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  • Posted in: Acute Care SPN

    Thank you for all the responses. The CMS rule that the fistula must be observed at all times is just what I need to argue my case in our hospital. We have used fistulas twice when the intensivist refused a line and our our nephrologist wouldn't back...

  • Hi, more information may help with this question. What is the patient's dialysate order in regards to potassium level? Maybe that needs to be lowered. What is their treatment length ? Is the patient on an ESA? If so, maybe that does needs adjustment....

  • Posted in: Acute Care SPN

    We do not use the patients fistula or graft. If the patient needs CRRT a non tunnel line is placed. At our hospital CRRT is always 1:1. I can't imagine having another patient with a CRRT. Not safe practice at all. ------------------------------ Debi...

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