Guttercat ASN, RN

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  1. Guttercat

    Burn out at Davita

    I've said it before, I'm not a huge fan of the Wal Mart-ization of the dialysis industry that has occured in the last twenty years. I liked the diversity we once saw: patients and staff (by voting...
  2. I agree it is kind of ambiguous language. One is not usually "convicted" (as in a crime) of a moving violation. My guess is they are fishing for people with a habit for carelessness (multiple moving...
  3. Guttercat

    Question about blood transfusions and H/H

    My intial thoughts (based on the very limited info you provide here) is that they have run every antibody/immunologic test known to mankind. Interesting case. Any other info you can
  4. Guttercat

    MIddle Aged and Burned Out...Any Suggestions?

    Westie, As a fellow Acutes RN, I get it. I will tell you... I've been out of Acute HD for a year (in school full time) and I miss it. I really do. That said, HD (as my favorite nephrologist once...
  5. I enjoyed nursing school, too. I was finally learning the application of all that A/P and micro I learned. I found the medically-oriented, problem solving aspect to be the most rewarding. But-- much...
  6. The only comments I have is that given your health history, I admire your chutzpah. You are obviously by no means a dummy, and you show fortitude in the face of much adversity. And, 28 is quite...
  7. As far as time commitments, it is not always the subject matter, it is the professor and the class format/syllabus. One thing I will say, comparitive religion studies (while very cool) are...
  8. Guttercat

    what would you do in this situation

    Try to rip the football out of his arms and make a run for the other endzone. (It's football season, and apparently I've been watching a lot of games
  9. Too far away from me, otherwise I'd jump on
  10. Guttercat

    Septic shock and reaction to Rocephin/Ceftriaxone

    As someone mentioned, it's that outer membrane that causes trouble when the gm neg cell dies. Lipid A-- a component of the lipopolysaccharide (LPS) in the outer membrane-- is an endotoxin when...
  11. Guttercat

    Rude/ Inconsiderate nurses during clinicals

    I am recalling back my student nurse clinical days, and I never recall holding the RN on duty responsible for my learning. There were good days on the floor, and bad days on the floor. There were...
  12. Guttercat

    Rude/ Inconsiderate nurses during clinicals

    OP, this^^^. All of
  13. Scary stuff. I don't have access to do an online search at the moment, but, if I recall correctly, a leading cause of vehicular accidents in general is due to driver fatigue. "Falling asleep at the...
  14. One (of many) reasons I went into nursing twenty-some years ago, was to be able to live in a mountain town. Please be aware that "Mountain Towns" are often high rent districts. I know this is true up...
  15. This.
  16. Guttercat

    Hyperbaric Nursing

    Thanks for this, Trauma. I know very little about it, but it piques my
  17. Guttercat

    N95 vs. Surgical Mask for TB PPE

    I can't remember what the micron size of a TB is off the top of my head, but there's no way in hell a "surgical mask" filters them. OP, are you sure you have your "IC Specialists" recommendations...
  18. Guttercat

    Overwhelmed..

    Speaking as a 20+ year RN here...A/P plus Micro is a full load, and them some. Cut yourself some slack. If it makes you feel better, I'm currently retaking Micro "for fun and refresher," and to help...
  19. Guttercat

    I got the scholarship!!!!

    This call for Happy Dance! Kudos to
  20. Guttercat

    I Feel Done

    Instructors/professors (and their methodologies) are variables. Nursing school is a crap shoot in that respect, just as it is in the real work environment and life in general. Your best hope for...
  21. Guttercat

    Dialysis and Renal Nursing

    Does this mean you are exclusively in outreach, or are you also doing consults and call? I think outreach only, would put me over the edge. If this is the case, my hats off to you even
  22. Guttercat

    How do I get over this?

    I'm so sorry. Life (and all its variables) goes in ebbs and flows, and sometimes the "flows" don't always jibe with our "ebbs." Life can hit hard, and Murphy's Law dictates that the hard times occur...
  23. A science and math GPA of 3.7 is excellent, and an overall of 3.5 is acceptable. I did well my first time through college, but that was because I didn't start until I was 22 and a little more...
  24. Guttercat

    Evaluate this situation. What did I miss?

    We ALL have moments of "feeling dumb" with those "should I call or shouldn't I call" moments. I know I've had my share. Yes, calling the doc was entirely appropriate, as another poster mentioned-- it...
  25. Guttercat

    Doctor's attitudes

    The whole SBAR thing is a guideline, but I agree with the above posts that say it can be overkill. My best advice is to make sure you've done everything you can do within your scope of practice to...