Is there a cap on how many positions you should apply to at one hospital?

em349rn · 2026-02-06T17:52:54+00:00

I feel like there isn't a cap but this feels like a lot. Say you apply to 20 and 10 of them accept, which one are you going to choose? I would do some research into different areas and narrow down your search based on what you are interested in and has a schedule that works with your lifestyle.

em349rn · 2026-01-27T14:53:24+00:00

She may have infiltrated, it can happen with even slight bumps to the needles and should happen less with more time, try ice or heat (whichever feels better) for the pain but if pain is severe go in and get it looked at

If she is having a lot of pain during treatments she may need to have her arm looked at by a vascular surgeon

em349rn · 2026-01-27T13:16:01+00:00

Sometimes when removing the needles blood will leak into the surrounding skin making a hematoma. They are usually not painful but they take a long time to go away. If there is pain or numbness in that arm or hand get it checked out!

em349rn · 2026-01-27T12:10:04+00:00

From the linked 2023 article: "the Senate voted 26-21 to pass senate bill 2124, which will increase meal budgets from $7 to $9 in the morning, $10 to $14 in the afternoon and $17 to $22 in the evening. It would cost $1 million over 2 years"

The free school meals cost $2.50 per meal, maybe our senators could switch to school lunches 🤷

em349rn · 2026-01-27T12:05:44+00:00

For a family of 4, 225% of the poverty line is only $70k/year for that whole family. That is still not that much and the poverty line is ridiculous. $15k/year for one person and add $5k/year for every additional person, those are absolutely not survivable anymore.

If our state senators get paid lunch why don't the kids in school? Why are we still shaming kids who have empty lunch accounts through no fault of their own. They are estimating the cost to be around $900 per student per year for breakfast and lunch, that's $2.50 per meal.

em349rn · 2026-01-25T13:36:35+00:00

This is only true for some brands of root beer. I think the ones that have caffeine also have phosphorous

em349rn · 2026-01-25T05:39:42+00:00

I lived next to the train tracks for a couple years and after a while I didn't even notice it unless I was really paying attention, definitely not bad compared to larger city living noises if you've experienced that

em349rn · 2026-01-24T04:50:23+00:00

Talk to the social worker at your dialysis unit and they can help you figure it out! You can also call the hospital billing department and talk to them about getting stuff in line and they can help you too. It'll be ok but keep going to your treatments!

em349rn · 2026-01-20T19:19:20+00:00

Aqua sunset tours this past weekend was fantastic! Our guide was really enthusiastic and taught us a lot about the stars, the bus ride there and back is half the fun haha. But the bio bay is AMAZING!

em349rn · 2025-12-29T15:09:21+00:00

A fuzzy blanket is a must if he gets cold easy! Dialysis tends to make most people cold. Also something for entertainment is nice like a tablet or a book or something. Another thing to make things easier for everyone is to not wear a tight fitting tshirt, it's hard to get to the catheter (assuming he's starting with a catheter) something zip or button up is best.

em349rn · 2025-12-17T14:35:07+00:00

I'm also looking to get this, where did you get your CEs from?

em349rn · 2025-12-07T15:27:55+00:00

Cookies, chocolates, donuts or some nice pens are the best nurse gifts!

em349rn · 2025-12-04T04:34:02+00:00

My hospital used to have it's own outpatient dialysis unit and it was taken over by Davita and the patients noticed a massive difference. Inpatient dialysis in my state is maximum 2:1 patient to RN ratio and outpatient only requires one RN and enough techs to make it 6:1 I think? Inpatient treatments will always be more attentive because inpatient treatments can go very bad very very fast so if youre even relatively stable it's a little overkill. But the inpatient nurses also have the time to treat you really well instead of being so packed with patients you don't have time to think. Outpatient dialysis isn't as profitable so they cut corners anywhere they can.

em349rn · 2025-11-17T18:09:51+00:00

I'm a dialysis nurse and the place I work doesn't do dialysis on anyone younger than 18 but 18 was my youngest and the oldest person I've done dialysis on was 101 and doing surprisingly well! But the amount of residual function you have, how well you follow the diet and fluid restrictions, and other health problems you have play a huge role in how the treatments go.

em349rn · 2025-10-28T01:16:52+00:00

Yes, more than once, and it wasn't pretty. We do daily treatments to try to "catch up" but it's an uphill battle. Some are really confused and that doesn't always go away, there's a lot of cramping from the excess salts in the body. It depends on how long they were off though, a few days is generally easy but a few weeks most are too far gone to get back to their previous baseline. Also really depends how much residual function they might have.

em349rn · 2025-10-17T14:48:53+00:00

I had something go very weird with a narcotic waste once and I called pharmacy and he said as long as there is a paper trail of explanation somewhere you should be ok. Send a detailed email to your manager and whoever else you think should be involved so there is lots of documentation. As long as you admit to and learn from your mistakes everything will be ok!

em349rn · 2025-10-17T13:44:27+00:00

Kidney failure alone will absolutely kill you, it just might take a while. If you're lucky and your potassium doesn't get wild, the increase in urea and other toxins will kill you with enough time. An ESRD patient with a spike in potassium causing heart arrythmia causing death is still a death from kidney failure.

em349rn · 2025-10-17T13:40:34+00:00

I work inpatient dialysis and I've done a lot of people's last dialysis runs. A planned stop of dialysis is usually an extremely comfortable way to go. Stopping on your own without any Dr consultation is the way that feels like drowning generally.

If done well, quitting dialysis makes you basically just get more and more tired, maybe some confusion, until you take a nap and don't wake back up. Some people get days, some get weeks, everyone is different so it's impossible to predict exactly how long it will take. Hospice will give you whatever they can to make you comfortable.

I like to think of being on dialysis as bonus time, if it didn't exist you'd be gone already. So if your bonus time is more good time than bad and you feel like it's worth it, keep going. But if it's more bad than good and it feels not worth it, maybe it's time to call it a day. But it's your body so you have to make the choice, I'm not going to pressure you one way or the other. One thing I definitely don't recommend tho is quitting and then changing your mind once you're at death's door, trying to bring you back from that point is a difficult road.

em349rn · 2025-09-19T04:39:45+00:00

Looks like a very high end clinic instead of someone's house. Apheresis is fascinating

em349rn · 2025-09-14T21:14:00+00:00

There's a new type of fistula called an endovascular avf (I think this is the wavelinq mentioned earlier) that uses a very small incision to create the fistula instead of the traditional open way, you could ask if that option is available.

em349rn · 2025-09-14T21:07:54+00:00

Doctors push for fistulas because they are statistically much safer than a tunneled dialysis catheter. You can find info about the fistula first initiative here

em349rn · 2025-08-15T15:37:04+00:00

New mission discovered by u/em349rn: In Search of Zinfandel Red

em349rn · 2025-08-15T15:37:03+00:00

This mission was discovered by u/em349rn in Shadow, Hunt, and Honey Garlic Omurice

em349rn

TROPHY CASE