chatty-rn

chatty-rn

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All Content by chatty-rn

  1. CCU nurses performing their own CVVHD?

    chatty-rn replied to darinda's topic in Dialysis, Renal, Urology

    I work in a hospital based chronic dialysis unit and cover call at the hospital. When the ICU first got CRRT (prisma) the call dialysis nurse would go in and set it up (any time of day) and ICU...

  2. Tech Certification....what's everybody else doing

    chatty-rn replied to Kelly_the_Great's topic in Dialysis, Renal, Urology

    Hi, which exam did they take? I see that there are at least 2 versions. Also, do your techs run pts? We have techs that set up machines, do blood pressures, stock and occaisonally hold sites. We...

  3. Conditions of Coverage

    chatty-rn posted a topic in Dialysis, Renal, Urology

    Just wondering if any other chronic hemo units are stressing from the new Conditions of Coverage

  4. PPE for dialysis nurses

    chatty-rn replied to oklhmrn's topic in Dialysis, Renal, Urology

    Not good! The unit should be laundering the gowns if they aren't disposable. At our unit (hospital based) we use a different washable gown with each pt and it gets sent to the laundry. If we get...

  5. Help! Kabiven TPN administration during HD

    chatty-rn replied to bluefabian's topic in Dialysis, Renal, Urology

    I give IDPN (intradialytic parenteral nutrition) at a chronic unit. It comes directly to the unit from the company. The rate is already figured to cover the length of the treatment. Each pt. has an...

  6. Common Practice For Acutes Call Back Pay

    chatty-rn replied to Blueskydeepwater's topic in Dialysis, Renal, Urology

    Hi, I work for a hospital and do chronic, acute and PD. I acute/call about once a week, all the RNs take turns from the chronic unit, we do weekend call-Sat and Sun every 2 months. We start at the...

  7. What do you lack dialysis catheters with?

    chatty-rn posted a topic in Dialysis, Renal, Urology

    Just wondering what different units lock their catheters with. We use 1000unit/ml Heparin, does anyone use saline or stronger heparin? Thanks for your

  8. Preparing to present grievances to heads of hospital

    chatty-rn replied to WhatTheDeuce's topic in General Nursing

    I don't work med/surg so can't help you, but.... I'm exhausted just reading what all you're doing! Good

  9. Is it common for shunts....?

    chatty-rn replied to RNinfamily's topic in Dialysis, Renal, Urology

    Hi, I don't agree with the dermatologist idea, but I think fistulogram to check it out and see if there are any problems that can be fixed before the fistula stops working. Good

  10. Is it common for shunts....?

    chatty-rn replied to RNinfamily's topic in Dialysis, Renal, Urology

    Are the staff rotating sites on the fistula? If they are going in the same area, it could cause a psuedoanuerysm and could get painful. maybe they need to do a fistulogram to check how well it's...

  11. Is it common for shunts....?

    chatty-rn replied to RNinfamily's topic in Dialysis, Renal, Urology

    Does she have a fistula or a

  12. Peritoneal Dialysis monthly Clinic visits

    chatty-rn posted a topic in Dialysis, Renal, Urology

    I was wondering how PD nurses schedule the clinic visits. Do you schedule your visit separately or together with the doc? (we have one nephrologist) Right now I schedule them at a time convenient for...

  13. Peritoneal Dialysis monthly Clinic visits

    chatty-rn replied to chatty-rn's topic in Dialysis, Renal, Urology

    You made me giggle! I think it's crap too! I usually refer to my PD pts as my hobby. You should see my pt load when I'm training a new PD pt. HD pts in the morning, hopefully get to lunch, train in...

  14. Epogen SC administration

    chatty-rn replied to Lacie's topic in Dialysis, Renal, Urology

    Hi, I couldn't find anything about forearm being an accepted SQ route, I think they just don't want to have to push up the pts. sleeve or take off the BP cuff! If they think it is acceptable they...

  15. Anyone got their CDN certification

    chatty-rn replied to TELEpathicRN's topic in Dialysis, Renal, Urology

    Hi, I just renewed my CDN, I studied from the same books as above. It wasn't too bad to take. I also did it "for me', but the hospital I work for did reimburse the cost of the exam. Good

  16. peritoneal dialysis pts in hospital

    chatty-rn posted a topic in Dialysis, Renal, Urology

    When a peritoneal dialysis patient is in the hospital who is responsible to set them up and connect them? We are a hospital based unit with only a couple of PD patients. The med-surg units are...

  17. I need feedback from dialysis nurses.

    chatty-rn replied to drsrn's topic in Dialysis, Renal, Urology

    Hi, this is hard, I've had pts like this too. Is the family involved? Maybe a care conference with the family, doctor, social worker and nurse would be beneficial. Any advance directives? People...