My clinic has been forbidden to do sodium profiling on patients, but now, my Nephrologist is beginning to implement this profile.
Can anyone fill me in with sodium profiles because I've never done it before.
According to the manager, the reason why we are not allowed to do so is because during the HD, sodium is given to the patient and they fear that if at any point of time, if there's a pause in HD, the sodium given to the patient would not be taken back by the machine.
We have had greater success in decreasing time with N's orders fro larger dialyzers and larger needles for well established accesses. 14 Gauge on several clients now. Labs are positively reflecting! The pts are sooo proud to have their times cut!
Juanay
Yeah I hear some are using 14's.. Gotta have good vascular surgeons for that. I've not seen too many in my travels. Have you?
I know Davita is trying to start and maintain it's own interventional units.. Seems to be the way to go.. One stop shopping so to speak.
What a difference the 2 of us could make in a unit!!!
Too much for most places to handle I'm sure!
I have been asked to extend here again. Since this is the closest thing to home I probably will unless this THING that WILL go down this week backfires. I'll PM you later.
NephroBSN, BSN, RN
530 Posts
Yeah I hear some are using 14's.. Gotta have good vascular surgeons for that. I've not seen too many in my travels. Have you?
I know Davita is trying to start and maintain it's own interventional units.. Seems to be the way to go.. One stop shopping so to speak.
How's the toe?