Guttercat ASN, RN

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  1. Guttercat

    AV fistulas and lines.

    Guttercat replied to MLB55's topic in Dialysis, Renal, Urology

    Very cool.
  2. Guttercat

    Advice: Profile or Not?

    Guttercat replied to awheat's topic in Dialysis, Renal, Urology

    Your patient sounds diabetic. The reason I say this, is because the scenario you've described sounds like diabetic vasculopathy. Often in cases like this the patient has an impaired ability to...
  3. Guttercat

    Advice: Profile or Not?

    Guttercat replied to awheat's topic in Dialysis, Renal, Urology

    Trauma is correct. A lot of folks don't realize that it's the cardiac disease (in all its iterations) that is statistically the biggest "killer" of ESRD
  4. Guttercat

    Grossest thing that you've experienced?

    Guttercat replied to dirtyhippiegirl's topic in General Nursing

    This thread is full of
  5. Guttercat

    Grossest thing that you've experienced?

    Guttercat replied to dirtyhippiegirl's topic in General Nursing

    Over twenty years ago when I was a HH CNA...walked into the home of a patient that had collected years worth of jars... full of loogies.
  6. Guttercat

    What is it like working for Divata Dialysis?

    Guttercat replied to Frenchy01666's topic in Dialysis, Renal, Urology

    Possibly before the advent of gamma irradiation... At this point...it's about
  7. Guttercat

    going rate of pay for dialysis nurses

    Guttercat replied to aellisrn's topic in Dialysis, Renal, Urology

    I'll echo what others have said. Impossible to give you a "ballpark" figure. Too many variables not only by region but by employer, individual experience, and work
  8. Guttercat

    GUILTY

    Guttercat replied to GitanoRN's topic in General Nursing

    When I'm on call and and have an emergent dialysis waiting, I tend to speed. As I zoom down the highway at 75 in a 60, I always hope I don't get pulled over as that would defeat the whole purpose of...
  9. Guttercat

    Does it make me a bad nurse if I'm not book smart?

    Guttercat replied to Hellostudentnurssee's topic in General Nursing

    I've said it here in these forums and I'll say it again, the best (and possibly the most clinically "smart") ER RN I ever worked with, barely passed nursing school and had to take the boards twice....
  10. Guttercat

    Acute/ Chronic Renal Failure

    Guttercat replied to nochka22's topic in Dialysis, Renal, Urology

    Nursing test questions are notorious for questions like this. Hint: when faced with one of these, "but I don't have all the information" questions that any logical brain would ask, don't read too much...
  11. Guttercat

    Giving a Antibiotic

    Guttercat replied to Joni's Mom's topic in Dialysis, Renal, Urology

    Yes. You got it! I think it just stinks that your unit does not have a working IV pump, which means you need to keep the infusion and patient in a close line of sight to ensure the drip is not...
  12. Guttercat

    Giving a Antibiotic

    Guttercat replied to Joni's Mom's topic in Dialysis, Renal, Urology

  13. Guttercat

    Utmost respect for Burn Unit Nurses.

    Guttercat replied to tookalongtime's topic in Burn

    I realized burn was not mah thang some years ago when I worked ED, and a house fire victim came through our doors. The whole scene was so bad it was the only time I've ever had to physically remove...
  14. Guttercat

    How Much Do You Remember???

    Guttercat replied to USANursingstudent's topic in General Nursing

    I once worked with an ER doc with a photographic memory. I hated him for that. I asked him a question once, and he said, "just a minute be right back." Came back 60 seconds later carrying a sizeable...
  15. Guttercat

    Giving a Antibiotic

    Guttercat replied to Joni's Mom's topic in Dialysis, Renal, Urology

    I'm kind of curious as to why this drug is being given in the dialysis setting (assuming since it's an antiviral and non-dialysis related/renal related, it would not be reimburseable to your unit)....
  16. Guttercat

    Who Here "Floats" to Other Units

    Guttercat replied to Ted's topic in General Nursing

    "Floating" is the evil I wish had died with 60's
  17. Guttercat

    Anyone working for FMC annoyed by this?

    Guttercat replied to CocoaGirl's topic in Dialysis, Renal, Urology

    I'm waxing kitchen-table level philosophy here but... ...your post is a singularly interesting anecdote for the world as it
  18. Guttercat

    AV fistulas and lines.

    Guttercat replied to MLB55's topic in Dialysis, Renal, Urology

    Was gunna ask about use of fem lines...:) Thanks for the update from your unique expertise. Hope he has a successful SBT soon. P.S. two weeks ago I had a pt. that extubated himself, then was promptly...
  19. Guttercat

    AV fistulas and lines.

    Guttercat replied to MLB55's topic in Dialysis, Renal, Urology

    Interesting yes, but it's a teeter/totter exercize. Sounds like you done good. A pt. max'd out on pressors makes for a real fun dialysis experience. The ICU staff blame me when it all goes to hell...
  20. Guttercat

    Silly random nursing thoughts, one sentence, NO JUDGMENTAL FOLKS ALLOWED

    Guttercat replied to wooh's topic in Nursing Humor

    OK. Another winner. (we joke about making sure we have an empty bladder, a pocket full of M&M's and an iphone with multiple entertaining app's, whenever entering the elevator at
  21. Guttercat

    AV fistulas and lines.

    Guttercat replied to MLB55's topic in Dialysis, Renal, Urology

    Holy smokes, complicated patient all the way around. Great scenario/case study, so thanks for posting. I'd (almost) be willing to bet a year's salary the picc was placed during this admission. This...
  22. Guttercat

    Refused to float without orientation ...Terminated

    Guttercat replied to SFnrs's topic in Travel

    And PS. whenever accepting a travel assignment (I used to do travel assignments), make sure you fully understand the nature of the floor where you will be assigned, read the contract in full and if in...
  23. Guttercat

    Refused to float without orientation ...Terminated

    Guttercat replied to SFnrs's topic in Travel

    The nursing profession needs to peel its collective face off the
  24. Guttercat

    Are adult NP's being phased out, what if you specialize

    Guttercat replied to SMRN2's topic in Nurse Practitioners, NP

    to those of looking to change careers from rn to apn, or rn to pa, predicting the best path is increasingly difficult. here are a couple of links i've posted before here in the forums, that may not...
  25. Guttercat

    Hyper and hypo ventilation with PaCO2 levels

    Guttercat replied to NightNurseRN13's topic in Nursing Student Assistance

    sigh. i feel all warm and fuzzy from reading your post. clear and concise, logical thinking is a beautiful