Guttercat ASN, RN

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All Content by Guttercat

  1. Guttercat

    Question About Returning to Dialysis

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

    1.) Welcome back to the dark side mwhahahahaaahaaaa. 2.) I took a year and a half break, and it took two or three weeks to get enough mojo back to function well (enough). You'll be
  2. Guttercat

    Hemodialysis Nurse : Forced to work overtime or face abandonment?

    Guttercat replied to Nurse Beth's topic in Career Advice Column

    We are lucky in that we have a large space (for now) within the hospital so that one RN can dialyze two patients at a time, three if we get one more RN in to help out. It really helps for situations...
  3. Guttercat

    Hemodialysis Nurse : Forced to work overtime or face abandonment?

    Guttercat replied to Nurse Beth's topic in Career Advice Column

    One thing our tidy little group of dialysis nurses do is to not schedule any nurses to be on call following their regularly scheduled shift. I've done that before, and it is not pretty. Our...
  4. Guttercat

    Hemodialysis Nurse : Forced to work overtime or face abandonment?

    Guttercat replied to Nurse Beth's topic in Career Advice Column

    Oooooof. Nurse Beth, I love your posts, but it is not a clear line in acute hemodialysis. In fact, of all the specialties I've worked, this one is the most difficult to staff. And I've worked acutes...
  5. Guttercat

    Lied to in Interview

    Guttercat replied to westieluv's topic in General Nursing

    If they want you back into a job that you regret leaving a year and a half ago, I do not understand the problem
  6. Guttercat

    Secretaries who believe they rule the unit or hospital

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

    UC's are highly underpaid for the **** that comes flying at them every second of every day. In all my years of nursing, I've only known one who was a real growly, highly unpleasant thing. I liked her...
  7. Guttercat

    New Nurse feeling very down

    Guttercat replied to RNthenDoc's topic in PICU, Pediatric

    Really? Gee whiz. I don't have an answer for that. I suppose I keep the workouts fun, short (less than 30 minutes) and moderately intense. A thirty minute workout shouldn't exhaust a person. Did you...
  8. Guttercat

    New Nurse feeling very down

    Guttercat replied to RNthenDoc's topic in PICU, Pediatric

    I'd "like" your post, but there is no little "like" icon to click on on your post. Weird. I agree, it sounds as if this preceptor is less than
  9. Guttercat

    New Nurse feeling very down

    Guttercat replied to RNthenDoc's topic in PICU, Pediatric

    I'm a (very) seasoned RN, and even I sometimes forget to unclamp the the stupid clamp before pushing a med. It's not a big deal, you just then unclamp the stupid clamp and push the med. Right now,...
  10. Guttercat

    Clipping nails at nurse's station

    Guttercat replied to BillieP's topic in General Nursing

    Not too long ago, I had a nurse from a different department wander into mine, sit down at my desk, pull out my waste bucket from under the desk, and get to work clipping their nails. No. Jut
  11. Guttercat

    Phone interview with Davita tomorrow

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

    Hmmm. I am an HD RN. Having worked both ER and ICU, I'd say think very long and hard about transitioning to an unknown (*especially* a chronic outpatient dialysis unit) if you like your present...
  12. Guttercat

    What's up with all the 'failed NCLEX' posts?

    Guttercat replied to Magsulfate's topic in General Nursing

    Interesting info. I wondered about that...if the new format was too easy. When I see posts where a person passes the NCLEX after 70 questions, I have to wonder. I went through two full days of hell,...
  13. Guttercat

    The worst job you had before becoming a Nurse?

    Guttercat replied to Want2BeeRN's topic in General Nursing

    Concession stand cashier at the movie theater. This was way back when they didn't have cash registers at the stand. Customer: I'll have two medium buttered popcorns with two pumps extra butter and two...
  14. Guttercat

    blood pressure drops after dialysis

    Guttercat replied to CVARN's topic in General Nursing

    When I have a patient present with a BP that high, I still usually ask the primary RN to hold the BP meds until I get a sense of how the patient is responding on the machine. If the BP is downtrending...
  15. Guttercat

    NP gave meds to her married boyfriend

    Guttercat replied to SummerRoses's topic in Nursing Professionalism

    This scenario so ""Nurse Jackie." OP, my sincerest and best wishes to you as you move forward in life. What a
  16. Guttercat

    Adult Critical Care Update: New Definitions of Sepsis and Septic Shock

    Guttercat replied to Corey Narry's topic in Critical Care

    Much appreciated. As an Acute Dialysis RN, I deal frequently with AKI in the context of sepsis. This is a helpful
  17. Guttercat

    Words You Hate

    Guttercat replied to OyWithThePoodles's topic in General Nursing

    Carbuncle.
  18. Guttercat

    New to Dialysis Need Help!

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

    Yeppers. Twelve chairs? Jump on that bad boy right there. :) Many years ago, I worked at a ten-chair clinic staffed by two RN's and three techs. It was the happiest place ever. It was a well-oiled...
  19. Guttercat

    New grad RN, hate nursing?

    Guttercat replied to alwayslearning55's topic in General Nursing

    I hated nursing until year seven. The first six or seven were the most miserable. But since then, I have been fortunate enough to fall into the right specialty, the right group of coworkers and docs,...
  20. Guttercat

    Do you go to work with parabens on you?

    Guttercat replied to RNdynamic's topic in General Nursing

    All the Bens I've met are hot. I'd totally go to work with a parabens. One on each arm, thank
  21. Guttercat

    My feet are KILLING me!!!

    Guttercat replied to GenSurgRNFA's topic in General Nursing

    Merrells and Danskos are terrible on my feet. Sketchers can be OK, but unstable and wear out quickly. I have tried about every brand there is in 22 years of nursing. I run narrow-ish, and do not have...
  22. Guttercat

    Anemia during dialysis

    Guttercat replied to Sue92457's topic in General Nursing

    Ummm, errrr.... The statement "Iron will not help, if there is no red blood cell to bind to" is misleading. Renal patients are a different beast. In true iron deficiency, which renal patients are...
  23. Guttercat

    Dialysis Subclavian line antibiotics.

    Guttercat replied to ArvinC EMT's topic in Patient Safety Issues

    Well, it's not really "meh no big deal." A (tunneled/permanent) dialysis CL has its terminal end in the R atrium. It is a fantastic corridor for bacteria to set up shop on or in the dialysis line...
  24. Guttercat

    Second Thoughts about Nursing

    Guttercat replied to acbamy55's topic in General Nursing

    Have you completed any clinical rotations yet? Just curious. Also, trust your gut. It sounds to me like you've answered your own question. You took this academic path because it was "there," not...
  25. Guttercat

    Is Dialysis considered Critical Care?

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

    To treat the patient effectively as an HD RN in ICU, one really needs to know at least the basics of hemodynamics in relation to vasoactive drips and concurrent hemodialysis, vent settings, CVP's, and...