Guttercat ASN, RN

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  1. Vet! Large
  2. Guttercat

    Don't know what to do???

    If you want to be a doctor, skip the nursing and focus on a pre-med degree for your undergrad. Getting an RN degree first would be like getting a degree in speech pathology in order to become a family...
  3. Guttercat

    Can I lose my license???

    Glad it wan't
  4. Guttercat

    Solutions for Acutes?

    In my experience, many times the nephrologists on call defer to the ER doc's recommendation-- especially if they'e been awakened at
  5. Guttercat

    Levophed and the CVP

    Like.
  6. Guttercat

    Solutions for Acutes?

    Acutes is the best gig going, in theory. I love it...when it works as it should. The nephrologists (and the degree of accountability they are held to) can make or break a large(er) program. Especially...
  7. Guttercat

    why do nurses hate medics?

    In my ER stint, I valued the EMT's/Paramedics highly. I heavily relied on them. Damn if those folks couldn't run circles around me in certain situations. Way underpaid, in my
  8. My gripe exactly. I like what technology has to offer in theory, but with the advent of computerized, well...everything, I find that am increasingly treating a computer, not the patient. The art...
  9. I have a Pit Bull and a .357. I knew we were soul
  10. ^^^This, this, and this ^^^^ Especially
  11. Guttercat

    MD-RN Relations -- There is Hope

    I was walking down the hall today behind a couple of MD's that didn't know I was there. They were griping about the nurses.
  12. Guttercat

    can you be floated while your on orientation?

    Welcome to nursing! I see nothing has changed. My first job out of college was in a sizable ICU (Cardiac/thoracic and MICU combo). They gave me--a new grad-- exactly two and one half weeks with a...
  13. Guttercat

    Joint commission and their ridiculous mandates

    OK there. Whoa up. There is a difference between "back charting" and outright falsifying. We all know that it is humanly impossible to chart everything, every day in real time. For back charting we...
  14. I posted about this topic from ANA some time ago. When you walk into a hospital and find that the majority of RN's are under thirty and have six or less years of experience, this is not an accident,...
  15. Last week I was extremely fatigued due to lack of sleep, consecutive assignments of "challenging" (to be diplomatic) patients, and crazy variable hours over four days in two cities. By day number four...
  16. Guttercat

    Joint commission and their ridiculous mandates

    I've always been amazed at JCAHO. They come in every year, find something (usually paperwork and paperwork-related processes) that they hate, and tell us how to fix it or else. We fix it, even rewrite...
  17. Guttercat

    Stipend restrictions

    Thanks so much. I will check into that site, and thanks for being such an invaluable resource in these parts.
  18. Guttercat

    Stipend restrictions

    Ned, Here's a related question: It is necessary for me to travel home for a couple of days each week in between work stretches (my shifts are consecutive). The facility I am working at is...
  19. Guttercat

    any career changers?

    What about those of us that started nursing early (been at this gig for 21 years), but now wish we had gone a different direction? I always wanted to be a DVM--large animal practice, to be exact. A...
  20. Guttercat

    CMA externship in renal/urology

    Consider it a bonus of sorts. You will be exposed to a multitude of disease processes, and to a lot of very challenging patients in terms of comorbidities. As far as what an MA does in these...
  21. Guttercat

    How do you staff your Fresenius?

    It's become a fascinating industry to observe from the business perspective. Once it was noted that there was $$ to be made (guaranteed ROI), dialysis became the realm of some really, really savvy...
  22. And the conditions at another hospital a few miles over are going to be better? Unlikely, due to the massive amount of consolidation we're seeing across the nation. Hospital A is now owned by Hospital...
  23. Guttercat

    How do you staff your Fresenius?

    How is one supposed to take a section of patients, simultaneously manage another section, and still oversee the goings on of the unit/techs and all that that entails as Westie described? Do they have...
  24. Guttercat

    Thank you

    Yuppers take care of you! Speedy recovery, darlin'. Really glad you have some great RN's that are in sync with understanding what it means to be in the unique position as caregivers needing support...
  25. Guttercat

    Please read! I desperately need advice!

    Med errors are nothing to sneeze at. It's a big deal. But you've been an RN on this same unit for twenty years and not had any issues until recently? If you have had a great working career up until...