KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

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

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    You talked me into some common sense, guys ? I will made some calls tomorrow. The dream has to wait, and probably for quite some time, if not for ever. Gosh, when I tell patients and families what...
  2. KatieMI

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

    KatieMI replied to KatieMI's topic in Nursing Professionalism

    No. Intraorganizational politics within a Forbs top 50/World company both her dad and my husband are working
  3. KatieMI

    A friend bought her degree from the Philippines.

    KatieMI replied to thatgirlisangel's topic in General Nursing

    Well... Many years ago one "watchful" and "responsible" lady just like you reported me to Michigan BON. Her point was that she was struggling soooooo much through pharma and patho in BSN program and I...
  4. KatieMI

    Return to NP Practice

    KatieMI replied to Godsgirl73's topic in Nurse Practitioners, NP

    Godsgirl 73, you will do a lot of favor if you continue to update this message as things go on, and if you make another one in the World/Canada part of this forum, with noting a province (no other...
  5. KatieMI

    Return to NP Practice

    KatieMI replied to Godsgirl73's topic in Nurse Practitioners, NP

    Godsgirl73, The fact that they want you to write down your own "plan" can mean only one thing: in clear English, they just got no idea in the world what to do with you. Therefore, your job gets to...
  6. KatieMI

    Return to NP Practice

    KatieMI replied to Godsgirl73's topic in Nurse Practitioners, NP

    1). Start to get CME (or whatever it is named in Canada) like crazy. Choose reputable sources and the courses which correspond with what you see as your future area of occupation. 2). If such things...
  7. KatieMI

    FNP job outlook in Michigan

    KatieMI replied to al799's topic in Nurse Practitioners, NP

    There are tons of jobs but not so many of really good ones. Those which hit the market are filled quickly. Do not get confused by the time these jobs stay in "open" status. I recently signed for one...
  8. KatieMI

    FNP vs. Acute Care Job Demand & Responsibilities

    KatieMI replied to SN2751's topic in Nurse Practitioners, NP

    If just about circumstances and personality: FNP/office positives: set, predictable schedule, frequently no calls/holidays/weekends, same docs, same staff, patients are familiar, clerical support you...
  9. KatieMI

    Strange prescribing practices

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

    Well, in order to make it in 99213, theoretically, one Dx of "chronic pain" is enough, but one still need to document at least a short physical. If the provider feels that documenting all other stuff...
  10. KatieMI

    Elevated H/H, very low Folic Acid/B12

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

    https://www.hindawi.com/journals/bmri/2013/205467/ Part 7. Copper deficiency and MGUS-like changes in bone marrow, can lead to high Hb till the iron stores run
  11. KatieMI

    Elevated H/H, very low Folic Acid/B12

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

    Relatively common, only one type of it. Polycytemia vera or MGUS going into this direction with prevalence 22-24/100000 (well, there are a few more, but they are closer to dinosaurs than to zebras)....
  12. KatieMI

    NP vs MA vs MD power struggle

    KatieMI replied to Ria21's topic in Nurse Practitioners, NP

    I see amazing number of job advertisements for urgent care and the like settings which openly state that the NP candidate they seek will be treated as "all tasks' maid". Rooming, taking vitas,...
  13. KatieMI

    NP vs MA vs MD power struggle

    KatieMI replied to Ria21's topic in Nurse Practitioners, NP

    It is bizarre but indeed quite common. In my experience, hiring "to help with the influx of patients" can mean literally whatever. If office personnel has no knowledge of what "NP" means and only...
  14. KatieMI

    Elevated H/H, very low Folic Acid/B12

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

    That would be either CKD at least IV (in which case he likely wouldn't go bariatric and wouldn't be so high) or use for doping in sports (in which case bariatric also unlikely). Too much a zebra to...
  15. KatieMI

    Elevated H/H, very low Folic Acid/B12

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

    Vitamin B12 has a great reserve in liver. It is a cofactor, so it is not actually "spent" and it particitates in rather limited amoung of reactions, intencity of which decreases as one ages. Assuming...
  16. KatieMI

    Clinical Question - Tampon left in for one month

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

    - fever + - flank/back pain with CVA tenderness + - any urinary symptoms = UTI, it is 90+% specific symptom complex. Plus possible PID as well, although less possible. Treat accordingly. I would...
  17. KatieMI

    Written Up

    KatieMI replied to medteleER's topic in General Nursing

    That was likely about me. As I said, there are lots of people who just cannot stand anyone who is smart and openly proud of
  18. KatieMI

    Written Up

    KatieMI replied to medteleER's topic in General Nursing

    I do too. But, what I went through before that got clear enough to others, including the
  19. KatieMI

    Written Up

    KatieMI replied to medteleER's topic in General Nursing

    I would do whatever I can to use non-pharmacologic methods to comfort the patient and help him sleep I would explain him that what he was taking home may or may not be safe for him right now. He is in...
  20. KatieMI

    Written Up

    KatieMI replied to medteleER's topic in General Nursing

    Well, the same case I described before (without HIPAA details): Patient was started oral amio load while Cardizem drip was still running. Was also on IV opioid d/t NPO. Not opioid naive, but not high...
  21. KatieMI

    Written Up

    KatieMI replied to medteleER's topic in General Nursing

    1). Nurse R.V. also just wanted to help her patient, as did all others who participate in the case. All of them had only good intentions, yet the patient died. 2). If a patient will tell you that he...
  22. KatieMI

    Written Up

    KatieMI replied to medteleER's topic in General Nursing

    Write up? Probably not. Stern talk about poor clinical judgement and critical thinking? Oh, yes. BTW, this is what happens when we providers are bombarded with calls about something for this symptom...
  23. KatieMI

    would you tell a manager how toxic her floor is?

    KatieMI replied to remotefuse's topic in General Nursing

    Do you really think management doesn't know it? It is only a question of you being able to afford to burn bridges with this place. Realistically, there are pretty few circumstances which would...
  24. KatieMI

    Free teaching labor

    KatieMI replied to Theresasnakeinmyboot's topic in General Nursing

    Where I am, preceptors are paid approximately the same as nurses who work PRN (i.e. $8-10/h more than full time staff) with them being responsible for all students and on top of it expected to "help"...
  25. KatieMI

    Robot tells man he'll be dead in hours

    KatieMI replied to Emergent's topic in General Nursing

    While I think that such talk is highly preferred to be done in person, we live in 2019. Technologies like essentially "moving screen" (as far as I understand, it was not a "robot" but telemed device...