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

    Is hospital nursing an unbearably dirty job?

    Katillac replied to lisaniles's topic in General Nursing

    Yes. Hospital nursing is unbearably dirty and everyone loses their appetites. That's why we are all stick thin. Seriously, think about it. You were a CNA, is there a vast amount of "dirty" stuff that...
  2. Katillac

    Improve the care I give.

    Katillac replied to puckrj's topic in General Nursing

    Welcome to nursing in the new age, where providing customer service nobody complains about is the management expectation, and the feelings of entitlement of patients and families are off the charts....
  3. Katillac

    Only one nurse scheduled overnight - What is your facilty backup plan?

    Katillac replied to pjsmom's topic in General Nursing

    I'll go you one better. Our facility has only one nurse on and if a nurse calls in on evenings, nights or weekends the nurse on duty must find a replacement for the one calling off or pull a double....
  4. Katillac

    Bait and Switch?

    Katillac replied to Natkat's topic in Case Management

    I'm glad to hear you are leaning toward not taking the home health job. With your judgmental attitude toward people whose standards of living are not up to yours and your pessimism toward people...
  5. Katillac

    Bait and Switch?

    Katillac replied to Natkat's topic in Case Management

    Hi, Natkat I don't think this is exactly bait and switch; in that home health nurses manage a caseload of patients, they are in fact case managers. Hospice nurses are often referred to in the same...
  6. Katillac

    Nursing Ethics Question!

    Katillac replied to Nugget's topic in Psychiatric

    As a nursing educator, would you care to state an actual logical rationale for your determination this is unethical? Or is the extent of your response to call people expressing an opinion other than...
  7. Katillac

    What would you do?

    Katillac replied to BerryhappyRN's topic in Hospice, Palliative

    Two things jump out at me from your post: I would need to decide how important it was to me to avoid the appearance of taking a step backwards. Because yes, there are circles, especially of...
  8. Katillac

    Aspiration drama!

    Katillac replied to anashenwrath's topic in Hospice, Palliative

    There's a lot you can do here, mostly with supporting the staff around the informed decision of the resident's decision maker to engage in unsafe behavior with her. When I had a nearly identical case...
  9. Katillac

    Question about policy/procedure

    Katillac replied to Curious1alwys's topic in Ambulatory Care, Clinic

    You aren't responsible for making your setting a safe place to work. You are responsible for practicing safely within your scope of practice. Look at it this way: If somebody codes and you try to...
  10. Katillac

    Requiring paperwork after I left

    Katillac replied to ErnBlz's topic in Home Health

    It's a violation of federal labor law for you to work and not get paid. Anything you do that is to your employers' benefit or could be expected to benefit must be compensated. If you've been...
  11. Katillac

    My Burnout Story

    Katillac replied to jk2185's topic in Health, Stress Management

    Sorry - OP = original
  12. Katillac

    My Burnout Story

    Katillac replied to jk2185's topic in Health, Stress Management

    Wow, what a lightbulb moment. Thank you SO much for this comment. Thinking about it, the term compassion fatigue is no less inadequate or blaming - "She got tired of caring." I posted elsewhere...
  13. Katillac

    Considering Hospice Nursing

    Katillac replied to Jerry 75's topic in Hospice, Palliative

    I'm not sure about the job you're considering, but in our hospice triage is part of the on call role, and it means taking calls after hours and on weekends and developing an appropriate response,...
  14. Katillac

    I have a real problem with ancillary staff and am at my wits end. I need help.

    Katillac replied to dec2007's topic in General Nursing

    I love the strategy of saying, "I asked you to X which is part of your job. It's not done. Are you refusing to do it?" I also like the idea of saying, "Excuse me, Dr. Wonderful, but I need to ask...
  15. Katillac

    Burnout: What Am I Missing?

    Katillac replied to Katillac's topic in Health, Stress Management

    I understand that health care systems typically do nothing about burnout and agree it's dangerous. That's my point; other dangerous conditions get corrected if only because it costs the place money...
  16. Katillac

    Burnout: What Am I Missing?

    Katillac posted a topic in Health, Stress Management

    I find it so interesting that in all of the materials on burnout and its cousin compassion fatigue, the emphasis is always on what the nurse should or could do about it. The articles talk about...
  17. Katillac

    Hoyer Lift Issue

    Katillac replied to HomeHealthLPN's topic in Home Health

    Sooo. . . I'm going to weigh in from the context of my background as a former legal nurse consultant: your biggest risk exposure is to the courts, not the BON. If your patient is a competent decision...
  18. Katillac

    Lied to in Interview

    Katillac replied to westieluv's topic in General Nursing

    So glad the OP decided to terminate employment. As so many noted, this was a disaster from day one. Yes, many nurses are people pleasers. And instead of celebrating the nurturing and compassion,...
  19. Katillac

    Failed state survey, RN license at risk?

    Katillac replied to elimayrn's topic in Hospice, Palliative

    I've been amazed at what the state does and doesn't ding a hospice for. If a lot of the deficits were regarding HHAs, it's often about HHA POCs not corresponding to the frequency and specific care...
  20. Katillac

    Failed state survey, RN license at risk?

    Katillac replied to elimayrn's topic in Hospice, Palliative

    You don't give any clue why your survey went so bad, so it's hard to say. Did you all knowingly participate in something illegal immoral unethical fraudulent etc.? If so maybe license censure is...
  21. Katillac

    Off duty RN scope of practice on an airplane.

    Katillac replied to creativekari's topic in General Nursing

    Former Legal Nurse Consultant here, and here's my analysis: Good Samaritan laws won't protect you from having someone prevail against you in a suit if you do something you aren't competent and/or...
  22. Katillac

    Hospice On Call Compensation Structure

    Katillac posted a topic in Hospice, Palliative

    I am a hospice and palliative care nurse who takes scheduled call quite a bit (every other weekend, and every Monday night). I'm curious about how on call pay is structured in other organizations....
  23. Katillac

    Oxycodone vs. Morphine

    Katillac posted a topic in Pain Management

    I work in a residential hospice and am comfortable with opioid dosing and most equianalgesic conversions. Lately, I am seeing more oxycodone/Oxycontin prescribed as opposed to when I started with...
  24. Katillac

    Best Nursing Quotes

    Katillac replied to Joe V's topic in General Nursing

    "We the unwilling led by the unknowing have done so much for the ungrateful for so long with so little that we are now expected to do anything with nothing."
  25. Katillac

    RN's as Health Coach?

    Katillac replied to jcm1015's topic in General Nursing

    Actually, this role does have viability. As more organizations, especially insurance companies, are using metrics to drive claims risk management there is more evidence that intervention in the form...