KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Do you consider an infiltrated IV a medical emergency

    KatieMI replied to guest1074618's topic in General Nursing

    Honestly, do not know should I cry or laugh out loud after reading in. Although I once had a NM who called facility-wide "biohazard code" after seeing a coumadin pill wrapper being dropped on
  2. KatieMI

    How would you improve the nursing profession? (beyond better staffing, higher pay, etc)

    KatieMI replied to labordude's topic in General Nursing

    There is one thing which would do the job. It is making nurses and care they provide FINANCIALLY visible. That was, essentially, what Florence Nightingale did to justify the necessity of existence of...
  3. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    She will survive, and get ample opportunities to pass on those attitude and "beliefs" onto others. And that is a huge part of the
  4. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    Yes, there is a choice. Patient and family just have to ask about it. I have two regional hospitals in my med alert card with note "no admission there under no circumstances". EMTs follow these...
  5. KatieMI

    Family Practice or SNF

    KatieMI replied to DTWriter's topic in Nurse Practitioners, NP

    One SNF I was once tried to be pushed into claimed that they have "policy" that every provider note must have VSs and blood glucose documented and taken right at that time. That was all right but they...
  6. KatieMI

    Your most annoying, obnoxious family member stories

    KatieMI replied to JDZ344's topic in Nursing Humor

    As far as I remember, someone from the family got out and asked what was the deal with signal lights going on, doors being shut, everybody abandoning everything and starting to drag beds to the fire...
  7. KatieMI

    Nurse Practitioners in Memphis, TN

    KatieMI replied to TheologyNerdRN's topic in Nurse Practitioners, NP

    Network intensely while you are still working as an RN, join your state NP professional organization, make every doc you meet aware of your graduation date a year or so before you finish, jump outta...
  8. KatieMI

    Bad CPR techniques- do you say something?

    KatieMI replied to Peditra's topic in General Nursing

    Hats off for you, TriciaJ ? I can run a code but I probably wouldn't ever manage anything acutely psychiatric outside of "Ativan/Versed/Precedex/Haldol/Zyprexa, just enough to keep 'im straight and...
  9. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    I know I risk to direct conversation into entirely different area. Sorry if it happens, but... The thing is, despite of the avalanche of "nursing research", "nursing diagnosis", accent on EBM in...
  10. KatieMI

    What is the lowest hemoglobin you've observed with no symptoms?

    KatieMI replied to Horseshoe's topic in General Nursing

    Just yesterday. Classic little old lady caught in malignant circle of "ER >> ICU >>acute >> rehab >> ER" and everything-but-the-kitchen-sink list of comorbidities for several...
  11. KatieMI

    Bad CPR techniques- do you say something?

    KatieMI replied to Peditra's topic in General Nursing

    Yes. Right away, out loud. When I am running the code, I do it myself. If I am not (and I am fairly useless at pushing the chest and usually go bagging, so I directly observe quality of compressions),...
  12. KatieMI

    What is the lowest hemoglobin you've observed with no symptoms?

    KatieMI replied to Horseshoe's topic in General Nursing

    Always, always re-check lab values which doesn't look "right". Just for CYA. Just for that one-time in life stuff that happens. I once saw a grown-up man who walked into urgent care with cut finger....
  13. KatieMI

    ACNPC-AG in a nursing home (new grad)

    KatieMI replied to LTmurse78's topic in Advanced Practice

    SNF is, actually, not a bad place to start, especially if you do not have much previous experience. You'll learn how to manage simple bread-and-butter things in the environment of limited diagnostic...
  14. KatieMI

    What do you eat during your shifts?

    KatieMI replied to socal212's topic in General Nursing

    Second JKL33. Fruit/veggie, fruit/veggie, more fruit, more veggie. A melon (peeled and pre-cut) and a bag or two of baby carrots were about right to hamster the night off. I was making bone stock...
  15. KatieMI

    Michigan NP schools

    KatieMI replied to rulajay's topic in Student Nurse Practitioner

    UofM Flint MSN. Classes online 1-4 times/week, clinicals minimum 24 (most students did more, up to 40) hours/week. Average reading load through program was 500 pages/week. Most students studied Lange...
  16. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    You can perform reasonable actions to continue to have a full, productive and enjoyable life with all that including old age. (yes, you can do at least something in attempt to prevent multiple...
  17. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    1). Efficacy of flu vaccine population-wise depends heavily on the precision of "immune forecast". 20% overall stands for very poor prediction year. For the best ones, it is about 60% and that's the...
  18. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    Because the main antigens of influenza virus undergo quick mutations. You might have high titer of antibodies for, say, neuraminidase A variant 2019 but it is 2020 now and the most common circulating...
  19. KatieMI

    Where do I go from here?

    KatieMI replied to Curious1alwys's topic in General Nursing

    MSN Education MSN NP public health Multiple options for FNP or Adult/Geri primary care, Peds or Women's Health (pretty much every chronic care specialty clinic will provide plenty of opportunities to...
  20. KatieMI

    Your most annoying, obnoxious family member stories

    KatieMI replied to JDZ344's topic in Nursing Humor

    One thing I will never forget: A nurse, who was VERY corpulent and normally rather slow moving passed by a room in the corridor a few days before Christmas. Then, suddenly, he went pretty much...
  21. KatieMI

    Your most annoying, obnoxious family member stories

    KatieMI replied to JDZ344's topic in Nursing Humor

    Very sweet but deeply demented lady was brought in unit as a visitor accompanied by her much younger female relative. She was in WC, they both had "visitor" stickers. A little confusion happened as...
  22. KatieMI

    What can I do with my MSN-FNP that doesn't require much patient contact

    KatieMI replied to FNPStudentLife's topic in Nurse Practitioners, NP

    I second sleep medicine ? BTW, with some luck an FNP can work in Interventional Radiology. Just ask a few routine questions, push the needle in, take it out, fill note template, repeat. Patients are...
  23. KatieMI

    How to maximize income for an FNP?

    KatieMI replied to cardsFNP's topic in Nurse Practitioners, NP

    https://elitenp.com/ This guy seems to get it - although I wonder how he and his "elite" followers are sleeping at night with what they are doing. But if $$$$ is only one problem, here is the good...
  24. KatieMI

    CEU/CME for recertification with ANCC??

    KatieMI replied to Tony1790's topic in Advanced Practice

    I do my RN CEUs through CEUFast. It is completely online, just $30 for one year access and they said their courses accepted specifically by ANCC. They are really fast as well, just really darn...
  25. KatieMI

    Stressed out about overnight urine output

    KatieMI replied to Ioreth's topic in General Nursing

    1). patient was, apparently, improving. JPs were out. She had bowel function (therefore, no third spacing in the bowel expected). She was ambulatory (therefore, not "lethargic", just sleepy). VSs were...