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How you start your day on your job means everything! Proper planning and technique will be your most needed source. Hemodialysis is stressful in itself, what we should be focusing on is limiting the stress and frustration using the tips I will give you. I am not perfect, I started my blog, and created a book to communicate with my new and fellow technicians. I never stop learning, in fact, I love it. We all can learn from one another.
One of the issues that I had in the dialysis unit was my ratio of patients, I was responsible for 4 patients and one additional patient located in the isolation room. I had to be directly on point when it came to utilizing the limited time given to put on all of my patients. It is no joke when you come to work and find out that the unit will be short of staff again because that means extra work and stress. In terms of the isolation room, it depends on the type of nurse that will be working on the floor with me that day. If the nurse is helpful, they would put on that extra patient in the isolation room. If the nurse doesn't want to help me then they just won't, or give me a lame excuse. I am not trying to bash any nurse, but I will tell you the living truth. Some nurses are the bomb and some are absolutely not, just like some techs are cool and some just aren't.
Now, I didn't have an equal ratio of patients or their times meaning. I already had 5 patients and I can't depend on any nurse to come and help me out with my isolation patient. Next, two of my patients got off in 3:15 hours and three got off in 3:45 hours. This is a conflict all in itself. One of my 3:45 hour patients would start asking me to take him off when two of my 3:15 hour patients would begin coming off. Some of my patients got very angry when this happened and the 3:45 hour patient got so mad each time. THIS WAS HARD but I LEARNED! Even when I use to put 15 minutes distance within each patient as I put them on, it was still the same issue. When one patient saw the other coming off, they wanted off! I had to find a way.
2. PROCEED to the next patient.
3. After you have rinsed your last patient back, you go back to the FIRST patient and remove their needles.
4. PROCEED to the next patient that has been rinsed back!
My patients didn't have an issue with this, because they were all being seen, not ignored. I communicated with each one over and over again what is going on. I don't give them attitude, just patient care with improved knowledge.
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