Guttercat ASN, RN

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  1. Guttercat

    Dialysis Nurse Survey-MSN Capstone

    Done.
  2. ...said a friend of mine in a recent email. She's never even been in direct patient care. She was just hired into a large LTC/Rehab/Sub-Acute facility. Perhaps I'm beating a dead horse, but I post...
  3. Guttercat

    Why more men are needed

    My opinion is that any profession thought to be a "feminine profession," and therefore worth less societal respect is the root of the problem. The fact that anyone suggests 'the more men in the...
  4. Guttercat

    On-Call Duties in Acute HD

    Absolutely. We were fortunate in that anything after our regular hours for the day was time and a half. One could make a lot of money, but I preferred to go in feeling fresh and ready, rather than...
  5. Guttercat

    On-Call Duties in Acute HD

    The other staff were hesitant to be on call on off days, but it worked for me. It was worth it, as it was nice to be able to leave at a designated hour and know that I didn't have to sleep with one...
  6. Guttercat

    You think the "Nursing Glut" is bad now?

    Yup. Supply and demand. I was just offered a postiion at 18% LESS than my last position (same area, same specialty/position/duties). Ain't backwards mobility grand?
  7. Guttercat

    On-Call Duties in Acute HD

    Call is really tough to "schedule," and requirements vary from facility to facility. I think it's the mid-sized programs that have the toughest time. Either it's feast or famine. Not steady enough...
  8. I'd be happy to write those papers and discussion board responses. I could cite The Onion, and
  9. Guttercat

    YOU CAN'T BE SERIOUS

    Oy. I'd ask them to round up. If they provide results by "point such and such" (as in 92.67%), yet only give an overall grade in whole number percentages, then it follows suit that they should follow...
  10. "Sort of bail and give the blood back?" Yeesh. A thinking hemo nurse has at least a rudimentary understanding of the various vasoactive drips, and how to best plan the dialysis treatment around them...
  11. ...and as an RN of 20 years (I graduated young), I can say my eyes were opened, even if only a little. Here are some rudimentary observations, because I am still soaking it all in: 1.) When the poo...
  12. Guttercat

    It just has to be said (vent)...

    GREAT post. Once in while, all the stars
  13. Guttercat

    How to cannulate without pain?

    Excellent advisement. Three-finger, if done well, works great. I also retract the skin in opposite directions (simultaneously). Retract skin proximally and distally at the same time, and also make...
  14. Guttercat

    Switching Roles?

    If it is a financially lateral move, then at face value it would seem like a no-brainer. However, if you are the only dog in the game, does that mean you are on call 24/7? If a patient has an issue...
  15. Guttercat

    why so many negatives about nursing?

    I worked ED and loved it, too. I think the culture in a lot of ED's is very different than floor nursing or critical care. I've done all of the above. ED was my favorite (aside from inpatient acute...
  16. Guttercat

    why so many negatives about nursing?

    The medical field is part of who I am. I cannot get away from it. Do I "love" nursing?" Sometimes. Sometimes I'm high as a kite. And sometimes I hate it (for many of the same reasons others have...
  17. Guttercat

    Worst Medication Error of my life

    You poor thing. It's a horrible feeling. I am glad the patient is OK, and now, take of
  18. Guttercat

    Unit Secret Santa- I got my boss! Help?

    You people are all amateurs. Get her a
  19. Uh huh. As an acute nurse it can make us a little cranky.
  20. Cherry picking season is kind of "holiday" around these parts. Everyone looks forward to the first day of harvest. I had a patient that couldn't (wouldn't) resist. He'd buy a bag of cherries, eat it,...
  21. Diabetes + diabetic vasculopathy + cardiac insufficiency + fluid overload = recipe for mucho problemos. Good luck!
  22. Guttercat

    Switching Roles?

    If you've been a unit manager for a few years, I have an inkling of the burnout (lifesucking24/7job) involved in that postion. I've not been involved with HH programs, so I cannot give any...
  23. First, it might help to think about varying types of reactions in general, and then focus on what factors influence the rates of those reactions. Think about entropy, enthalpy, energy change, what it...
  24. Guttercat

    Ever had your coffee confiscated?

    At my old unit, we had our coffee/drinks on a cart in the hallway outside of the RN station, and next to the staff lounge. It worked.
  25. Oh dear lord. No. Unless this is a well-backed inpatient program, meaning there are plenty of people to call for help day or night, or you are working alongside other Acutes nurses while you are...