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

    At a crossroads

    Cutting someone off while they are giving report is unprofessional and rude. That's on them. For some reason, you're choosing to make it about you and be personally affronted and hurt by it. You "just...
  2. Katillac

    dealing with stress response

    I can't say whether this is a stress reaction, PTSD or something else. But here's the psych speak for what happened to you; those in authority over you repeatedly refused to allow you to set...
  3. Katillac

    Get to shadow a hospice nurse, advice?

    I hope others will weigh in here, because my strong and immediate response is to say if others' grief is too much to manage after half a shift, this is not the specialty for you. In ten years of...
  4. Katillac

    Advice for new hospice admissions RN

    Congratulations on your new job! Hospice needs good nurses and your insights show that you have every chance of becoming a great hospice admissions nurse. I love that this early in the game you...
  5. Katillac

    On Call: Vsit or Not?

    Wow, this part of allnurses has gotten quiet. There is no part of this scenario as presented that would have triggered an automatic visit from me. The patient called about a symptom. When you called...
  6. I feel horrible for everyone involved in this situation. LAKEVILLE, Minn. (FOX 9) - A family says their daughter suffered a traumatic brain injury and is now in a vegetative state after her school...
  7. My advice is to adjust your expectations. You seem to expect that schedulers, including this team leader, will be considerate, reasonable, fair and/or interested in your priorities. Some may be, but...
  8. Yep, for sure there's more we don't know than we do. All I've been able to glean from other stories is the student was 14 years old and the school has denied responsibility. It could have gone down so...
  9. Can some of you wise ones help me with the rationale for aides restricting their narrative notes mostly to documenting care plan tasks they've performed? I've come up with some dont's, but I'm stuck...
  10. Katillac

    Aide Documentation - Rationale?

    I'm not technically tasked with the role, but to protect myself and the organization I feel I need to, as this aide's supervisor at times, direct the aide away from inappropriate charting. I say...
  11. If you don't have a prescription for what they found, it's a failed test. It doesn't matter why. Some employers report to the BON, it doesn't appear to be consistent even by state. If you got notified...
  12. Katillac

    Aide Documentation - Rationale?

    Couldn't agree more, but it's not my
  13. Katillac

    Two Job Offers

    If you think the vitamin people are shady and unethical, it's a pretty good bet potential employers will wonder the same thing when they see it on your resume. With the competition for nursing jobs,...
  14. Katillac

    RN Visits

    Your state board isn't likely to weigh in on the standard of care for a hospice patient. It's Medicare that writes the standard, or the conditions of participation. Your agency does NOT meet the...
  15. Katillac

    Non compliance?

    I think I'm glad I wake up being me and not your colleague. I can't imagine how much stress he or she must be under thinking they are responsible for delivering outcomes over which they have zero...
  16. Katillac

    not getting the info I need

    Thanks! It comes from working with volunteers, AKA herding cats. When you have the responsibility but not necessarily the authority, you have to get creative. I'll bet when you try it you'll find out...
  17. Katillac

    not getting the info I need

    I love the idea of automating in the form of checklists as much as possible. Then you can have a matter of fact conversation with her that goes, "I took a look at the checklists, and X and X aren't...
  18. Katillac

    OSBN Complaint and new APS charge

    This page will give you a good idea of what license actions the OSBN takes and why. Specific examples are given going back a year. Whether it can be proved that the not given Vanco was related to the...
  19. Katillac

    Do I have to disclose mental illness

    This is about state boards, not schools. "As you know, the obligation of any state board of nursing is to protect the public by ensuring that those who are licensed are competent and safe...
  20. Katillac

    Job and moving advice please

    If I get this right, your biggest concern is whether to take the permanent job for six months once you're done with the residency, versus move then. I say take the position. First, you don't have an...
  21. Katillac

    CE boundaries with psychiatry patients

    Try Google: "CE professional boundaries in mental health nursing" returns this:...
  22. Katillac

    LVN On Call Hospice Fair Pay Rate

    I think you aren't getting answers because hospices are all over the place with what they pay on call nurses. Mostly it's a minimal stipend per hour or shift with a per visit rate, plus mileage. I'm...
  23. Katillac

    Ads For Health Coach Course

    Anyone else have the ads for the Health coach Course popping up all over allnurses splash page when you sign in? My curiosity got the better of me, and I checked them out. To begin with, they want you...
  24. Katillac

    S & M Nurses

    You made me spew perfectly good wine. Now the cat's scared and I'm STILL
  25. Katillac

    Weird Interview!?

    Yup, that's unsusual. Likely speaks to the culture of the unit. If that spirit resonates, you've hit the mother load! If you like things a little more formal, it might be something you'll need to...