RN,CNN

• Hello to all nephrology nurses. It is so good to see nurses seeking assistance from peers... GREAT! Let's pick each others brains... that makes us valuable, smart, necessary, life-savers. We, critical care nephrology nurses, are invaluable...our experience/expertise, for a lot of critical care nurses and doctors, whom are very valuable/knowledged in their right. Due to their lack of knowledge of the complexities of renal failure replacement therapies and our abilities to split-second react and correct life- ending bodily changes... ONLY achieved thru long time experience... tend to down play needed knowledge/ experience and believe CCRT &/or SLED & (holy cripes!) even HD can be incorporated into an already over-loaded Critical Care nurses responsibilities!! AND WITHOUT really bad outcomes! HEADS-UP Nursing Management and like!! AND GOOOO NEPHROLOGY NURSES.. you're soooo valuable... you've chosen a very interesting specialty. 

In 1975 started as a HD PCT, 1990 RN,CNN & Acutes. GIVE me a Fresenius too!! Quality, durability, settings can quickly and safely be changed to assist a sudden and life- threatening patient change of status...

Tablo's were created for chronic, stable, home patient use..NOT ACUTE SETTINGS/ medical emergent needs!

SAD!! CEO/CFO's/Nursing Administrators, yes finances are important/ necessary... HIRE QUALITY/Experienced nephrology nurses to assist with your goals... maintaining QUALITY patient outcomes. Take advice, a valuable sign of professionalism. AND don't be bamboozled into purchasing Outset Tablo HD machinery, thru confusing machinery jargon rep's use, making you believe Tablo's financial benefits and performance research outcomes vs ex: Fresenius.  I speak from experience. Good luck to all... and GOOOOO NURSES.  Hang in there.. nephrology is fascinating.. YOU save lives!!

H.E.R.