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Author Topic: doesn't the social worker or dietician understand??????  (Read 2135 times)
dialysistech
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« on: October 07, 2009, 02:40:08 PM »
I can't understand why, when I bring a patient in to get on the machine that either the dietitian or social worker comes up to chat while I am accessing my patient. If I am not mistaken most patients are there for 3 1/2 to 4 hours. I know how important it is for someone to get on on time. (I would feel that way) Why can't the dietitian/SW understand this and come back once the person is on??? I know what they have to say is important but accessing how someone is feeling is very important too.  :banghead; Does this happen in your unit? 
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I have been a dialysis technician for 18 years. I am eager to see a patient point of view on things having to do with dialysis.
MIbarra
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« Reply #1 on: October 07, 2009, 03:05:04 PM »
This never happened at my unit. The social worker or dietician came around after the whole shift was already all hooked up!
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monrein
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« Reply #2 on: October 07, 2009, 03:30:19 PM »
That has never happened to me but if it did I would be very quick and clear about the fact that the timing was not good for me.  Aside from not multitasking at sticking time, privacy, whatever precious little there might be,  should also be respected.  As a tech, can you not raise this issue with your manager or charge nurse, who could then address it with the others?
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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
dialysistech
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« Reply #3 on: October 07, 2009, 03:51:46 PM »
Quote from: monrein on October 07, 2009, 03:30:19 PM
That has never happened to me but if it did I would be very quick and clear about the fact that the timing was not good for me.  Aside from not multitasking at sticking time, privacy, whatever precious little there might be,  should also be respected.  As a tech, can you not raise this issue with your manager or charge nurse, who could then address it with the others?

Good idea about bringing to my manager. I think she would say that next time I see the dietitian/SW before it can happen again. Discreetly explain my point of view and try to see her point of view.
It is great to have other opinions. Thanks again
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I have been a dialysis technician for 18 years. I am eager to see a patient point of view on things having to do with dialysis.
Zach
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« Reply #4 on: October 07, 2009, 03:54:09 PM »
Quote from: dialysistech on October 07, 2009, 02:40:08 PM

I can't understand why, when I bring a patient in to get on the machine that either the dietitian or social worker comes up to chat while I am accessing my patient. If I am not mistaken most patients are there for 3 1/2 to 4 hours.


Sometimes that does happen.

Even when we have "Grand Rounds" which includes a Nephrologist, they have a habit of coming over to me just as I am cannulating my site.

8)
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Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
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No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
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Bub
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« Reply #5 on: October 07, 2009, 04:35:40 PM »
Thats pretty odd, at least for my center.  Its not hard to see the diet guru, the nurse practioner or social worker, but almost always I have to ask the tech to call them over.  They always come over promptly, but rarely uninvited. Not that they are not really good.  They all have great helpl to offer but you have to ask.
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lizabee
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« Reply #6 on: October 07, 2009, 04:58:14 PM »
The only thing that happens at the unit I go to is that sometimes the dietician will come over to talk when they are trying to take me off.  I am on for 3 hours, she has had 3 hours to come and say what takes less than 5 minutes but she often waits until I am trying to get my needles out...it is very annoying and I have made a point to tell her.
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