Guttercat ASN, RN

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All Content by Guttercat

  1. I see that. And helpful, too. One or two post-clicks in and by gawd my FB security settings are already updated. (no, really. I found useful info
  2. Oh now I see it. A little, obscure icon on the far upper right, hidden away from the neighbors like a red-headed stepchild. So
  3. Yes. But without worrying what our mother would
  4. As an RN who works with many patients in an ICU setting...not only would I be ecstatic you were there, I would have pointed out the obvious to the family...tactfully of course. Regardless of culture...
  5. Here's a "riddle" (old one): a man is driving his son to school. they get into an accident and the man dies. the son is rushed to the hospital and when he arrives for emergency surgery the surgeon...
  6. Men experience the same strong emotions under stress, but let's be real here, women's physiologic response to duress is much more prone to be released through tears. Most times it can be controlled,...
  7. Sometimes complainers are just venting frustration. However, she sounds insecure, and miserable to be around all of the time. Reasoning won't work with this one. She's sucking the life force out of...
  8. Brand new nurse, under-confident, overhwhelmed. Remind me not to friend you on
  9. Guttercat

    nurse burnout

    That made me teh laugherz.
  10. My understanding is that Wellbutrin may cause a false positive for amphetamines, not THC proper. Taking any Ibuprofen? Google search (unsubstantiated quote): "...Ibuprofen, contained in Advil,...
  11. Guttercat

    Vodka tampons?!?

    My dog ate grass once... super-long, bladed grass which failed to make a full exit out the other end. So I had to pull it out of her butt or she would've been scooting all over the carpet for several...
  12. Guttercat

    What happened to my patient???

    As far as Phos, better safe than sorry, esp. if the patient was symptomatic. And I totally agree, you can only do what you can do. As an acute/inpatient dialysis RN, I'm not surprised the...
  13. Guttercat

    Shafted on Thanksgiving

    I think the only way around not getting screwed out of the Holidays is to get a government job.
  14. Guttercat

    Issues with Mgmt (Long Rant)

    Oy. Difficult for us who haven't worked with you to give constructive advice. I'm going to approach this by assuming you want to do a good job, care about your patients, are proficient in the basics,...
  15. Guttercat

    What happened to my patient???

    Did they work her up for these? Any echocard done, or R/O PE? I'd run it by the nephrologist (again). Endocarditis as we know, requires a more intensive approach to treatment than "simple"...
  16. Guttercat

    Vodka tampons?!?

    Sometimes I rue the day I didn't choose veterinary
  17. Guttercat

    What happened to my patient???

    Staph bacteremia and a history of A-fib... prime candidate for a heart valve vegetation ...and threw a clot, resulting in a TIA. That'd be my first guess given the symptoms, or, perhaps a
  18. Guttercat

    Correctional RN job vs. ER RN job

    If it is so burning you out, then either cut back hours, or change specialties. Very sad that I come across so many colleagues that would jump ship not only out of their specialty, but out of this...
  19. You've been in healthcare long enough to determine what you want in a position. With your background, they will be lucky to get you, and they know it. Their job is to get you in with as little of...
  20. Guttercat

    How long is your shift?

    Sorry it's turned out that way. I hear of more and more stories like yours within the dialysis realm. Dialysis has changed along with the conditions under which the actual care is delivered. Keep in...
  21. Guttercat

    Being bought by DaVita,,,,help!!!!

    Mostly agree. But... ...not all dialysis companies/facilities...yet. Those that don't currently cut hours and jump through hoops, have been or will be bought out by those that are adapting in-step...
  22. Guttercat

    Being bought by DaVita,,,,help!!!!

    Welcome to Fortune 500 dialysis. These corporations have evolved over the last twenty years into the majority market holders of our specialty for one reason only, profit. They exist to make the...