AcuteHD

AcuteHD

Member

  • Content

    458

  • Visitors

    7,137

  • Followers

    0

  • Likes

    8

All Content by AcuteHD

  1. Consents for inpatient acute hd

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

    Our hospital requires a consent for every admission, even for chronic pts and the ones that use the hospital for their routine treatments (uninsured). How does your hospital do blood

  2. Nitro patch on HD?

    AcuteHD posted a topic in Dialysis, Renal, Urology

    The acute HD nurse that I trained with would routinely remove the nitro patches from pts prior to HD and said they are incompatible with dialysis. With everything else that I was trying to learn at...

  3. The future of hemodialysis?

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

    It looks like it went through a 'successful' trial 16 months ago, so where is it now? I can't find anything about it recently. What really caught my attention was that it recirculates the dialysate...

  4. Help. Acute dialysis nursing

    AcuteHD replied to laureneve91's topic in Dialysis, Renal, Urology

    I don't get paid per treatment, just hourly, but expect feast or famine. In my personal experiance I've never had a problem getting enough hours and have plenty of PTO banked up if needed. I work 4...

  5. Tempered water for portable RO?

    AcuteHD posted a topic in Dialysis, Renal, Urology

    Where do y'all get incoming water for portable treatments from? All my hookups are from the cold water side and the water is COLD! Usually around 18C this time of year which is okay per mfg specs, but...

  6. Tempered water for portable RO?

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

    Update: My biomed talked with her boss and we all agree the water temperature is fine, the logs are

  7. Tempered water for portable RO?

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

    What's in the carbon tanks

  8. Tempered water for portable RO?

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

    Okay, I looked at this some more and I think our checklist is wrong. 18C is a great temp for both the RO and the HD machine, and our upper limit is way too high. (too late to edit

  9. When a patient signs out AMA...

    AcuteHD replied to Lev's topic in Patient, Colleague Relations

    What about pts that sign out AMA but need EMS transport? Is the hospital supposed to arrange

  10. The Dark Side of Nursing...

    AcuteHD replied to maeli's topic in NICU, Neonatal

    I've only been to our mourge once and it was definitely a low person on the totem pole job. Anyone that's never transferd a 250 lb body has no idea what dead weight really

  11. How can I get experience in Dialysis Nursing?

    AcuteHD replied to allen80's topic in Dialysis, Renal, Urology

    That's easy. Find a brick wall and talk to it about Potassium, Phos or Fluid control. Then procede to bang head against said

  12. Membrane size and cardiovascular status?

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

    Too late to edit, but I should have said I am using what I have on hand as an example. Don't know what size dialyzers you are using. Thanks for the

  13. Membrane size and cardiovascular status?

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

    The F200 has a prime volume of 112 mL, the F160 is 83mL. 29mL doesn't seem like enough to make a diff, but maybe. Also, unless you are wasting the prime, you're replacing blood with equal volume of...

  14. Chronic HD in the Acute Clinic?

    AcuteHD posted a topic in Dialysis, Renal, Urology

    What does your hospital do with uninsured ESRD patients? We have serveral that have been using the acute clinic for routine HD for over a year with no end in sight. It's all above my pay grade, but...

  15. What's going on with pulsating blood lines??

    AcuteHD posted a topic in Dialysis, Renal, Urology

    What, if any, is the signicance of a pulsating blood line? Some nurses swear it means the dialyzer is about to clot, but that's not been my experiance. I think it's the resident ghost flicking

  16. Renal diet and label reading?

    AcuteHD replied to tsm007's topic in Dialysis, Renal, Urology

    Yes! If binders are ordered for meals they should be given with all food. There may be a meal dose and a smaller snack dose. Not all renal pts will have binders ordered, but it's kinda rare not

  17. Renal diet and label reading?

    AcuteHD replied to tsm007's topic in Dialysis, Renal, Urology

    Sorry, should be 0.8 G / kG /

  18. Renal diet and label reading?

    AcuteHD replied to tsm007's topic in Dialysis, Renal, Urology

    I spoke with the dietition at one of the clinics in my area and she said that pre dialysis pts need to restrict protein intake to about 0.8mg / kG to preserve their remaining renal function. However,...

  19. Renal diet and label reading?

    AcuteHD replied to tsm007's topic in Dialysis, Renal, Urology

    Thanks for taking the time to research this. I'm surprised the diet is just 'Renal Diet', look in the orders and see if K, Phos, Protein and fluid restrictions are specified. I have never worked in...

  20. What is the standard orientation time for HD?

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

    I had to look that up, sorry I doubted you We are audited by JC as part of the hospital accreditation, what's the difference? Sorry, OP for the sidetrack, but you've gotten some good

  21. Is the nursing profession causing its own RN shortage?

    AcuteHD replied to RNDave's topic in Nursing Professionalism

    Are you talking about the same Farawyn that has 25,000 Likes? Or to put another way, over 3 likes per comment? Or to put it yet another way, 24,908 more likes than you? Yeah, we've seen her

  22. Sharpie on Tegaderm

    AcuteHD replied to Mavrick's topic in General Nursing

    I would think the issue wouldn't be bleed through (99 44/100% sure it won't) but infection control. You would have to dispose of the sharpie afterward. Like, right then and there after. You don't...

  23. Starting Over

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

    I think case management would be my 3rd career if I ever leave

  24. dialysis nurse daily routine

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

    Hey, USRC here too. Also, our dietitian would be quick to point out there is no 'c' in dietitian. Lol, she has a thing about

  25. total calcium , serum calcium and corrected calcium

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

    Corrected Ca = ((4 - Albumin) * 0.8) + Ca When I asked one of the nephrologist I work with which value we should use he said, 'dietitians say the CorCa' but he was pretty much meh about it himself....