Katillac RN

That's not a pic of me. That's Nurse Ratched from One Flew Over The Cuckoos Nest for you young pups.

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All Content by Katillac

  1. Katillac

    Where Are You Licensed?

    Katillac posted a topic in Telephone Triage

    If you work from home or in a call center and handle calls from more than one state, where do you have to be licensed? Are you considered to be practicing where you are or where your patient/callers...
  2. Katillac

    Revocation of hospice service?

    Katillac replied to mschelee's topic in Hospice, Palliative

    Good for you guys for sticking to your ethical guns in the face of management insanity. Another case of going way too far to CYA. Try these as rationales in response: 1) If you as hospice nurses go...
  3. Katillac

    How to present a bad (first) work experience to a potential employer?

    Katillac replied to cincin1's topic in General Nursing

    What HR is legally allowed to do and what colleagues who know each other informally do are two different things. Health care is a small world. So, in your interview when asked about your experience,...
  4. Katillac

    Question HR asked when apply for hospital....

    Katillac replied to Answermyquestionpls's topic in General Nursing

    My experience is that recruiters aren't exactly useless, but you need to think of it from their perspective. They want a candidate that is going to be a good fit, and if you apply for three very...
  5. Katillac

    LNCs in Risk Management

    Katillac posted a topic in Legal

    I just wanted to post about an opportunity available for LNCs that I haven't seen mentioned a lot. I work in risk management as a claims investigator for the organization that administers the...
  6. Katillac

    Home Care After Stoma Reversal

    Katillac posted a topic in Wound, Ostomy, Continence

    I'm a private duty nurse who will be caring for my patient before and after her stoma reversal (surgeon hopes to do it laparascopically), and I'd like to get a sense of what her postop course might...
  7. Katillac

    Home Care After Stoma Reversal

    Katillac replied to Katillac's topic in Wound, Ostomy, Continence

    Thank you so much for a quick, comprehensive
  8. Katillac

    "How much time do they have left?" How do you respond?

    Katillac replied to RachelRN25's topic in Hospice, Palliative

    When asked, I tended to educate, to point toward certain things I was seeing that made me think the process was moving along, and educate as to indicators they might see in the future, but ALWAYS with...
  9. Katillac

    Nurse Paralegal Jobs Available: Temporary, in NYC

    Katillac posted a topic in Legal

    if anyone is interested, here are a few temporary nyc jobs i was sent from careerbuilders: job snapshot location: new york, ny 10017 ( map it ) other pay: competitive hourly rate employee type:...
  10. Katillac

    Viral Loads and CD4/CD8 Interpretation

    Katillac replied to Katillac's topic in Infectious Disease

    Thanks, Debra, I emailed
  11. Katillac

    Viral Loads and CD4/CD8 Interpretation

    Katillac posted a topic in Infectious Disease

    Can anyone help me interpret some labs? HIV VIRAL LOAD 6741 H COPIES HIV-1 RNA COPIES LOG 3.83 H LOG COPIES/ML CD4/CD8 PANEL Helper Cell %: 15 CD4 ABSOLUTE CELLS 387 CD8 ABSOLUTE CELLS 1572...
  12. Katillac

    LNCs in Risk Management

    Katillac replied to Katillac's topic in Legal

    Best of luck, Bluehair! I was surprised that just yesterday I got a call from a recruiter for yet another nurse investigator position. For those of you that are interested in this sort of position, I...
  13. Katillac

    LNCs in Risk Management

    Katillac replied to Katillac's topic in Legal

    No, perhaps I just lucked out, but I had no experience. I was given a straightforward case to review during the interview, after which I was asked to write a summary, identifying pertinent issues I...
  14. Katillac

    New At This, Have Questions

    Katillac replied to Katillac's topic in Private Duty

    Thanks so much for the things to consider when considering a private pay case! I really appreciate all the input. Now, anyone know about the question of getting orders and how that should be handled?...
  15. Katillac

    New At This, Have Questions

    Katillac posted a topic in Private Duty

    Hello, All. I'm considering taking a private duty case. Geriatric patient, no agency involved, paid privately (and well) by family. Please excuse my ignorance, but what are my obligations here in...
  16. Katillac

    Managing symptoms for a �good death�

    Katillac replied to NRSKarenRN's topic in Hospice, Palliative

    Thank you SO much for posting the link to this article, Leslie! For me, one of the more thought provoking pieces was, "It is therefore useful to keep in mind the distinction between death as process,...
  17. Katillac

    Jumping in as new Grad

    Katillac replied to nhelkhound's topic in Hospice, Palliative

    Actually, one only needs to have a six month prognosis in order to be eligible for hospice services from the Medicare perspective. Hospices often put conditions on admitting that include no chemo, no...
  18. Katillac

    Managing symptoms for a �good death�

    Katillac replied to NRSKarenRN's topic in Hospice, Palliative

    OK, one last try and I'm done with this. From your first post, you've maintained that the ultimate goal of hospice is to see that people die consciously. "Good symptom control in dying process is...
  19. Katillac

    Managing symptoms for a �good death�

    Katillac replied to NRSKarenRN's topic in Hospice, Palliative

    Nope, you guessed wrong. It's focus is case and symptom management, involving multiple disciplines and approaches. You don't by chance happen to recognize that your focus on the spiritual is as...
  20. Katillac

    Managing symptoms for a �good death�

    Katillac replied to NRSKarenRN's topic in Hospice, Palliative

    My goodness. I would never presume to decide for my patients what the "real goal" (to use your phrase) of hospice care is; neither symptom relief nor a conscious death are universal goals of the...
  21. Katillac

    What are hospice LPN's NOT allowed to do?

    Katillac replied to RN4hospice's topic in Hospice, Palliative

    In our hospice, LPNs can do much of what the RNs do. What they can't do is the case management piece, which means they can't do the initial or the mandatory every two week assessment, nor can they...
  22. Katillac

    use of Cadd pumps in pain management

    Katillac replied to jwelhwel's topic in Hospice, Palliative

    As the CHPN curriculum suggests, we tend to use the gut if it's working, either PO or PR. I've actually had good results in a pinch filling gel caps with Roxanol and giving it rectally, as much as...
  23. Katillac

    Problems with LPN... just need to vent.

    Katillac replied to NurseCard's topic in General Nursing

    I agree with several of the posters here in terms of the most effective approach to this person. Use his military background to your advantage, however be aware that he probably isn't going to like...
  24. Katillac

    vital signs

    Katillac replied to hcan's topic in Hospice, Palliative

    As a nurse who does a LOT of on call, I can say that it is rare that I do a B/P. I use as the guideline before any piece of assessment, "What am I going to do with the data?" and for the most part a...
  25. Katillac

    Hospice certification exam

    Katillac replied to hcan's topic in Hospice, Palliative

    I know that learning the conversions is a monster. But when you want to get a med ordered for your patient, you have so much more credibility when you can quickly give the logic of what you're asking...