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CalicoKitty BSN, RN

Med-Surg, Geriatrics, Wound Care

Three cats in the yard. Life used to be so hard...

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CalicoKitty has 9 years experience as a BSN, RN and specializes in Med-Surg, Geriatrics, Wound Care.

Years of  acute medical-surgical, geriatrics and wound care.

CalicoKitty's Latest Activity

  1. CalicoKitty

    What is up with the level of entitlement?

    I've had plenty of older/experienced nurses complain about "unfair" assignments ("I had xyz patient LAST WEEK already").... Others complain about "punishing competence" (which is probably more realistic, where the sicker patients go to the nurses that will actually do their job well. People don't like to work hard overall.
  2. CalicoKitty

    New ER Nurse

    ER is not med-surg. The ER is there to treat the sick, and many of your patients will be sick. Prioritization is important and quickness. And getting labs and IVs. Yes there may be techs, but IV/labs are more important than waiting to find someone that is available to do it. Sepsis workup and quick antibiotics. Cardiac workup and timely labs. Stroke workup. Etc. Your patient that is screaming in pain from a stab wound not the priority (people don't die from pain). Will also depend on how your ER works and what their "focus" is. They may prioritize things like getting discharges out and patients to the floor. Some may do teamwork (like if you see anyone with the discharge, anyone can send them home with the paperwork). Priorities are no longer getting your "med pass" done, the ER doesn't stock all the floor meds. Boarding patients will be annoying. Basic priorities. You now gotta do what you can to keep your patient alive.
  3. CalicoKitty

    Looking for advice

    I would see how much of the bridge you can do that will take out some of the "prerequisites" that may be required for the MSN/NP Program. I know for my bachelor's (2nd degree, and initial nursing degree), I needed to have my A&P/Microbiology "within 5 years". Also other stuff like nutrition, etc. Not sure what the reqs for NP school are, but those would help me make some choices. Plus see how much your job will help support.
  4. CalicoKitty

    What do you work in the float pool?

    I enjoyed float pool for many years. It gave me a chance to see a more diverse patient population (rather than just medical or just surgical), get it all. I felt like I became more competent because I could see all the things. You can become a resource to newer nurses seeing things for the first time. Plus, I enjoyed NOT dealing with the "politics" of any specific unit. Plus more money. Plus work when You want to work, not when They schedule you. 😄 Cons? No set locker.
  5. CalicoKitty

    How much experience does your manager/assistant manager have?

    Floor nursing and managing are very different beasts. I would hate being the boss. I always figure "middle management" (ie unit directors) "get it" from both ends. The higher ups expect more from less, their reports want more support and less criticism. Really takes special people for that job. The nursing experience is obviously important, but 1-2 years to become "competent". Enough to know how to recognize a sick patient, when to get help, and how to get it. The rest of it is meetings, scheduling, budgeting, rounds.. rounds.. rounds.. Incredibly painful.
  6. CalicoKitty

    Pay as RN in Virginia (Inova...)

    They did just give a $5 increase to nurses and I think 2 or 3 to techs. But, I'm not sure what the rate of pay is, but 27+5=32 so perhaps that's the new new grad rate. I think overall the area pay is a bit low considering cost of living.
  7. CalicoKitty

    Reluctant Heroes: Thoughts On COVID-19

    I've seen some posts about the "Person of the Year" on Time magazine, saying "Fixed it" putting a healthcare worker on the front. I know it is probably not true, but I can't think of the 2016 POTY could have done a lot more, so perhaps we would not be the "Fixed it" photo. But, yeah, I have gotten occasional "claps" and "thank-you" from random strangers. I don't want it. (Though the free food in April was kinda nice).
  8. CalicoKitty

    Now that I've gotten it....

    One of my coworkers earlier on was infected. She was in her 30s I think. She got pretty sick and even went to the emergency room because she felt she couldn't breathe. Was not admitted. But she was pretty sick for about a week with significant cough and cold-like symptoms. My husband has sleep apnea. So he's gotten a few cpaps over the years. Early on, I ordered a mask for myself just in case I got sick and had some respiratory symptoms I would borrow one of his old ones. (Really didn't want to go into a hospital since cpaps would not be used, it was high-flow nasal canula or the tube).
  9. CalicoKitty

    Now that I've gotten it....

    So, last month, I was exposed to COVID. (Found out about exposure a few days later). Became symptomatic and shared the love with my husband. Thankfully the two of us had very mild cases. Mild headache. Mild nasal congestion. No fever. No cough. LOTS of lethargy. And I lost my sense of smell.... I know it's weird, but I feel relieved. I mean, stressing over this illness - being nurses we see some of the most horrible cases... It's been like "am I going to bring it home today"... for 8 months..... That is a lot of stress. And now I almost have a 'survivor's guilt'. So, the vaccine will be available shortly. But, I believe the recommendations are to wait 3 months after infection... But I love vaccines. I want to get them all! More immunity! Sorry.. Just feeling silly.. But, really, my work approach is different. I now see the PPE more to protect my other patients rather than protect me. And some part of me is like "why am I wearing a mask, now"... I don't want to be dismissive of people that have gotten sick. We've all seen those bad cases, and maybe have personal experience with some of the really bad symptoms. I watched one of mine rolled out when I was walking into a unit... But, anyone else feel some sort of relief now that it's "over" for yourself personally?
  10. CalicoKitty

    Wound care

    Stage 1 and 2 pressure injuries can reverse pretty quickly. A lot depends on moisture and repositioning. Zinc skin barriers/creams can be good if they are wet. If they are bony, adding a foam dressing can help (not if they are always wet and the dressing gets soaked). And always repositioning and offloading. Make sure when you turn them, you're not sticking the pillow under their butt since that's keeping the pressure there.. Put wedges/pillows under thighs and lower back to give their bottom some 'breathing room'. Change their position. get them out of bed for meals (if possible). Toilet the and get them back into bed! 2 meals a day, that can keep them dry and reposition pretty well. People eat more when sitting up, so an extra ounce of preventative nutrition!
  11. CalicoKitty

    JUST finished school

    MN - "Midnights" overnight shift.. usually 7p-7a or 11p-7a usually.
  12. CalicoKitty

    JUST finished school

    I was a weird one. I found nights to be my favorite time. I actually worked night shifts for about 7 years.. until 3 months ago when I did a career change to a "day job" in an area of interest. Nights may give you more time to spend with your patient and to learn about their disease process, read notes, etc. Daytime always felt like meals and insulin and trying to get all the charting done. Nights have fewer med passes, and as some patients may sleep at night, others can get some of your time when you're not rushing around with your head chopped off. And almost always had a nice amount of time for lunch by 2am. 😄
  13. CalicoKitty

    JUST finished school

    I took my NCLEX the same month I graduated. Our program included completion of HESIs that covered all of the course information. I figured it was best to take the test while everything was fresh in my mind. I do test well and did well on all the HESIs, though. I found one of our books that discussed prioritization and delegation to be really helpful since it was more conceptual to help with "harder" questions.
  14. CalicoKitty

    PLEASE! Save my life! (PCC Experts PLEASE)

    Perhaps every foley/indwelling catheter should include a "Foley plan of care", and you can search by the plan of care?
  15. I think that since it involved a deterioration of medical condition, it should be a physician call.
  16. CalicoKitty

    A New Superhero

    I remember mourning the birth of my youngest brother. I wanted a sister. I cried all day. Don't think there were ultrasounds or prenatal care. Not sure. And he was born at home... in the 70s. My mom is a hippy.