute yet educational. (12yrs in preschool before nursing school) any resource ideas?

Report and redness or pain. You should listen before sticking EVERYTIME (however it rarely gets done in the real world) report any hand numbness or pain on access arm (although it isn't alway abnormal) report excessive post tx bleeding for more than ...

It's says a lot about your work ethic which your coworkers appreciate.

We do access flows in all our PTs. Can someone tell me about the >2000 reading. Some say oh that's great but some say no. I can't get a direct answer

I usually work 515am to 6pm MWF. I work Tuesday's prn at another clinic. I typically end up working 45-48hrs a week

I got a ticket on my way to work in Christmas Eve. I was going to the office to pay and discuss the officers very rude behavior with the prosecutor. (Not trying to get out of the ticket but really 7 miles over at 345 am Christmas Eve) what a jerk. As...

Thank you for taking the time to say thanks. It's like a recharge to hear thank you every once in a while.

Sounds like you work at the prn clinic I do! Omg I feel the frustration. I refuse to increase their goal to "get off the fluid" unless it's a medical/family emergency. The dr is always aware of it and the patient signs AMA prior to being taken off. T...

Gonna be hard to explain in court why you were responsible for that many patients. Tx state regulations say if a nurse is in a bay of patients as the primary tech he or she is responsible for only those four patients. That includes pre assessment, tx...

I started with no experience at $27 for one of the big 2. I work for a smaller co in a rural area 1hr from the nearest hospital now. They were having trouble getting a full time RN because it's out in Timbuktu. Luckily I have lived here all my life. ...

We always leave the line unclamped during recirculation. Then dump the prime before tx starts. I was worried wondering how concentrated the dialysate is. I didn't want to be giving a huge bolus of potassium if the bag filled and someone missed it. Th...

What symptoms would I be looking for if I suspected patients dialysate had gotten into their blood stream? Fresenious had a voluntary notice sent out to anyone who uses a certain type of machine. Where the filling program stays on backing up into the...

The non sterile part is what I'm concerned about. The patient was never on the machine. But if they were the line would be clamped. That's how know it isn't salkne. The line is clamped in two spots but the bag fills. I asked an area biomed who says t...