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3 Ways To Set Up Fresenius 2008T Machines I Hemodialysis Technician
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- čas přidán 23. 05. 2022
- Hey yall,
This video was requested by Sandra James. I hope it helps someone. Feel free to watch it as much as you need to,slow it down, zoom in..whatever you need because we were preparing for first shift!!! If you know..you know!😉
COMMENT ANY OTHER REQUEST BELOW
Email me: eboni.brinson@gmail.com
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#pct #dialysistechnician #healthcareworkers
Y’all are so cute and my new best friends😉. I’m an RN with 23 years in labor and delivery just starting out in dialysis at 65 yrs old. I’m training with the tech first and techs are the best! Thank you
I’ve been a tech for almost 10 years now, and the 3rd tech on the video was closest to my technique 😂 you figure out fast and safe ways to do it. To new techs: hang in there! Setting up the machine seems daunting at first, but eventually it becomes second nature, as easy as breathing
Yayyy to your 10 years! She was my preceptor when I came back to the floor! It definitely becomes 2nd nature to the point of setting up the machine half sleep at times but knowing you got it right lol 🫡 I salute you!
I cried my first two weeks leaning machines because I kept making mistakes. I am now doing online training and on floor with patients. They did away with a in personal weekly class without patient. Don’t give up. Eventually you will get it. ❤
Thanks for encouraging the peoples! 😉
Thanks for this because my preceptor gets so mad when I make a mistake and shebhas to repeat herself, I have anxiety going in there
@@taradetrick5264 heyyy omg, so sorry you’re going through that. You can request another preceptor. But that may or may not help. What other things could you need help on?
@@taradetrick5264 i feel your pain. I was in my car praying to Jesus before I went into the clinic. I was so nervous to get out of my car and shaking when I opened the door. I carried around a little note book and wrote down stuff so my preceptor didn't have to repeat herself. Then I asked if I could write steps down on sticky notes and put them on the machine. My preceptor was really impressed that I took the initiative to make notes. I would have from the beginning but I was too scared to ask if I could bring notes on the floor 🤦🏼♀️
We just hired another tech and my FA had to tell my preceptor that she was being too tough and might scare good people away. So now I know it wasn't me having anxiety for no reason 😅 please reach out if you have any questions or just need to talk about being a new tech. I've been running my own bay for 3 weeks now.
I was ready to cry today and it’s week two
so glad i found an updated video, ive been freaking out today on my first day on machines. thank uuuuuu
Let me know how your journey goes!
Very helpful. Love seeing the 3 different ways. Also reassuring to know that its not really how you set it up, as long as its done properly. My struggle so far, after day 1, is going to be remembering which clamps to clamp and unclamp and when😅 but again today was literally my 1st instruction on how to even string a machine.
The teaching is a little shotty so far, but its only been a week for me. The facility im at seems to have a good atmosphere that promotes safety for the patients. So that definitely helps knowing they just want us to know "the right way." With all Healthcare and other jobs, there's the twxt book way," and the "real world" way😂
I see you understand what you gotta do lol I did a video on which clamps to clamp here Which clamps do I clamp? 🤷🏽♀️Stringing a 2008T machine!!
czcams.com/video/6Lv3fv5AK-g/video.html . Hope this helps
Thank you!! Setting up machines are so frustrating to me. This has helped with my anxiety lol
I’ve been a technician for 7 years at fresenius I love my job!
🙌🏽 wow that’s beautiful! 😊❤️
Thank you i found this video. Im an inexperienced pct in fmc, and just had my machine day training yesterday. My brain got crazy 😂 remembring the steps. But this video helped me remember those steps!!! Thank you!!! ❤
You are very welcome! I’m glad this video helped
Thank you for this video ! Company where I work at is switching to these style lines which I’m sad cause the streamline lines are way better! All good thanks once again this helped a lot!!’ ❤
Good morning I just started last month and I’m trying not to stress out and I’m thankful for this video
Heyyyy Nola, don’t stress out but BREATHE! You got this!
I needed this! I’ll watch over and over cause yesterday I practiced and boy my nerves just was like quit I can’t do this lol 😂
😂 I understand! But keep going!
Thank you so much for sharing this ❤️ I almost broke down and cried today because I strong a Machine and I felt like the tubes and my hands were getting all jumbled up.
❤️ I’m glad it helped! You gotta pace yesterday and do one line at a time..one chamber at a time..one step at a time! You got this!
Wowwww as I approach my first month as a dialysis nurse this is the sexiest most seamless prime I’ve seen 🤣 thank you for sharing !
🤔which one?
@@imeboni second one was more reflective of my training , first was very interesting but don’t think my preceptor would let me set up that way
Oh ok
Thank you, Eboni. This was awesome. Watching it a 2nd time now.🙂
so glad it's helping you!
Thanks for all this fresenius machines helped me a lot!!
Can you do more videos about problems solving with the machine please
Oooo yes. There can be so much going on so do you have anything specific to troubleshoot?
Thank you, I just started at freseniusmedicalcare with no experience. Love the video. I'm gone watch this over and over
So glad it’s helping you☺️
Do you still work there? How do you like it?
Heyyy @MountainDew474747478 I don’t still work there but it’s not a bad company…it all depends on who you work with!
Thank you so much for this video! I just started at Fresenius as an RN with no prior experience & they have me learning through videos and training/ precepting with a PCT to know everything down to the basics. I'm a little stressed and scared with everything I don't know yet. Is this something the nurses help with on a day to day basis as well?
Heyyyy welcome!! It’s very normal to be stressed and scared about what you don’t know…but work through the fear and nerves..they will die off. Yes..the nurse does what the tech is showing you on a day to day basis. We have been so short staffed nurses have worked a full pod like a tech. The best part about that is you get to be super one on one with your patients, develop your cannulation skills, develop your way of changing over to your next patients, and allow you to get to know your tech.
I work for Davita. I'm used to working with B Braun machines. I came here to learn the fresenius machines because the Davita I'm traveling to has this machine.
Welcome. I hope this helps🎊🎉
Hey Eboni! Firstly, I would like to say thank you so much, because I come to your channel for help. I’m a new tech (2 months) I haven’t gotten on the floor yet, I’m having trouble with understanding how to line the machine, when do I prime? And when do I add saline to the venous chamber, and when do I marry the lines?
Once you spike your saline bag the arterial will begin to prime, if your lines aren’t clamped(I don’t clamp mine until after I fill the arterial chamber). Fill your arterial chamber and BIG clamp the arterial. Put your blood pump at 150 and press prime for the venous chamber..to understand where the water is going in the lines watch the water travel in the lines. Once the venous is primed you can marry your lines, unclamp the big clamps and then fill your venous chamber.
@@imeboni THANK YOU SOOOO MUCH! I’ll be back to update you on my progress😊 Blessings ❤️💙
@@DIVINEDIVA986 no problem! I look forward to the update!
@@imeboni Hey Eboni! I wanted to give you an update. Again, thank you so much for your help, I’m doing extremely well setting up machines now(thanks to you) I’ve had very challenging days in training you know how that goes lol, I’m nearing the end of training. I’ve been cannulating for 3 weeks now, and I’m doing very well! I’ve also been initiating treatments, rinsing back and taking people off. I can’t thank you enough for your help, your kind words and encouragement💙 Keep being a beacon of light God shines through you❤️❤️❤️
@@DIVINEDIVA986 Praise God for a good report!!🙌🏽 I’m proud of you! Glad to hear you’re doing better! Thanks for the updating me..it’s more encouraging than you know!☺️
These are great representations other than the blood pump was only correct on the last demonstration. You have to prime at 150 so the saline has time to get in every fiber of the dialyzer. Anything over 150 can cause clotting in the dialyzer during treatment.
Thank you. I worked for one company that does 150 and another that does 200 and I’ve seen people prime at 500 😳…blew my mind but it wasn’t my section so I left them alone. That made me realize I choose what’s best for me. I personally prime between 150-200 and do not have clot issues! 🤷🏽♀️ to each its own
I agree it doesn’t matter how you set it up, but those sterile caps on the dialyzer should not be removed until you are attaching the blood lines per aseptic technique.
I forget the names of things and there are two places with caps..at the ends of the dialyzer & on the side for the hansens but which sterile caps are you referring to?
Hi
How long does it take for complete setup?
The dialyzers come with 2 caps not 4 anymore.
@joanjenkinss4257 😭 I know!!!! Oh how I miss 4 caps
I need to know the names of all the lines, etc and what they do. I wonder if there is a diagram. I also ordered a core curriculum for dialysis technicians
What do you do to not fall behind during changeover
Have your packs and everything you need for the next set of patients ready and close as possible, so on the counters or cart near. You can strip the machines when the patient is stable and make sure you have their closing information in. After walking them to scale (if their a walking pt) you can clean and set up your machine and while it’s priming clean the chair and when it’s finished marry those lines and hit that test button. I hope this helps!
Baby I cried several times I'm still in training and I be soo tired being on my, feet but things take time and I'm in week ⁵ but Jim catching on though and my preceptor is awesome 😅
I just got hired and starting in 2 weeks for training for 12 weeks
Ooo with Fresenius?
Yep!
Thank you so much for this video and was commenting because I just recently received my PCT certification and I am an LPN no prior experience and was told I am setting up the machine wrong due to machines presenting with air can you please give pointers on how to ensure I am setting up properly and any other tips you can offer. Thank you!!!
Once my machine test..I put on my transducers and hansens and turn up the BFR to 500 to get air out of the dialyzer. You will see bubbles in the venous chamber. I fill it up a little after it says AIR DETECTOR ALARM. Then I shake the dialyzer a lil and flip my dialyzer to red facing upward to let it fill and get more bubbles out. Then I try to let it run for a minimum of a minute or 2 before my patient comes(you can do longer if you have time). I make sure all air is gone before I hook my patient up! I hope this helps!
Only the third person primed per policy at a BFR of 150. As an educator I have no issue with the different ways people get the lines on the machine as long as they’re not contaminating them, but 150 is mandatory. Also the line below the drip chamber should always be in the clamp BEFORE you test the machine.
Thank you. 150 is mandatory depending on the company. I’ve worked with two and each company did something different. So I just go with which I feel is best.
Hey girl! Thanks a bunch for uploading this video. I wanted to ask which app you recommend to practice/study for the ccht exam. There are a couple different ones but they require money so I want to make sure I get the best one lol.
Heyyyy! No problem. I used the one that was 10.99 I think. Here is a short I did on the exact one Which app to use to study for your Hemodialysis Patient Care Technician National Exam?
czcams.com/users/shortsEEUbKZvFK00?feature=share
@@imeboni thank youuuu 🙏😁
I just started working as a tech. I’m on my third week and still confused. Too much too fast. My preceptor is a career vet and it very hard keeping up with her. I don’t want to seem slow because I’m older, but sometimes I feel so lost. I don’t like to keep asking questions because I don’t want to sound repetitive. I don’t think getting up at 3am is helping either. When I get there I feel like I’m sleep walking. 🤦🏽♀️
It’s normal to still be confused. You learning ALOT all at once. It’s ok if you are slower than others, although it seems like a race, it’s not so pace yourself. ASK QUESTIONS , ALOT OF QUESTIONS!!! You’re new to this world. I asked a lot questions, got in people nerves and didn’t care because someone’s life is in my hands!!
@@imeboni Thanks so much! I really needed to hear that😊
Always prime arterial line first before connecting to dialyzer.
Ok
Thank you!
Do you have a video on steps how to return blood and emptying the lines?
I do have one but I need to make sure I can post it because I aint tryna get fired!!!!!
@@imeboni I totally understand.
@@chantegreen6632 I will do a walk through video talking about it step by step.
Thank you for this video
🙏🏾no problem
Nice explanation dear😊
😉thank you
Thank you very helpful 👍
👋🏽glad it was helpful
Can you post a video calculating Uf goal in detail please?
Girrrlll I’m sorry for not responding so long but I didn’t want to give you wrong answer. I am working on a video about weight but most companies software that they use calculate it for you and if you try to go over the amt that will affect their heart it alerts you and you have to readjust the numbers. I’m gathering my info to make sure I tell yall the right information though.
I literally did this today…. I forgot to clamp the line and saline was all over the floor…. Very upsetting for me
Has happened to me a many times!!
I've been taught to string the arterial lines first, starting with the blood pump. Is there a reason she starts with the venous lines?
I was taught arterial first too but everyone eventually does what they feel is best and most comfortable for them.
I am a patient who will be doing HD for a little while. My only question is shouldn't they be wearing a mask or did they not since it was practice. Honest question because I like to know everything baha
Congratulations on going to HD. If you’re referring to this video, we wear a mask when patients are in the room. This video was made before any patients entered the room.
If I may ask…what helped you make the decision to do HD?
11/30/22 PLEASE ANSWER THIS QUESTION ==HOW FAST CAN THESE BE SET UP AND WHY TECH NOT TRYING TO WORKING FASTER BUT THEY REALLY GO VERY SLOW DOING IT
How fast can they be set up? It really depends on the tech..it takes me maybe 2 mins if that..but it does take lots of practice to get fast!
sylvia edwards , it takes a well trained dialysis therapist about a year to work fast . Like Eboni said it takes lots of hours and renal replacement therapy to get fast
I’m a medical assistant and just started dialysis technician program. I have been watching videos. Any advice would be helpful
Hey Michelle, Which company are you with?
I’m not with any company at the moment. I’m still in school and I work at a nursing home facility.
Are you paying for the dialysis technician program??
Yes I made in full at Tyler Junior College in Texas
If you apply to a dialysis company they will train you. I would use school for nursing
👏👏💜
I just need to see what I need to clamp and unclamp this is my issue in clinicals 😅
I got you! 😉
My schedule has been crazy and I cannot record videos on the floor with patients BUT the clamp and unclamp video is now posted czcams.com/video/6Lv3fv5AK-g/video.html
Thanks for this video . It has helped me a lot ! Anyways you’re peng .
What is peng?
@@imeboni I mean you’re attractive 🥰! Are you open for friendship
@@martinablorde7701 oh ok. Thanks but not at this time.
I can’t believe she filled the venous line first , I must do the arterial first .
Lol yea..I do the arterial first too..everyone does things differently!
Hi
I completed my registered medical assistant in 2019. I worked for 4 months.
I would like to be a PCT dialysis.
I need information about training and classes,
interview require
what certificate exam should take?
Thanks
Hi 👋🏽, Training is 3months long, im with Fresenius and they train you, you don’t need to take any extra classes outside of work, you won’t need to take a certification exam until after training and they provide you with those details. I advise working with a dialysis company like Fresenius, Davita, US renal, etc first before taking any certification because the exam is scenario based. My interviews were not super formal because I knew the people. But even with that my very first interview they gave me a mini tour of the clinic and then we spoke about what the hours were. Its only 40hours a week until after training. You take a company test at the end of training. If you pass it your journey truly begins..if you fail it, take it again if you want.
@@imeboni
Thank you so much for information.
@@imeboni
Hi
Thank you so much for great video.
My question where should I take PCT certification exam.
How many questions and hours in exam?
No problem
🤔 let me get back with you..I don’t wanna give you the wrong information.
When is the best time to put the Heparin?
It should be pushed immediately after the patient has been cannulated....does that always happen..nope......but just know I am not an RN and in GA techs are not allowed to push the heparin.
@@imeboni o yeah I just didn't remember that you're not RN sorry
No problem.. I mean I can answer some questions because I see and work hand in hand with them.
@@imeboni hi I used to work in fmc float pool in Atl for a couple of yrs. Your hard work is definitely acknowledged here
@@shawnawilliams4070 heyyyy 👋🏽, thank you! What kind if work do you do now?
Demonstrate changing transducer when they get wet
I will try my best to do this. It is difficult because I do not record with patients. But I got you!
Ok no explaner video
Just a demonstration without explanation
Working on it thanks for letting me know what you wanna see 😉
Machine day was yesterday and today…very atressed
Aww I’m sorry. It’s rough in the beginning but it does get better!!!
How ro contact u?🙏🙏
Hey Thessally Jos, you can contact me via email at dialysisdiamonds@gmail.com
There’s really no step by step instructions
Are you asking a question or commenting about the process of setting up a machine.
For DaVita, there's actually a step by step policy on how to set up a machine but yeah as long as its set up it doesnt really matter, unless there's an inspection