KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Why are we not auscultating the lungs for NG tube placement?

    KatieMI replied to NRnurse's topic in General Nursing

    1) because results will still be deceptive. 2) because you will forcibly push any oropharyngeal secretions which could hold onto the tip of the tube directly to the lung. Just like aspiration, tube...
  2. KatieMI

    Stressed out about overnight urine output

    KatieMI replied to Ioreth's topic in General Nursing

    1). It was not a "dumping syndrome". Please read about this condition so you understand what you're thinking about. 2). In the world of clinical medicine, to "fix" mind about just one thing, whatever...
  3. KatieMI

    Career doom or new age of nursing?

    KatieMI replied to Nurse8080's topic in General Nursing

    `been there, done that. More than once. They are possible, but getting them may be difficult and take a lot of time. Really depends on the place you are at, your willingness to accept less desirable...
  4. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    1). "Lessening the severity" of symptoms (plus decreasing the shedding of the virus, thus lessening the possibility to spread the virus to others, even if just somewhat) saves billions of $ of...
  5. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    Getting the flu INCREASES your chances to get GBS while getting flu vaccine can DECREASE the relative risk even from very low numbers which are there: One of the many:...
  6. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    The pinnacle of hypocrisy for me is that so many of those nurses who "just do not want" to be required to get a flu shot under various pseudoscientific premises faithfully follow to the last point...
  7. KatieMI

    To kill or not to kill... another person dream?

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    I feel sorry for her too. My career, my life was torn apart by others so many times, I really feel for her. That's why we waited so long with decision to go for criminal charges. I truly hope that...
  8. KatieMI

    To kill or not to kill... another person dream?

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    THANK
  9. KatieMI

    To kill or not to kill... another person dream?

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    There was more than one discussion. We and our legal team tried the best and more to make them admit what was done and understand that she is, at least of now, just not mentally fit to be trusted with...
  10. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    Unfortunately, I've met more than one BSN, MSN and DNP who were adamantly antivaxx. Including one professor in my MSN program who, thankfully, had nothing whatsoever to do with nursing/medical part of...
  11. KatieMI

    What to do about DNP and flu shot?

    KatieMI replied to Travelingon's topic in General Nursing

    Sorry for being blunt but please do everybody a favor and use your MBA or any other degree of your preference except those related to healthcare in any capacity. If you do not "believe" in solid...
  12. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    https://onlinelibrary.wiley.com/doi/full/10.1111/jch.12125 11% of young healthy adults had systolic BP difference > 10 mm between hands, reproducible Large difference is linked to increased CV...
  13. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    Then it means the workers happened to be in a place where there was no congestion. It was at the next exit but they were not there, so they missed it. You got false negative study result. Send more...
  14. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    Dissection should be a really back-burner Dx for a totally asymptomatic patient with no murmur and no pulse differences. Considering risk factors (male, overweight, stressed) the workup should be...
  15. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    Yes. Drone will not see an exact cause of congestion (stenosis). It flies too high for it. It will show if it is truly there, where approximately it starts or ends and how much it affects the whole....
  16. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    Read the whole section. U/s is #1. Only if it shows anomalous flow, the more invasive CTA makes sense. Imagine you are state road surveyor. You have several reports about "traffic disruption" between...
  17. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    Please read the "workup" section in the article link in my previous message. Ultrasond is #1 and most important step, if it shows flow disruption, then CTA goes as
  18. KatieMI

    Strange HTN case

    KatieMI replied to Anonymous666's topic in General Nursing

    1). When you see someone with BP of 200/120 in the office out of the blue air, please stop and think: - this human being was walking just like that for the last X years without anybody knowing about...
  19. KatieMI

    Forced from RN to MA question

    KatieMI replied to Jeannette's topic in General Nursing

    They can ask you to do MA tasks providing you are trained to do them. But that alone doesn't make you an MA. You remain an RN and should be paid as such. MAs bear a protected title just like RNs and...
  20. KatieMI

    Getting yelled at by a doctor for the first time....

    KatieMI replied to NewbieNurse93's topic in General Nursing

    As a provider AND a nurse.... Yes, I know how it sounds. Frustrated and angry patient who gets onto your neck every 5 min. Who has her own issues, and you have yours too, plus other 6 patients to...
  21. KatieMI

    One Third (1/3) Healthcare Spending on Bureaucracy

    KatieMI replied to FullGlass's topic in Advanced Practice

    Goverments usually have less money to spent. I am kind of familiar with Canadian and GB systems of health care. In both countries, there are plenty of regulations and my many friends who work there...
  22. KatieMI

    One Third (1/3) Healthcare Spending on Bureaucracy

    KatieMI replied to FullGlass's topic in Advanced Practice

    How about starting from single-payer federal level health insurance and totally eliminating JACHO and all the like organizations, which "requirements" justify existence of aforementioned bureaucratic...
  23. KatieMI

    Tashonna Ward

    KatieMI replied to Guest219794's topic in General Nursing

    She was in ER a few minutes less than 2 h 30 min. She was automatically stratified as low risk for ACS (25 years old female). She was triaged as "low risk" and appropriate workup was started so that...
  24. KatieMI

    One Third (1/3) Healthcare Spending on Bureaucracy

    KatieMI replied to FullGlass's topic in Advanced Practice

    A small critical care access hospital with total 25 beds and daily census of 7.7. Middle of nowhere serving critically impoverished population (90+% Medicaid, 78% below poverty level, at least 70%...
  25. KatieMI

    Annual Dog & Pony Show

    KatieMI replied to Davey Do's topic in General Nursing

    I never go on any meetings, education and such without this or the like thing unsuspectingly placed on the table:...