Attack Of The Ninja Nurse.

[missdavis102]

Wow - the funnest/meanest thing I get to do is crank the medical equivalent of a c-clamp down on a patient’s groin while pulling the sheath after a heart cath.

[Syntropy]

@beckwall

I agree, 14s should be the default needle and whoever can take larger should go to a 12. But doctor’s orders, ya know? And we have vascular surgeons who make crappy accesses, little tiny fistulas that resemble spaghetti and grafts that invariably fail. You would be appalled by the number of central catheter patients we have. And Life Sites, which are supposed to be the bomb but frequently suck so much that we can only get a blood flow of 250. I started in dialysis nursing back in 1987, and sometimes it seems like we are going backwards instead of forward.

You work for Davita? Last NKF meeting I went to, everyone was raving about how well the LifeSite cvc’s are working with an average flow of 500.

[Leviosaurus]

@missdavis102

Wow - the funnest/meanest thing I get to do is crank the medical equivalent of a c-clamp down on a patient’s groin while pulling the sheath after a heart cath.

whimper

[Syntropy]

@eleanorigby

And with 20 years, I am looking to get OUT.

NOOOOO!!! We need you. Come over to the admin side, it’s much less frustrating. Besides, who’s going to teach the new nurses how it’s done if we don’t stick around? They get stuck with Nurse Ratched the Insane.

[picunurse]

@beckwall

I agree, 14s should be the default needle and whoever can take larger should go to a 12. But doctor’s orders, ya know? And we have vascular surgeons who make crappy accesses, little tiny fistulas that resemble spaghetti and grafts that invariably fail. You would be appalled by the number of central catheter patients we have. And Life Sites, which are supposed to be the bomb but frequently suck so much that we can only get a blood flow of 250. I started in dialysis nursing back in 1987, and sometimes it seems like we are going backwards instead of forward.

We should talk sometime. I worked with a legend or two, like Jenny Savin, Jared Granthum in Kansas City and Bob Hickman in Seattle.
I took care of the first cadaver transplant in Kansas. IIRC, she was the third in the country.
I’ll try to not hijack the thread anymore.

Apology to the OP.

[beckwall]

@Maureen

You work for Davita? Last NKF meeting I went to, everyone was raving about how well the LifeSite cvc’s are working with an average flow of 500.

I am actually the director/instructor of a hemodialysis tech training program, which functions in a privately (doctor) owned clinic. They just finally got a few Fresenius K machines to mix in with their H machines. Sigh. Pros and cons - the doctor and staff are great, but supplies and machinery are not quite up to speed. I was doing computer charting at Sutter Dialysis in Sacramento in 1993. No such luck here. No sodium modeling, no meds for BP support, no heparin pumps (given by hand every hour!)

Sorry to hijack the OP. We need a sub-group of dialysis nurses and patients!

[Syntropy]

@beckwall

…No sodium modeling,…

:eek:
How are you getting an accurate Kt/V?

[Cervaise]

@beckwall

We are not allowed to use the word “stab”, however that’s pretty much what it amounts to.

Nnnnggggggggg.

—falls over—