AcuteHD

AcuteHD

Member

  • Content

    458

  • Visitors

    7,140

  • Followers

    0

  • Likes

    8

All Content by AcuteHD

  1. What would you do if this was your patient?

    AcuteHD replied to foxy1112's topic in Dialysis, Renal, Urology

    The current thinking is that UFR should be no more than 10-13 ml/hr/kg to protect cardiac function (yeah, good luck with that) I doubt the doc would cut his time to less than 3 hrs, but if his labs...

  2. Hepatitis B Core antibody policy

    AcuteHD replied to WINDYCITYRN's topic in Dialysis, Renal, Urology

    At our clinic (not one of the big 2) if antibodies are reactive we check the surface antigen monthly, if antigen is negative then they dialyze in general population with standard disinfection. If...

  3. Are too many certifications a bad thing?

    AcuteHD replied to Ruger8mm's topic in Nursing Professionalism

    Congrats on passing the NCLEX, sorry I missed that

  4. Are too many certifications a bad thing?

    AcuteHD replied to Ruger8mm's topic in Nursing Professionalism

    Thanks, rollieschmollie, that's a good point. If OP overstated his responsibility in the ER, it was to make the point that he knew what kind of cases came in and that they aren't all TV worthy. Well...

  5. Important! Need answers

    AcuteHD replied to PCFR411's topic in Cardiac

    Come on, give the OP a break. S/he is obviously competent (being certified twice) but was just taken by surprise by this type of question. This is certainly not the best resource for answers, but it...

  6. Important! Need answers

    AcuteHD replied to PCFR411's topic in Cardiac

    Some obvious advice that is probably insulting: Asystole: 2 (Notify nurse STAT) V-Tach: 3 (Notify nurse STAT and prepare to shock) Did not know you could shock from central monitoring, but again, not...

  7. Important! Need answers

    AcuteHD replied to PCFR411's topic in Cardiac

    I've never been a monitor tech, but this seems more like a policy question. Maybe check your P&P for some guidance? Good luck

  8. Water Chlorine Check

    AcuteHD posted a topic in Dialysis, Renal, Urology

    This is probably a biomed question, but what's the risk of checking the chlorine before the RO has ran for 15 min? Is it possibly getting a false positive and having to do the check again, or getting...

  9. Water Chlorine Check

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

    We're only clinical, they don't want to confuse us with big

  10. Are too many certifications a bad thing?

    AcuteHD replied to Ruger8mm's topic in Nursing Professionalism

    My ER triage is staffed with paramedics, don't know if it's common practice, but it's not *****. My advice to OP is to chill a bit. There's going to be plenty of challenges and learning opportunities...

  11. Are too many certifications a bad thing?

    AcuteHD replied to Ruger8mm's topic in Nursing Professionalism

    I was, at one time, ACLS certified and never used it. By the time it was about to expire I had forgotten everything I had learned about it. I was on pins and needles until it expired because, if the...

  12. Water Chlorine Check

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

    Interested to hear what your biomed says. I would tend to agree with your tech, but I would say deplete rather than destroy. Either way, not

  13. Water Chlorine Check

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

    I assume your S1 is between the tanks? If disinfectant is getting into your carbon tanks or anywhere pre RO you have a serious piping

  14. Anyone who is working in Davita

    AcuteHD replied to Irah0526's topic in Dialysis, Renal, Urology

    Ouch!

  15. Water Chlorine Check

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

    Well said, Chisca, thanks for the input. You have satisfied my curiosity, not that I could ever put it in practice. Unfortunatly I have never been able to get from RO on to water test within 15 min...

  16. Water Chlorine Check

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

    If it's positive and early then it is a true positive, but still not an accurate result. That was my reasoning for calling it a false positive. But a negative, even if it's a little early, should be...

  17. Interview for Acute Unit

    AcuteHD replied to CFrancine's topic in Dialysis, Renal, Urology

    I've been in the acute setting for a few years and like it, some days more than others. I wouldn't think they would expect you to know their forms and procedures off the bat, that should be part of...

  18. Heparin pump

    AcuteHD replied to trulyblessed2's topic in Dialysis, Renal, Urology

    The best thing to do would be to ask a co-worker because there are bound to be clinic specific policies such as using the pump to administer the bolus and typical infusion time. Also, seeing it done...

  19. Career options for someone specializing in Dialysis

    AcuteHD replied to CFrancine's topic in Dialysis, Renal, Urology

    Are you saying you don't want to do chronic or that you don't think that would be an option due to lack of experiance? 2 years of med-surg/icu/some dialysis experiance is plenty. I have worked...

  20. Be candid how do I handle my illnesses with regards to the BON if I get an interview.

    AcuteHD replied to honeyforasalteyfish's topic in Pre-Nursing Students

    To compensate for being a "risky hire" as llg posted, try getting a job as a tech while in school or even before. Establish a good work record with relevent experiance and show that you can handle...

  21. Acute Clinics

    AcuteHD posted a topic in Dialysis, Renal, Urology

    I'm not new to dialysis nor the acute setting, but my experiance is limited to a single clinic. I'm curious how other acute clinics operate. I have 7 machines (4 on the floor, 2 backup and 1...

  22. Potassium baths- dialysate

    AcuteHD replied to Bluebell.'s topic in Dialysis, Renal, Urology

    Are 1K baths going away? My nephrologists wont use them at all on cath pts and only for the first hour for av access regardless of how high the potassium

  23. 6 weeks orientation then left alone? What to do..

    AcuteHD replied to LoveMyJob2's topic in Dialysis, Renal, Urology

    6 weeks doesn't seem unreasonable to me and you are not being left alone. It's scary, but that's what nursing is. Don't underestimate or piss off your techs (bribing with doughnuts never hurts). Let...