Guttercat ASN, RN

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  1. Guttercat

    Code Lavender?!

    I know, right? :) If I call a Code Lavender on myself, I want this guy, not Mary Poppins with fragrance
  2. Guttercat

    Code Lavender?!

    My idea of calling a Code Lavender wouldn't involve holistic nurses rushing to my side in order to wave aromatherapy under my nose, or giving me a massage. My idea of a proper Code Lavender call would...
  3. One of the reasons I am hesitant to commit to *any* NP program, is precisely because of the fluid academic and professional requisites for entry to practice. The rules of the game seem to change with...
  4. Guttercat

    newbie, need input

    You're in the neighborhood-- the "neighborhood" being one that makes you think. And thinking is paramount in caring for the ESRD patient. Chisca wisely mentioned that seeing the same patients over...
  5. Guttercat

    newbie, need input

    Six months in and you will be the only RN??? The good news: you have expressed your concerns in such a way that are a.) relevant to the issues at hand, and b.) shows that you are a critical thinker....
  6. Great post, zmansc. Astute
  7. Guttercat

    Emergency meds through IJ

    If a patient is really...really crumping, meaning there are multiple people working around the patient's head to insert things like ET tubes, central lines (including SWANZ-type lines), I can see why...
  8. Guttercat

    Fresenius 4K signon bonus inpatient

    Are you in outpatient? I can see that being the case. Even still, an outpatient setting provides an insane amount of opportunity to learn and stay on top of trends in coronary and vascular diseases,...
  9. Guttercat

    Fresenius 4K signon bonus inpatient

    Keep in mind that most inpatient dialysis these days are performed by externally contracted companies. It's an incredibly competitive market to not only land, but keep a contract. This means the...
  10. Guttercat

    Would you quit over white uniforms?

    I think how we look is tied to how we perform. If we feel great about how we look, energy and a certain psychological advantage is gained...just ask anyone involved in competitive sports. All-whites...
  11. Linda, I agree on many points. But keep in mind that needing a bachelors for entry into Recreational Therapy, is not unique. Where does it end, and, more importantly, who is driving it, and what...
  12. Guttercat

    Emergency meds through IJ

    LOL! I can't tell you how many lapses in brain function I've had over the years, so I get it. :) Curious though, you say that where you work they primarily access the femoral (groin) for temp...
  13. Said it before and I'll say it again, while nurses are busy crying "foul" (and rightly so), the rug is being pulled out from under the profession altogether. Think there won't come a time when you...
  14. Guttercat

    Emergency meds through IJ

    Oh really? Please don't confuse the OP. Anecdotally speaking (off the top of my head), 100% of the new onset/ Acute/emergent dialysis calls I get involve emergent/temp dialysis catheters placed "in...
  15. Guttercat

    Emergency meds through IJ

    In an emergent situation (as in the patient is crumping-about-to-die, and has no other viable alternative access), either a temporary dialysis catheter (seen in the neck) or a permanent dialysis...
  16. Brilliant!
  17. Guttercat

    People really need to stop coming into nursing

    Not realistic? Really? Ever hear of the Great Depression, or the Dust Bowl? Yes, it is realistic. As another poster stated: it is realistic if it is reality. In 1992 I had to move out of state to...
  18. So what is it that you want? Look, my first RN job out of school (in a large ICU) sucked donkey. It was terrifying. But I wouldn't trade it for the world. Tele is as equally terrifying. Stick with...
  19. See my post on page one. That's one example. Keep in mind experienced does not equal "older." In today's economy, "experienced" = anyone with more than ten years under their belt and/or is...
  20. An RN I worked with told me something I think we all "know" but it was still shocking to hear it affirmed: tactics they use to get experienced (expensive) RN's out the door. One included a former...
  21. Guttercat

    case study

    "...and then the CEO walked into the room." (OK so I'm
  22. Guttercat

    Pirate busted.

    The business of dialysis...it is a ruthless one. This is not the first time one of the major players has been in the news. Diminishing reimbursement $$ in the face of an increasing cost of doing...
  23. Guttercat

    AVF

    This is why monthly ABF's are such a great frontline indicator of failing accesses. It provides a real time tracking of blood flow over time. Don't get me wrong. Subjective findings (such as...
  24. Guttercat

    Critical pay at Fresenius Medical Care

    Like Ronald Reagan said in his famous quote: "Trust, but
  25. Guttercat

    When did it become OK to treat your nurse like poo?

    My mother (she's of the WWII generation) was telling me the other day that to her recollection, Flight Attendants used to be required to be an RN. She then made the comment that today it seems as...