Guttercat ASN, RN

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  1. Guttercat

    What career did you have before nursing?

    Guttercat replied to julibyrd's topic in General Nursing

    Fixed it for
  2. Guttercat

    What career did you have before nursing?

    Guttercat replied to julibyrd's topic in General Nursing

    I'd click on the little "kudo button" on your post but one was not there. Quite a background, you
  3. Guttercat

    What career did you have before nursing?

    Guttercat replied to julibyrd's topic in General Nursing

    I was a CNA. RN at the age of 24. I'd like to expand my career, but hey, have you seen tuitions lately? Sheesh. I'll be dead before the loans are paid off.
  4. Guttercat

    Inpatient Oncology to Outpatient Dialysis?

    Guttercat replied to MSJRN813's topic in Dialysis, Renal, Urology

    Agree with missladyrn, cross-post this in the dialysis forum. As to your question, it depends upon the company, the size of the unit, the nurse manager and how he/she runs it. There are so many...
  5. Guttercat

    How bolus infusions of NaCl may affect low sodium levels...?

    Guttercat replied to Xsited2baNurse's topic in General Nursing

    Great thread! Not to derail the thread, but here's a link to CPM and "Locked in Syndrome." It results most commonly from raising NA+ too rapidly in patients with chronic hyponatremia. Locked in...
  6. Guttercat

    Assessment Manager

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

    Always good to hear an alternative perspective. And I'm glad to hear of a success! I have to disagree that it's "all about the individual unit's management." I agree they can make a unit miserable...
  7. Guttercat

    Starting in a CCU LTAC from a SNF wound unit

    Guttercat replied to SusieN RN's topic in Long Term Acute Care

    Get out now! (just kidding).
  8. Guttercat

    Assessment Manager

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

    Heck no. That's a feather in a the cap of a company manager. As to bonuses for staff, the model seems to be that if a facility meets certain, nationally accepted patient outcome criteria, it will...
  9. Guttercat

    Assessment Manager

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

    And don't forget Boss's Appreciation Day: http://www.renalbusiness.com/blogs/keith/2010/08/davita-ceo-ranked-80-in-most-influential-list.aspx Oh and of course our nation's Health Czar, another Davita...
  10. Guttercat

    Assessment Manager

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

    For-profit chains, like (cough cough) Davita and Fresenius (cough cough), have the monopoly on the market for a number of reasons, some of which are ill-gotten but that's another story... They know...
  11. Guttercat

    Assessment Manager

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

    Ooooh! Fancy new title. Lucky you. The rules of the game, are that the rules change and you must comply. Now be a good robot and get
  12. Guttercat

    family member misinformed of mothers death.

    Guttercat replied to necie79's topic in General Nursing

    classic! a nightmare scenario, but your misfortune made my day.
  13. Guttercat

    Dx: Paralysis secondary to hospital admission

    Guttercat replied to Florence NightinFAIL's topic in General Nursing

    "Hold my Kleenex, I need to blow my nose" (says self-proclaimed weak and immobile patient, while simultaneously manipulating the TV remote with one hand and calling his sister on his Smartphone with...
  14. Guttercat

    Dx: Paralysis secondary to hospital admission

    Guttercat replied to Florence NightinFAIL's topic in General Nursing

    But her Patient Satisfaction Survey, is going to suck.
  15. Guttercat

    Dialysis Clinic Management Advantages?

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

    I wouldn't do it unless I am behind the company at least >75%, bonuses be damned. As a unit manager for a corporate dialysis entity, you are there soley to ensure company policy is being carried...
  16. Guttercat

    Nursing Future?

    Guttercat replied to suzie113's topic in General Nursing

    If you don't want to try, try again, think about CRNA or Cardiovascular Perfusionist. Both have a high level of autonomy, decent salaries ($100k range +/-), peer respect, and keep you hands-on in a...
  17. Guttercat

    Nursing Future?

    Guttercat replied to suzie113's topic in General Nursing

    ^^^This. If I'd known then what I know now... Nursing these days is 60% administrative hoop jumping. I'd rather be solving patient's medical problems and diagnosing, than stuffing charts, virtual or...
  18. Guttercat

    How important is it to accept extra shift work?

    Guttercat replied to onthemark's topic in General Nursing

    It takes time for nurses to not only learn to say "no" but feel they've earned the right to say it. As a young RN I was much more inclined to cave to pressure. I don't think that's such a bad thing....
  19. Guttercat

    Day surgery interview

    Guttercat replied to caringkay RN's topic in Job Search, Interview, Resume

    Hooo wheee, the joint can be jumping in day surgery units. The good: you get 'em in and get 'em out; treat 'em and street 'em. You'll also learn quite a bit. Great way to get familiar and comfortable...
  20. Guttercat

    I'm new here, but this forum needs a Staff Lounge...

    Guttercat replied to Guttercat's topic in General Nursing

    Really? In my short time perusing through there thus far, I've seen nothing offensive, except for threads entitled
  21. Guttercat

    I'm new here, but this forum needs a Staff Lounge...

    Guttercat posted a topic in General Nursing

    ...you know, an off-topic forum where we talk of our vacations, our one-eyed cousin that wants to move into the basement, virtually toast one another's greatness with one hundred of our closest,...
  22. Guttercat

    Anyone have any good critical care questions to quiz me on?

    Guttercat replied to nurse678's topic in Critical Care

    When I have them on dialysis trying to pull four liters out of a septic shock pt. with volume overload, heck I'm happy with 4. The ICU peeps love us. We cure everyone. We can dialyze out anything I...
  23. Guttercat

    salary rate

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

    I can't believe some of the pay rates I am reading here. They will get you for what you are willing to settle for. At some of these rates, I'd rather be a Wal Mart greeter. For those in the midwest...
  24. Guttercat

    Are men respected by Doctors and colleagues in this field.

    Guttercat replied to BigDiesel's topic in Patient, Colleague Relations

    I've always had it in the back of my mind to become a CRNA. I like gidgets and gadgets and widgets and knobs, and tweaking things to see what happens.
  25. Guttercat

    I'm new here, but this forum needs a Staff Lounge...

    Guttercat replied to Guttercat's topic in General Nursing

    I think Central may be allnurses' version of the one-eyed cousin living in the basement. Shhhh... don't tell the neighbors, and turn up the music so no one can hear the