KatieMI BSN, MSN, RN

ICU, LTACH, Internal Medicine

Member

All Content by KatieMI

  1. KatieMI

    Any way you could stay over and work a few hours

    Just press the side button on your phone till the screen goes dark (aka the device is off). Then go on with your only one life till your next scheduled shift.
  2. KatieMI

    This MD culture

    When we're on the road, we also have the same goal: to get safely where we need to be. Sadly, some people choose unsafe ways to do that, get in trouble and put others in trouble too. Same way here:...
  3. KatieMI

    Sitting down - New nurse looking for advice

    Just to let you know - none of your ideas can be applied to
  4. KatieMI

    Sitting down - New nurse looking for advice

    Navigators need to know the system in depth and have extensive personal networks to be successful. Those, unfortunately, come only with experience. Re. IT - in my BSN class there was a guy who had...
  5. KatieMI

    Sitting down - New nurse looking for advice

    Option 1: find a GOOD pain specialist who knows more than just pills/shots. Such doctors are few and far between, but if you live in a large metto area, you might have easier time to find one. The...
  6. KatieMI

    smokers and coughing

    "What my smoking can have in common with that cough?" "Nobody ever told me that salt is bad for my heart - NOBODY!!" "Do pickles REALLY have a lot of salt? Oh... but it says here "sodium", not...
  7. KatieMI

    This MD culture

    Fresh from the fields:) - old dude with dementia, on top of many other things, had no BM x 48h on appropriate bowel regiment. A nurse decided to manually disimpact him. At 3 AM. Patient became...
  8. KatieMI

    This MD culture

    Well... to begin with, do you REALLY still believe to higher ups about anything in the
  9. KatieMI

    This MD culture

    Do you really think that yours (as well as most of so-called "non-profit" hospitals in this country, to which group belongs the wast majority of teaching behemoths as well as rural/critical access...
  10. KatieMI

    "ASKholes"

    Can I please add to the list everyone who calls at 3 AM to just let me know that patient whom I ordered bowel regiment just had perfectly normal BM and if I want to do something about it, writes down...
  11. KatieMI

    This MD culture

    Doctors rarely say "do not call me about...." also because they just cannot imagine anyone calling for THAT reason. For them, if a guy on HD had K+ 6.9 before the run, it is only logical that the next...
  12. KatieMI

    This MD culture

    The problem is that it is that physician who brings $$$$$$ to hospital. OR manager, nursing supervisor, that very nurse - they bring, as far as The Powers concerned, nothing. Even more, $$$ has to be...
  13. KatieMI

    This MD culture

    Well, here is a view from the other side. For this particular case, too much is unknown. Was it "real" chest pain, or the patient was one of those folks who would complain on growing pain in their...
  14. KatieMI

    Losing job due to injury

    BTW, that's what most of my buddies told after everything was said and done. They were not even aware of the world of interesting (or less interesting, but anyway good to know about) nursing...
  15. KatieMI

    Losing job due to injury

    Just for consideration: there are jobs in hospitals which are 90+% seated. Unit clerks are needed all the time. Yes, it is not a "nursing job" per se and it pays much less, but it is one way to keep...
  16. KatieMI

    $750 CA RN License??? No way!

    They can do it, so they do it. The other choice is to get in and finish community college program here in the States, which will be significantly more
  17. KatieMI

    "LPNs are glorified CNAs"

    LPNs are in the same sense glorified CNAs as NPs are "just glorified nurses who know nothing but thick too much about themselves". The last I heard more times than I can count. From pretty much...
  18. KatieMI

    Managment is TERRIBLE

    You (and all your colleagues working there) probably should consider showing your new DON that each of you just happens to get two legs on which to walk out of there. Resignation en masse with...
  19. KatieMI

    Thoughts on vegetarian/ vegan diet

    1). If you took Nutrition course as an RN, you should be able to offer some sensible advice. You cannot refer out 100% of everything. BTW, consulting services of RDs tend to be not covered by...
  20. KatieMI

    Whiskey peg tube flush?

    And this is the deal. I work in a formally tertiary care, but in all senses regional center with tons of private practices which provide the main $$$$. There are quite a few off-label and other such...
  21. KatieMI

    Whiskey peg tube flush?

    1) Surgeon felt that, addicted or not, the patieng needs surgery. Lower esophagoectomy with PEG on adult in >95% means low esophageal cancer (which is metastating quickly and resistant to pretty...
  22. KatieMI

    Fired two times and unable to get job now

    If you have clear license and some temerity, try agencies and/or travel. In many cases everything you need is unincumbrent license and breathing/circulation in your body. It will be hard work but you...
  23. KatieMI

    Whiskey peg tube flush?

    Actually, had to do it quite a few times. Acute withdrawal, for one reason or another no IV benzos can be used, PO are either similarly "allergic" to (many alcoholics have paradoxical agitation up to...
  24. I once crossed lifeways with a place which was strictly Catholic and so educated and hired a lot of students and grads from nearby university, similarly as strictly Catholic as it is possible...
  25. In fact, it was precisely she who made the first "nursing diagnoses" among many other things. Soldiers in Scutari was dying in droves not as much as of wounds but of infections and malnutrition. That...