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Author Topic: I knew it!!!  (Read 3010 times)
Phil
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What doesnt kill you, makes you stronger

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« on: July 21, 2010, 10:07:10 AM »

So today I go in for my session...and as I get in I notice that on duty there are 2 nurses, both of which are bad news.....the first one managed to infiltrate me 2 weeks ago (still have a very large bruise on my upper arm), and the second nurse who had never touched me.... So...as I get myself ready on my bed..along comes the second nurse....all seems good...the machine is ready...I'm ready....BUTTTTT....then she starts to stick me...an hour and a half later I'm still not connected, and she tried to stick me in SIX DIFFERENT places!! Result? MY entire enght of my fistula is now bruised, and in 2/3 spots its hard and swollen. I tell her to quit trying and take everything out because she's only doing damage.

Now I'm at home, and my fistula is aching, in some spots it feels swollen and hard, and the thrill is reduced....tomorrow I haveto go back to my unit for a fistula check up...see the damage she caused....

Sorry for my first rant...but I know if anybody will understand....you will! :D
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1993 - Diagnosed with Alport Sindrome
April 2010 - Fistula surgery on right forearm
May 2010 - Started HD
Still waiting for the call!!!!!
carson
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« Reply #1 on: July 21, 2010, 10:32:00 AM »

Holy Crap!! As it is I'm scared of needles, and then I hear something like that! God I hope my line lasts forever!!
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2009 infection treated with Vancomycin and had permacath replaced
2009 septic infection that wouldn't go away
2007 began Nocturnal Home Hemo with Permacath
1997 began Peritoneal Dialysis
1982 had cadaver transplant
1981 diagnosed with GN2 and began Peritoneal Dialysis
RightSide
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« Reply #2 on: July 21, 2010, 11:57:12 AM »

I suggest you have a face-to-face meeting with that nurse's supervisor. 

Your fistula is your "life-line," you've had that hammered into you just like I have--and you can't afford to have it damaged by incompetent nurse's.

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LoneHighway
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« Reply #3 on: July 21, 2010, 12:02:12 PM »

Can you stick yourself? Do centers only let you do that if you're a home hemo patient?
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monrein
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« Reply #4 on: July 21, 2010, 12:08:11 PM »

Phil, I totally understand how scary it is to think about them damaging your fistula and that is exactly why I decided very early on that if anyone was going to put those needles in it would be me, myself and me alone.  The hurdle is mostly a mental one and a challenging one at that, but the control and the peace of mind, the elimination of the anxiety associated with the crap shoot of who gets to stick you and the certainty that you can do right by your own arm and care properly for the fistula, make it most worthwhile in my opinion.  I know not everyone can do this but I really believe that everyone ought to give it very serious thought and as for myself, it really paid off in both the short and the long runs.
Insist that the clinic provide you only with experienced cannulators in the meantime.   :cuddle;
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Pyelonephritis (began at 8 mos old)
Home haemo 1980-1985 (self-cannulated with 15 gauge sharps)
Cadaveric transplant 1985
New upper-arm fistula April 2008
Uldall-Cook catheter inserted May 2008
Haemo-dialysis, self care unit June 2008
(2 1/2 hours X 5 weekly)
Self-cannulated, 15 gauge blunts, buttonholes.
Living donor transplant (sister-in law Kathy) Feb. 2009
First failed kidney transplant removed Apr.  2009
Second trx doing great so far...all lab values in normal ranges
Stacy Without An E
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« Reply #5 on: July 21, 2010, 01:15:46 PM »

This makes me so angry.  Six times is ridiculously outrageous.  In the past with my graft, if they couldn't get the needles in after the second try, I demanded that someone else put them in.  Since my buttonhole fistula, most everyone has been able to stick me successfully.

After a second chance, you need to speak up for yourself and ask for someone else.  This is bordering torture and cruelty.  I agree with others above: you need to speak to the Clinic Manager about this awful situation.  The nurses may pull an attitude after that, but who cares?

Best of luck and don't let them push you around.
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Stacy Without An E

1st Kidney Transplant: May 1983
2nd Kidney Transplant: January 1996
3rd Kidney Transplant: Any day now.

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Dialysis.  Two needles.  One machine.  No compassion.
texasstyle
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« Reply #6 on: July 21, 2010, 06:09:10 PM »

Oh yes how I agree, that is your "lifeline". I would angry too and I would ranting all the place. I hope you can find one nurse that does it will and will be the same nurse that will do it each time. I hope nothing severe has happened to your fistula. Keep us posted please.
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caregiver to husband using in-center dialysis 4 years
Riki
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« Reply #7 on: July 21, 2010, 06:30:09 PM »

I had that problem too, but the nurses have a policy, can't get it in 2 tries, give patient a break, and get someone else. It took 3 of them to get it one day, but at least I got a break after every 2 tries.
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Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
PD - May 2004-Dec 2008
HD - Dec 2008-present
Des
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« Reply #8 on: July 21, 2010, 11:24:13 PM »

BEEN THERE DONE THAT..... - NINE TIMES AND  I HAD TO HAVE IT CHECKED OUT AS WELL.

Don't you just hate it! :Kit n Stik;
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Please note: I am no expert. Advise given is not medical advise but from my own experience or research. Or just a feeling...

South Africa
PKD
Jan 2010 Nephrectomy (left kidney)
Jan 2010 Fistula
Started April 2010 Hemo Dialysis(hate every second of it)
Nov 2012 Placed on disalibity (loving it)
Phil
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What doesnt kill you, makes you stronger

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« Reply #9 on: July 22, 2010, 06:45:52 AM »

Ok so I went in for the check up...did a eco etc.....there's no permanent damage...just swollen & bruised. Next time I wont be so patient with the techs :D Thanks for the support fam!!!
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1993 - Diagnosed with Alport Sindrome
April 2010 - Fistula surgery on right forearm
May 2010 - Started HD
Still waiting for the call!!!!!
kitkatz
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« Reply #10 on: July 22, 2010, 10:46:37 PM »

Hate i when I get stuck more than once!  :Kit n Stik; :Kit n Stik; :Kit n Stik; to the nurses!
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lifenotonthelist.com

Ivanova: "Old Egyptian blessing: May God stand between you and harm in all the empty places you must walk." Babylon 5

Remember your present situation is not your final destination.

Take it one day, one hour, one minute, one second at a time.

"If we don't find a way out of this soon, I'm gonna lose it. Lose it... It means go crazy, nuts, insane, bonzo, no longer in possession of ones faculties, three fries short of a Happy Meal, wacko!" Jack O'Neill - SG-1
Riki
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« Reply #11 on: July 23, 2010, 05:20:09 PM »

well, I kinda have to get stuck twice anyway. *LOL*

Emla cream is the greatest invention ever, btw....
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Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
PD - May 2004-Dec 2008
HD - Dec 2008-present
RenalSurvivorDotCA
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« Reply #12 on: July 25, 2010, 07:34:56 PM »

Yep, that is not fun. Our unit has the same policy as Riki's: If the nurse can't get it in two tries, she gets another nurse to try. We actually now have a "Vascular Nurse" whose job it it to cannulate patients with difficult accesses. She is a longtime dialysis nurse and is a pro with any access. She's never missed as far as I know.

I also had troubles while travelling and visiting other units with nurses who NEVER saw my access before and  yet were so cocky that they thought they knew better than me where to stick. After getting a sepsis infection at a different unit, I asked my unit if I could learn to needle myself. i said I watched them do it for several years and I know the "sweet spots". I learned how and now they all marvel at how I do it so fast and it works so good. And I'm not even lefthanded! Now there is no X factor. I am the needler in my own unit or when I travel.
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Your life IS worth living. Fight for it!
Riki
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« Reply #13 on: July 25, 2010, 08:06:03 PM »

I've never had a problem while traveling.   I tell them which way the needle should go, and they put it in as I saw, all goes well. Mind you, I've only ever been to one other unit, in Manhattan, NYC.  That will change in a few weeks when I go to Ottawa. I'll have to let you all know how things go there.
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Dialysis - Feb 1991-Oct 1992
transplant - Oct 1, 1992- Apr 2001
dialysis - April 2001-May 2001
transplant - May 22, 2001- May 2004
dialysis - May 2004-present
PD - May 2004-Dec 2008
HD - Dec 2008-present
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