Guttercat ASN, RN

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  1. Guttercat

    Why don't I care?

    A hospitalist MD told me not long ago, "I'm not naming names but you'd be shocked to know how many of our Hospitalists are on medications for depression and anxiety." Sometimes the burden of caring...
  2. Guttercat

    fired then....group interview

    Keep your mouth shut when it counts, and your ears open always. The ball is in your court. Up to you to decide whether the company and position offered, are where you will thrive at your best....
  3. I'm just perplexed and dismayed that no one has to sit the all day, two-day, thousand-question written exam, like we did in 1992. You grads these days have it easy. Everyone should have to suffer like...
  4. Guttercat

    Lots, Lots, and Lots of anxiety with new job

    You asked a non-supportive manager a ballpark question, and you received an evasive, ballpark answer. Imagine that. :) You'll know when it's time to leave. Do the best you can do and don't beat...
  5. Guttercat

    fired then....group interview

    How interesting. Welcome aboard no wait we don't like you now go away no wait we love you pretty-please interview and beg for your job back.
  6. Guttercat

    Lots, Lots, and Lots of anxiety with new job

    Get out pronto. Very hostile place, that has set you up for failure on many levels. When you're facing hostility of this nature on all fronts the chance for success is remote, and the price you'll...
  7. Guttercat

    What are good things to know by heart?

    The rule: look at the patient, not the machine. Machines, values, results...often lie. Commit that to
  8. Guttercat

    new RN job away from bedside

    I've never heard of an "RN Health Coach." I think I'd like it. I could be a renegade Dear Abby of sorts, phoning people to tell them how to better their professional lives while simultaneously sipping...
  9. Guttercat

    New Grad Entitlement

    Nursing programs know what they're doing. If they truly endeavored to prepare students for reality, half the class would change majors by the third
  10. Guttercat

    Blood and Dialysis

    Yes. Hence the reason for the widespread use of leukocyte reduced red cell (LRRC's) transfusions in renal failure patients, among other disease processes. Concise overview article here:...
  11. Duh. It's on your left side. Just stand in front of a mirror and you can point to
  12. Guttercat

    Feeling undermined by co-worker

    In itallics above, the answer is no. In bold, the answer is yes. Dinosaur-brains are not delt with by rational discourse between
  13. Guttercat

    Blood and Dialysis

    This is a big pet peeve of mine. Admistering two units of LRRC's is equivalent to app 700ml. In the dialysis world that's a mere blip on the radar. If the patient is highly fluid overloaded...
  14. The internal pharmaceutical services are trumpeted publicly as a patient service to simplify their lives and provide easy access to their meds ...("see how wonderful we are?"). May also provide...
  15. My hospital-owned unit is the latest to fall prey (to one of the Big Two). Our hospital fought tooth and nail in three years of litigation, after a major player snuck in through the front back door....
  16. Ding ding ding! Weener! FMC would be a monopoly, excepting for state laws that "placate" the obvious attempts at corporate monopolies within a given area. These laws often do nothing however, to...
  17. Good. I hope you find that site helpful in getting to know how "you" work and think and thrive best, and give you some insight as to why we react and respond the way any of us do within a given...
  18. Guttercat

    What does the RN do all day?

    Ah the joys of Corporate McDialysis Chains. Pretty soon, only fast-tracked immigrants will be willing to do it, for less pay. Ooops did I just say that? Why yes, yes I
  19. Guttercat

    What does the RN do all day?

    Yes, you will be on your feet all day. If you find a tiny unit (less than ten chairs) with great staffing however... you will have time to go through all those labs and call the docs/write orders,...
  20. Guttercat

    Acute Dialysis Position

    I'm confused. You've taken "training courses" but have not found anyone to train you? Were these on-line, generic courses? With most facility/company based training, it usually means you were already...
  21. This seems to be a common denominator among not just nurses, but most all in the health care profession. We've all been there, especially during the first few years. Might I suggest the following: 1.)...
  22. Guttercat

    Medical Research Sites

    The key is "newest." I've found that the "best and newest" usually costs a fortune to obtain/download via the
  23. Guttercat

    One More Strike and I'm Out. (Venting)

    I passed out twice in clinicals, once during a patient's labor in OB rotation, and once during a joint arthroscopy. All that came of it was, " Gee, we surmise that Ortho surgery and OB are not for...
  24. I've done both. And as a night shifter, you WILL be flipping back and forth: on your days off you will be adjusting to being awake with the rest of the world, and just when you're feeling normal...
  25. Guttercat

    LTC incident, what are your thoughts.

    My guess is it's a facility covering its butt. Chemical restraints, are a big deal; State regulations regarding the use of them in LTC facilities (especially alzheimer units) are highly scrutinized....