KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. If this epidemy doesn't cure, or at least mitigate, that stupid and shameless entitlement so many Americans feel nowadays, then I do not know what will....
  2. COVID19, should the epidemy be let run its natural course, may decrease all-cause mortality within limited time AFTER the peak is over + some omega periods. Because of many high risk people who...
  3. KatieMI

    Well, At Least They Tell You Up Front

    Yeah. Acute HD nurses I spoke with told exactly the same story: they can call you any time during the shift and order to go somewhere in the heck of the woods to do another run in some critical access...
  4. It does. Only one way to avoid it, should one becomes an object of heroic efforts from either medical staff (who might have their own vested interests in a "case" for research, teaching or purely...
  5. That's why we have nursing managers, researchers and leaders who en masse have no idea whatsoever about the things they are supposed to manage, research and
  6. There can be a significant difference between what one wants and loves to do and what the occupation and work functions really are, and many schools do pretty poor job teaching students about it....
  7. KatieMI

    Terrible experience with nursing staff

    What kind of help the OP could potentially receive from strangers on public online message board? Should NURSES condemn their colleagues for practicing nursing on the level of third world because they...
  8. They should not be ordered both PRN simultaneously, although it happens. Sometimes one is used through nebulizer and another patient can carry around in inhaler. Or patient can jump from one to...
  9. Patient can use both Duoneb in a combo med as it contains ipratropium and is considered "safer" for prolonged use in terms of b-2 overstimulation and side effects. There are no conclusive studies but...
  10. KatieMI

    Are you friends with coworkers? Maybe you should be...

    What I never can get is what is wrong with being introvert who goes to work in order to do the job and not to "make friends" there. Because with the latter inevitably come gossip, cattiness, cliques,...
  11. You did not meet enough people working in High Science, arts and medicine/physician level. The phenomenon of shaming peers for "not loving" even some part of their profession and not being dedicated...
  12. KatieMI

    HELP! New NP in MI - DEA, NPI...

    For Michigan, you need agreement for DEA, if I remember it right. DEA really takes 4 to 6 weeks. Regulatory paperwork should not be your job at all. The HR/practice manager should know the process...
  13. Heh... it really depends. What patients, what care, what business, actually FNP or just having those letters after last name, other some 100500 questions. As the possibilities for FNPs are currently...
  14. KatieMI

    What to do about DNP and flu shot?

    But you accept flu vaccine and provide education based on existing evidence despite of your personal beliefs. This makes all the difference from what OP declares. Although, I would bet a round sum of...
  15. I personally called APS on a catholic church -closely associated SNF where relatives were told that it is "un-Christian" and against will of the God to discontinue futile care and those who made their...
  16. Usually, nope. The family just see the opportunity and then, as one Fed guy explained us, "they just got used to get ting that check, and they want it to be coming as long as possible - after all,...
  17. 1). It happens. Every single day, in pretty much every hospital of the USA, it happens. It might sound "shocking" only for someone incredibly naive. 2). It most commonly happens due to insistence of...
  18. We were given list of "nursing" books but most professors (except for research and other fluff which was, thankfully, not too much) told right away that there are med school books for those who want...
  19. You know, it was not funny for me at that point. I was still very green and going through acute phase of PTSD caused by bullying on previous job, and she was publicly threatening me with Boards and...
  20. KatieMI

    What to do about DNP and flu shot?

    Just for further fun: Heard yesterday in ER: Aluminium which is in vaccines, including flu, is a foreign substance. As such, it is picked up by macrophages and they carry it in every corner of the...
  21. KatieMI

    Threw out back, what’s next?

    Please, if you decide to go back to school or do a big career switch, do this only for what you enjoy doing. After 5 years of bedside you surely have things you just like. Play from there. What you...
  22. After what there will be yet another round of dog and pony show about so-called "teamwork". There's no place for "I" here, every opinion counts, it is all about the patient, everyone is soooo...
  23. Hypodermoclysis is alive and well in hospice care and in chronic outpatient care when IV placement is not possible for some
  24. KatieMI

    What would you do?

    This. A WHOLE LOT worse. Take your worst kind of customer, multiply by 10 and imagine you're in there with him or her every 10 to 20 min for 12 hours straight. You cannot exclude yourself from the...