Guttercat ASN, RN

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All Content by Guttercat

  1. At that point I would've turned slowly toward her, leveled a deadly serious glare iced with a thin smirk, and then walked off without saying a word. She messed with you, because you were an easy...
  2. Guttercat

    Etiquette in the OR?

    Must be. Thanks for clarifying the POS reference with a Q because I was all like what the ****? :) (we all know how the acronym POS is usually
  3. Guttercat

    IV in an artery

    Great
  4. Love it! One of the docs I work closely with, is wonderful. A total hoot, and a collaborator with the nursing team. Willing to teach to help us understand the why behind what he is asking us to do....
  5. Guttercat

    Etiquette in the OR?

    There's a reason many OR peeps choose OR. IME, they're more fascinated with the science of poking around on a slab of meat than they are comfortable with the relational and human-side of the equation....
  6. Guttercat

    ABANDONED

    With a quote like, "my son died when my wife and I took him to your ER" I think we get the
  7. Guttercat

    Does rtpa cause hypertension?

    ""
  8. Guttercat

    Senior Nurses Any Insight Into This Patient Case?

    Multisystem comorbidities. Lots of missing info, such as the cause of his renal insufficiency...there are many, many causes that affect the glomeruli differently in how and what they excrete or...
  9. Guttercat

    Who is going to wait on me????

    I like this. Because it's
  10. Guttercat

    Who is going to wait on me????

    I'm amazed at the number of patients that expect us to find them rides. In fact, in my specialty (renal) we are required to assist patients in finding rides. Next time I go to the dentist, I wonder...
  11. Guttercat

    Who is going to wait on me????

    Yep. Interesting scenario. Patient never worked a day in her >30 but At an early age she chose to start squirting out kidlettes in rapid-fire succession like Al Capone with a Tommy Gun. She...
  12. Good luck! I think you are wise to look elsewhere and find what suits your strengths, with less riding on your "weaknesses" (we all have them). I saw you mentioned "province" in your post. I'm...
  13. Guttercat

    Who is going to wait on me????

    Recently had the most twisted patient and family member I've ever dealt with in terms of "satisfaction" and entitlement. You could've given them a golden goose that laid golden eggs and they would...
  14. Guttercat

    Who is going to wait on me????

    Recently had one patient that commented to me about the "nurse" who was just in the room giving the other patient instructions. "Well, she has SOME nerve. She's a nurse!" She was actually a physician,...
  15. Guttercat

    Impossible job expectations

    I'd like to be optomistic, I really would. But there's a growing sense that as health care reform continues to unfold, the economic recovery forecasts are for "slow and dismal with occasional...
  16. Guttercat

    Impossible job expectations

    Delivering the actual care, has become so burdened with technology and inefficient processes that what used to take two minutes to do ten years ago, now takes five. The "thinking" is being squeezed...
  17. Guttercat

    Job offer, no start date?

    Not weird at all. HR is not your friend (for many reasons). Give it five business days in total, then contact both the "recruiter" in HR and the manager of the department you're hired into In this...
  18. In my workplace, if you do not attend at least 70% of all monthly meetings, it is grounds for termination on the
  19. Nice try but meeting times are set by managers. Need I say
  20. Guttercat

    patient death from PE

    It's always a PE! :)PA friend of mine recently posted a linked article relating to a man who came into the ED a week or two after some surgery (I forgot what) with......intractable hiccups. Was...
  21. Guttercat

    what to do when pts aren't nice?

    There are people who by their very nature, would find fault with the clerk who dispensed to them the winning 178 million dollar Powerball ticket... "...that clerk didn't smile at me when I
  22. Guttercat

    Anyone working for FMC annoyed by this?

    Friedman, Chicago, and Reagan (still waiting for that trickle) all give me pause.
  23. Guttercat

    FMC staffing policies

    Dialysis as a business is scrapping for reimbursement $$ and scrambling to stay on top of market share and changing health care policy, i.e., the ACA, and even integrating the ACO model. RN's are the...
  24. Guttercat

    Renal Pathophysiology

    Thanks vwde. In actuality any good neph clinician worth his or her salt, could poke numerous holes in my post...i.e., Lupus and Wegener's can't be lumped in under Chronic Renal Insufficiency as they...
  25. They're having a h3ll of a time up in Canuckistan with Ketamine abuse/trafficking. Canada now has it listed as a Schedule 1 (same class as cocaine and heroin, even though it is only "psychologically"...