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. No. If they ask you to take an assignment in a unit you're not trained for (ICU, peds, L&D) and you refuse and they fire you, you can likely collect UI. In that case they would be firing you without appropriate cause. If you refuse to take a bed...
  2. https://wehavins.com/nv-nurses-legal-handbook/chapter-6-nursing-responsibility-and-the-law/ This citation concerns Nevada, but the laws are similar in many states. Nurses face serious potential consequences both legally and to their licenses for bad ...
  3. Katillac

    How to deal with Nosy Co-Workers?

    Here are my two favorite ways of responding in these situations, when someone doesn't get polite hints that I am not sharing personal information. 1) When asked something you don't want to get into, get a super quizzical look on your face and say, "H...
  4. Katillac

    Homemade masks

    For those who may be wondering, home made masks (which should really be called just face coverings) are primarily meant to stop virus-carrying large droplets from being spewed from the mouth of the wearer and being transported to the mouth or nose of...
  5. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    This is truly reprehensible. Corporations have masks in supply, so they are reporting no shortages. Yet they are refusing to use them supported by poorly defined contingency level guidance from the CDC. The CDC in turn bows to the White House and sup...
  6. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    Included in the people talking about nurses' social contract and their duty to care is the Oregon State Board of Nursing. If the BON suggests a social contract is binding on nurses so should the facilities' part be in that same social contract - to ...
  7. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    Thank you so much for this! I looked into it, and by God Oregon actually has a plan ! The following is from Oregon Crisis Care Guidance: "The professional “duty to serve” must be balanced with the ethical principle of reciprocity, as healthcare worke...
  8. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    Does anyone have a credible reference to support that any state's BON would take action against a nurse who refused to work because of lack of appropriate PPE? I don't mean they might, or they could, or my cousin said her co-worker. I mean a source f...
  9. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    Good heavens. Here I was thinking the inadequate PPE was because these places couldn't get masks etc. because of shortages, not because they were too stingy. I'm so naive.
  10. Katillac

    Acute COVID, What We're Seeing

    ICU One Pager:
  11. Katillac

    What happens if you quit?

    I did a search in the PDFs of the nurse practice regulations for PA, and didn't find the word mandate, disaster or crisis. They are the folks who would censure your license. PA Act 102 specifies that you can be mandated to work overtime (including co...
  12. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    The CDC is saying - responsibly, I think - that in the absence of an approved mask a scarf, a bandana or (by inference) a home made mask is better than nothing. The Deaconess post makes it seems there are CDC approved designs. Not so. There's a char...
  13. Katillac

    Refusing Care of a COVID-19 Patient Due to Inappropriate PPE

    I couldn't agree more. Being treated as a necessary but inconvenient cost burden hardly inspires selflessness and sacrifice. That makes, in my eyes, those who choose to stay and take the informed risk all the more heroic (casting no shade on those wh...
  14. Katillac

    Homemade masks

    I think you should try several different designs if you have material and skills! The critical piece that home made masks won't have is a special filter that's heat spun? heat formed? (can't remember the term). I think a piece of furnace filter is a ...
  15. Katillac

    What happens if you quit?

    Allowed to quit? Do you mean can you be forced to stay? In my state there is nothing in the Nurse Practice Act that would allow the BON to censure a nurse for quitting during a pandemic. Technically, the lack of PPE would not prevent the BON from cen...
  16. This is from an ad for a dialysis nurse in Syracuse, New York. The pay range quoted is $17 to $31, far from competitive in the market. I mean, maybe given no access to narcotics they will work with someone who has a conditional license, or on monitor...
  17. I think most good nurses have times when they say to a colleague, "Got a sec to walk this through with me? This just happened, so what I think I should do is this, and then this. Am I missing something?" But that's very different from asking the same...
  18. Katillac

    Coronavirus (COVID-19): We Want to Hear from You

    You're kidding, right? Hospitals don't have a "bank of temp nurses" even now, when they aren't Covid-19 affected. Nor do most devote enough resources to provide safe staffing. The money it would cost to quickly recruit, train, and keep on stand-by th...
  19. Katillac

    I feel unsafe and unsupported

    Possible that HR or corp ignores it, of course. That happens sometimes, especially in smaller companies. But if the employee then complains to the EEOC (federal) and they investigate and find the complaint founded, the company can get pounded with bi...
  20. Katillac

    I feel unsafe and unsupported

    This is a terrible situation to be in. Classic blaming the victim for the perpetrator's behavior. My heart goes out to you. Best of luck as you move through it. This isn't just harassment, it's assault, defined as intent and action causing apprehensi...
  21. Katillac

    Well, At Least They Tell You Up Front

    Yup! And when you think about it, dialysis nurses in an acute setting are typically sole practitioners in that there's nobody else immediately available that knows the specialty. So if something goes Dixie, you're it. As a future potential services c...
  22. Katillac

    Coronavirus (COVID-19): We Want to Hear from You

    Lube will not be helpful in getting a handle on most things. Makes it harder. ?
  23. Katillac

    How to give a 2 week notice

    Of course they would like to have more notice and in fact would probably prefer you not leave at all. But a resignation letter isn't asking for permission to leave, it's informing your employer you are no longer available for work as of two weeks fro...
  24. Katillac

    Which job is better?

    I'd take the caseload of 10. The other situation sounds really ripe for the list of "other duties as assigned" to grow by the week, and you have no idea how effective as team members the LPNs are. Additionally, with a staff of 13 RNs there's more roo...